Forms for Employees that Qualify for Benefits:

• Sick Bank Enrollment Form 
  (You have 30 days from your date of hire to join the bank)
  
  [The Sick Bank provides job and income protection in the event you have an illness or injury and have exhausted all of your leave. There is a six-month waiting period before benefits become active for most employees. VRS Hybrid employees do not have a waiting period, but can only be enrolled for one year; after one year of employment, Hybrid employees have short term disability coverage that goes into effect.
  Please refer to SB Policy Section 5-7.5 for more details.]

• Please reach out to Gallagher to set up Benefits such as: Health Insurance and Optional Products [Dependent Care Account (DCA), Flexible Spending Account (FSA), Limited Purpose Flexible Spending Account with HSA, Ameritas Dental, Ameritas Vision, Unum Accident Insurance, Unum Hospital Indemnity, Unum Short Term Disability, Chubb Group Critical Illness, Chubb Lifetime Benefit Term Insurance, & LegalShield]
  • *If you do not have Gallagher's information, please reach out to the Payroll & Benefits office directly to find out how to enroll in benefits at 540-382-5100 or [email protected] 

For employees that qualify for VRS Benefits:

• Starting Your Hybrid Plan Adventure

• VRS Group Life Insurance Certificate

• VRS Beneficiary Designation Form 
  Continuation Form
  
  
• Hybrid ICMA-RC Beneficiary Designation Form

• Securian / Minnesota Optional Life Insurance Booklet 

• Securian / Minnesota Life Enrollment Form / Waiver
  
  
• Securian / Minnesota Life Evidence of Insurability

Benefits Guide:

2021 - 2022 MCPS Benefit Booklet

Want to know which benefits would work best for you? 
Try ALEX, an interactive guide to employee benefits!

Other Information:

• Summary of Benefits

• Employee Self Service(ESS)
  

• Employee Time Sheet

• Payday Dates
  

• Payroll Cut Off Dates