| FORM |
HEALTH/MEDICAL -
Medica |
HIGHLIGHTS |
| Info |
Questions and Answers |
- Taylor pays for $10K Life when enrolled in
Health Plan
- $2500 Deductible decrease to $8/wk
|
| Video |
Insurance Audio Presentation |
| Info |
Medica Health Plan Overview (Powerpoint Handout) |
| Enroll |
Medical (Fill out online form and attach it to email then send it to benefits@taylortruckline.com) |
| Info |
$500 Deductible |
| Info |
$2,500 Deductible Health Plan with HSA |
| FORM |
HEALTH SAVINGS ACCOUNT - SELECT ACCOUNT |
HIGHLIGHTS |
| Enroll |
Group HSA Application |
|
| Info |
Eligible Medical Expenses |
| Form |
Employee Contribution Election (Payroll Deduction) |
| Form |
Employee Contribtuion (One-Time Payment) |
| Form |
Withdrawal Request |
|
| |
VOLUNTARY BENEFITS |
| FORM |
DENTAL - Dearborn National |
| Info |
Dental |
|
| Info |
Dental Certificate |
|
| FORM |
DISABILITY & LIFE- FORT DEARBORN LIFE |
HIGHLIGHTS |
|
Dental, Life, LTD, STD (Fill out online form and attach it to email then send it to benefits@taylortruckline.com) |
- STD benefits now start on day 8 versus day 15
- You can have additional life insurance for yourself & family
|
|
Info |
Short-Term Disability Premiums |
|
Form |
Short-Term Disability Claim Forms |
| Info |
Long-Term Disability |
| Form |
Long-Term Disability Claim Forms |
|
Info |
VLife Week Rate |
| Info |
Vol Life Summary |
| Info |
Vol Life Certificate |
| Info |
Travel Resources Information |
|
FORM |
401K -
BREMER TRUST |
HIGHLIGHTS |
|
Info |
401K Plan Highlights |
|
|
Guide |
401K Summary Plan Description |
|
|
Form |
401K Participant Enrollment |
|
|
Form |
Salary Deferral Agreement (Payroll Deduction) |
|
|
Form |
Beneficiary Designation |
|
|
Form |
Personal Information Change Request |
|
|
Form |
Incoming Direct Rollover Election |
|
|
Form |
Hardship Withdrawal Request |
|
|
Form |
Distribution/Direct Rollover Request |
|
|
Form |
Application for Age 50 Catch-Up |
|
