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Medical & Dental Options
(Open Enrollment for Medical/Dental Benefits is July 1st.)
Notification for change in coverage must be submitted to the central office prior to July 1st
Medical and Dental Benefits
Type
Name
125 Medical Plan Description
HIPPA Employee Notification
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Annuity/Retirement Information
Type
Name
403(b) Eligibility Notification Form
Annuity Authorization Form
Approved Annuity Companies
IRS Publ 571 (403b Annuity Plans) March 2008
Social Security - Windfall Elimination Provision
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General Payment Information
Type
Name
Dir Dep Form
Life Insurance Enrollment Form
Name-AddressChangeForm
W-4 Form 2008
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Important Links
Delta Dental of RI - Link to Online Benefits
Employees Retirement System of RI
AESOP Online
The TRUST - Preferred Physician Network
RI Certification Log-in Screen
Employees Retirement System of RI Handbook
IRS Bulletin - Add'l Tax when Deferring Income
Social Security - Windfall Provision
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