Primary Contact:            Sally Sheckels, Payroll and Benefits Coordinator

Phone:                             (540) 955-6173

Fax:                                   (540) 955-0676

Email:                               This email address is being protected from spambots. You need JavaScript enabled to view it.

Business Hours:            Monday-Friday 8:00 AM to 4:00 PM

EMPLOYEES: Click here for an explanation of your W-2 form.

Note to employees:  Employees get paid on the last working day of each month.

 

Forms for New Hires:

(Please note that these are the forms that are required for payroll processing.  Your department may also have additional required forms.)  Forms cannot be submitted online.  They must be printed and delivered to payroll.

 

 

Required

Federal Employee's Withholding Allowance Form (W-4)

VA Withholding Form (VA-4) or WV Withholding Form (WV/IT-104)

Employment Eligibility Verification (I-9) - to be submitted to Department Head

Direct Deposit Form

Health Insurance Application and Change Form

VRS Designation of Beneficiary (VRS-2)

Flex Benefit Enrollment Form

Optional

Optional Life - Coverage is guaranteed if you enroll within 31 days of your employment date or a qualifying event, such as marriage or the birth or adoption of a child.  If you enroll outside of this time frame, you may be subject to more rigorous underwriting standards.

Long Term Care - Coverage is guaranteed if you enroll within 60 days of your employment date.  If you enroll outside of this time frame, you may be subject to more rigorous underwriting standards. - Must register online

Tax Deferred Retirement Savings (457) - Must register online

The open enrollment period for changes to health insurance and flexible benefits plans runs from May 1 to May 15.  You may only make changes to your health insurance policy or flexible benefits at other times if you have a qualifying status change.  Please see the  Health Insurance Application and Change Form part 2G to determine if you have a qualifying status change.  All change forms must be submitted to payroll no later than close of business on May 15th.

In order to retain or add your flexible benefit medical spending or dependent day care account, you must submit a new  default enrollment form (375 KB) default (375 KB) each year during open enrollmentPlease note that with the plan year beginning July 1, 2014 you will longer have the 2 1/2 month spend out at the end of the plan year.  Instead, the plan year will only cover expenditures through June 30 and you will be able to carry any remaining balance (up to a maximum of $500) to the next plan year.  Any amount above $500 will still be subject to the use it or lose it rule.  Please note that you will still have until September 30 to submit any claims for the prior plan year. IRS regulations prohibit you from contributing to a Health Savings Account in the same year that you have a medical spending account.  This includes any medical spending carryover that you may have from a previous year.  For this reason, if you think you may go to a high deductible insurance policy with a Health Savings account in the future, you should budget your medical spending account accordingly.


While changes to optional life, long term care insurance and tax deferred retirement savings (457) are not restricted to open enrollment, open enrollment is a good time to review all of your benefits and make any necessary changes.

Optional Life - Coverage is guaranteed if you enroll within 31 days of your employment date or a qualifying event, such as marriage or the birth or adoption of a child.  If you enroll outside of this time frame, you may be subject to more rigorous underwriting standards.

Long Term Care - Coverage is guaranteed if you enroll within 60 days of your employment date.  If you enroll outside of this time frame, you may be subject to more rigorous underwriting standards. - Must register online

Tax Deferred Retirement Savings (457) - Must register online

Additional Information:

 

Full-Time Employee Benefits-Government Employees


Description of employer paid benefits and optional employee paid benefits

Virginia Retirement Systems


VRS Website Link

VRS Retirement Publications

Group Life Insurance

Optional Life Insurance

Long Term Care Brochure

Tax Deferred Retirement Savings (457)

Health Insurance Links


Health Insurance Eligibility

pdf FY2016 Health Insurance Rates (15 KB)

pdf FY2017 Health Insurance Rates (15 KB)

Virginia Local Choice Website

Health Insurance Application and Change Form


Flex Benefits


Introduction to Flexible Benefits

Flex Benefits Manual

Flex Benefits Enrollment Form - To remain an active participant, you must submit a new form annually.

Flex Reimbursement Claim Forms

You can now manage your Flexible Benefits on the go with the MyFlexMobile App.

For More Information pertaining to the Flex Program, click on the link below:

http://takecarewageworks.com