Human Resources Links

Full Time Employee Benefits
-Summary of Full-Time Employee Benefits
-Holiday List

Personnel Forms
-Employee Information Change Form
-Fitness Center Indemnity Agreement
-Employee Rules and Regulations (Handbook)

-View Your Paycheck Online
-Payroll Authorization for Direct Deposit
-Frequency of Payroll Deductions
-Massachusetts Employee's Withholding Exemption Form (M-4 Form)
-Employees Withholding Allowance Certificate (W-4 Form)

GIC Enrollment/Changes
-What is GIC?
-GIC Enrollment/Change Form (Form-1)
-GIC Employment Status Change Form (Form-1A)
-GIC Dental/Vision Enrollment Change Form (Form-1DV)
-GIC Life Insurance Beneficiary Form (Form-319)
-GIC Life Insurance Beneficiary Form (Form-G500)
-GIC Monthly Plan Rates
-Benefit Statement Change Form
-Dependent Ages 19-26 Enrollment/Change Form
-Health Connector Overview of Health Insurance Marketplaces
-ASI-Flex, Health Care Flexible Spending Account Plan

MASS Health Enhanced Coordination of Benefits
-Mary Hajjar, 617-886-8039, Email

EOCB works with patients to identify potential sources of private health insurance. By having private health insurance and Mass Health, a larger selection of providers and benefits may be available to you.

State Board of Retirement
-Change of Beneficiary Form
-Board of Retirement Benefit Guide

Great West
-SMART Plan Mandatory OBRA
-SMART Plan Overview
Ricardo Diaz-Lane - Retirement Plan Counselor, 508-207-6379, 877-457-1900, Email

Family Medical Leave of Absence
-Certification of Health Care Provider for Employee’s Serious Health Condition
-Certification of Health Care Provider for Family Member’s Serious Health Condition

Workers' Compensation
-Workers' Compensation Physician's Report
-Notice of Injury/Illness Report
-Authorization for Release of Medical Records

Extended Illness Leave Bank (EILB)
-Extended Illness Leave Bank (EILB) Withdrawal Application
-What is Extended Illness Leave Bank? (EILB)

Short-Term Disability Insurance, Accident & Personal Cancer Indemnity Plans
-Aflac, Andrea Knox, 508-817-6751, Email
-Colonial Life, Scott J. Curtis, 978-456-7717, 800-325-4368, Email

Drug Testing
-Employee Drug Testing Policy 231
Drug testing is at: Beth Israel Deaconess Hospital, Occupational Health Department, 45 Resnik Road, Suite 201, Plymouth MA 02360. 508-732-0401

Conflict of Interest Law
-Summary of Conflict of Interest Law for State Employees
-EMPLOYEE TEST for State Ethics Conflict of Interest Law

Tuition Remission Program
-Tuition Remission Certificate
-Tuition Remission Program Guidelines

Law Enforcement and Family Member Assistance Program
-Program Director - Gary Ouillette, 508-274-5184, 24-hour accessibility
-Program Coordinator - Aida Ouillette, 508-844-1800, 855-380-7326, 24-hour

Confidentiality Assured - Treatment programs with corrections expertise, referral network, stress management, alcohol/substance abuse, work/family issues, and crisis intervention.

Apprentice Training for Veterans in Massachusetts
-Apprentice Training for Veterans

Help Support The Troops
-Help Support Our Troops
-Adopt a Soldier Enrollment Form