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University Employee Benefits
Booklet - Summary of Employee Benefits for University Employees
Summary Sheet - Employee Benefits	01-18-09
Employee Benefit Contact List	09-14-07
Transportation Benefit Program
Forms, Information and Web Site	01-18-09
Employees' Retirement System
Employees' Retirement System Web Site and Publications	07-20-07
Lecturer Hour Conversion Matrix	07-21-03
MEMO: Servicemen's Act	11-29-08
MEMO: Unenrolled members of the ERS	06-19-07
MEMO: Retirement Group and Class Code Tables	07-16-07
MEMO: Request for Membership Information	05-18-07
MEMO: Personnel Action Forms	11-29-08
MEMO: Breakdown for Retroactive Pay	11-29-08
Retirement Counseling Session Schedule	01-30-09
ERS Contribution while on Professional or Educational Leave without Pay	09-12-08
ERS Contribution while on Workers' Compensation	03-06-07
Non-Tax Qualified Pension Benefit	06-09-05
Federal Tax Limit on Pension Compensation for EMPLOYEES	12-12-08
Federal Tax Limit on Pension Compensation for EMPLOYERS	12-12-08
ERS Contributions on Lump Sum Vacation Pay-Out	02-02-07
Return to Work Active/Former Member After June 30, 2006	02-07-07
Flexible Spending Account
Link to Comprehensive Financial Planning, Inc. Web Site
Island Flex Participant Account Access
Claim Form
Island Flex Flyer	03-01-07
Health Benefits - Employee Union Trust Fund (EUTF)
Open Enrollment Form EC-1
Form EC-1 Enrollment Instructions
Health Fund Information: Link to EUTF web site
Forms
Request for Treatment as an Assistance Eligible Individual Form
Monthly Premium Rates (BU 07 only) - Eff. 07/01/09
Monthly Premium Rates (All BU's except BU 07 and BU12) - Eff. 07/01/09
Affadavit of "Dependency" for Tax Purposes
EUTF Declaration of Domestic Partnership
HI529 - Hawaii's College Savings Program
HI529 Web Site	04-14-09
HI529 Brochure	04-14-09
Life Insurance - The Standard Life Insurance Company
Standard Insurance Company Web Site	04-14-09
Beneficiary Designation/Change Form	04-16-07
Life Insurance Booklet	08-07-07
MedEx Travel Assist	08-07-07
Life Insurance Questions & Answers	09-14-07
Leaves
MEMO - Administrative Time Off for Blood Donations, Blood Testing for Bone Marrow matches and Organ Donations	07-18-08
Leaves Immediately After An Authorized LWOP	12-31-97
Military Leave
MEMO: Special Benefits for ERS Members on Military Leave without Pay	08-27-07
Uniform Services Employment and Reemployment Rights Act (USERRA) of 1994	07-10-96
What You May Need to Know About Your Benefits When You Go On Military Leave	11-06-06
Part-Time, Temporary & Seasonal/Casual (PTS)
PTS Plan Participant Account Access	01-30-09
MEMO - PTS Deferred Compensation Retirement Plan (DAGS)
Q&A Supplement #1
PTS Deferred Compensation Retirement Plan Information Booklet
DHRD Director's Letter for PTS Booklet
Enrollment Form
Administrative Distribution Form
Notice of PTS Payroll Adjustment
Premium Conversion Plan (PCP)
Election Change Form	11-02-09
Employee Brochure	11-02-09
Poster	11-02-09
Domestic Partnership Acknowledgement Form and Reference Chart	11-02-09
Retirement - 403(b) & 457 Programs
Vacation Pay Deferral Program Announcement	02-10-09
403(b) & 457 Comparison	02-10-09
403(b) Tax-Deferred Annuity Program	08-08-07
457 Deferred Compensation Plan Island Savings Plan Investment Advice Vacation Payout Program Forms	10-24-08
Retirement and Service Awards
Processing of Final Documents for Retirees	03-09-98
Employee Service & Retirement Awards	01-01-98
Order Service and Retiree Recognition Awards	11-13-02
Safety
MEMO: Safety Shoes	12-17-92
Hazard Assessment Certification	07-14-06
Hazard Assessment - Foot Protection Form	07-14-06
Safety Shoes Purchase Authorization	07-14-06
Purchase Authorization Form	07-14-06
Purchasing Instructions	07-14-06
Temporary Disability Benefits (TDB)
Form HRD(TDI)-1: Claim for Temporary Disability Benefits	02/2000
Form HRD(TDI)-3: Worksheet for Processing TD Benefit Claim	02/2000
Notice to Bargaining Unit Employees	07-15-00
Notice to Non-Bargaining Officers & Employees	07-15-00
Form TDI-46: Denial of Claim for Disability Benefits	01/2000
Tuition Waiver
Employee Tuition Waiver	05-27-08
Employee Declaration of Marital Status or Domestic Partnership	05-27-08
Workers' Compensation (WC)
WC Disability Benefits	10-09-97
Budgetary Delegation for WC & Unemployment Insurance	09-19-97
State Employees' Return to Work Priority Program Procedures	03/10/95
State Employees' Return to Work Priority Program	1995
UH Form 41: Sick/Vacation Pay During Receipt of Workers' Compensation Disability Benefits	06-19-06
Other Benefits
New Procedures for U.S. Savings Bonds Inquiries	06-15-04
U.S. Savings Bonds Payroll Authorization Form	04-11-00