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Internal Human Resource Forms

2020-2021 Summary of Benefits and Coverage (SBCs)

Internal Forms for Current City Employees

PAYROLL FORMS

CHANGE FORMS

  • Priority Health Insurance Change Form
  • Opt-Out Form - Health Insurance
  • MetLife Vision/Life Change Form
  • Delta Dental Insurance Change Form
  • HSA Salary Redirection Authorization
  • ICMA-RC 457 Deferred Comp. Change Form
  • ICMA-RC 457 Deferred Comp. Beneficiary/Name & Address Change Form
  • ICMA-RC: Change Current and Future Allocations
  • MassMutual 457 Deferred Comp. Change Form
  • MassMutual 457 Deferred Comp. Beneficiary/Name & Address Change Form
  • MassMutual: Change Current and Future Allocations

REIMBURSEMENT FORMS

EMPLOYEE INFORMATION

Michigan Municipal League Tuition Incentive Program

This page last updated on 12/17/2020.