Forms for Current Employees

WEBSITES		Christian Brothers: mycbs.org/health Humana: https://www.humana.com Paycor: https://www.paycor.com Empower Retirement Services: empowermyretirement.com
EMPLOYEE FORMS	Various forms needed for new employees as well as existing employees who undergo transfers or other changes	Employee Benefit Change Form Background Check Authorization Form Background Check for Child Care Staff Central Registry Check for Child Care Staff Employee Enrollment Form Checklist Employee Termination Form Employee Transfer Guide Payroll ACH Authorization Form Credit Check Release Form Whistleblower Report Form
TAX FORMS	Various tax forms needed for employees	Form I-9 Form W-4 KY Form K-4 IN Form WH-4
CHRISTIAN BROTHERS	Enrollment and benefit summary	Benefit Enrollment Guide Teladoc CBS Letter to Providers Express Scripts Summary of Benefits & Coverage
HUMANA	Enrollment and benefit summary	Archdiocese of Louisville Dental & Vision
AIM	Flexible Spending Account form	Request for Reimbursement Form Reimbursable Medical Expenses Summit Participant Portal Summit App
RETIREMENT	Beneficiary Designation Form	Contact your bookkeeper
KEMI	Required form for reporting an injury for workers’ compensation purposes	Workers’ Compensation First Report of Injury Form Employee’s Statement
RELIANCE STANDARD	Long-term and short-term disability applications	Long-Term Disability and Group Life-Wavier of Premium Short-Term Disability
FMLA	Family and Medical Leave Act	Click here for more information
Information for Terminating or Retiring Employees	Basic Benefit Information for all Departing Employees or Employees No longer Eligible for Benefits	Information for Retiring or Terminating Employees

Forms for Current Employees

Forms for Current Employees

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