DENTAL DESIGN PLANS

• Comparison of Horizon Benefit Options (HDC G with Ortho)
  
• Comparison of Horizon Benefit Options (DOP with Ortho)
  

EMPLOYEE CONTRIBUTION RATES

• Employee Contribution Rates
  
• Cost Per Pay Period
  

MEDICAL & DENTAL RENEWALS SCHEDULE

• View the Renewals Schedule
  

MEDICAL HEALTH INSURANCE PLAN

• United Health Insurance (Oxford)
  
• Medco Prescription Rx Program (For Details)
  
• Medco Prescription Rx Mail in Order Form
  
• Basic Plan (Liberty Direct Low Option)
  
• Advanced Plan (Liberty Access High Option)
  
• Medical Oxford Enrollment Form
  

• Medical Oxford Coverage Employee Rates
  
  

HORIZON DENTAL INSURANCE PLAN

• Horizon Dental Insurance
  
• Dental Enrollment Form
  
• Dental Coverage Employee Rates
  

VISION EYE CARE PROGRAM

• Spectera (A division of United Health Insurance)
  
• Oxford Vision Enrollment Form
  

403(b) RETIREMENT PROGRAM

• Principal Financial Group
  
• Principal Financial Change Form
  

EMPLOYEE SAFETY

• New Jersey Manufacturing (Workers Compensation) NJM
  

• Long Term Disability Care
  

VOLUNTARY INSURANCE

• Colonial Life Supplemental Insurance
  

• Boston Mutual Supplmental Insurance
  

• Met Life Supplemental Insurance
  

• Pre-Paid Legal Services
  
• Colonial Portfolio Benefits Summary
  
• Colonial Supplemental Benefits
  

State Farm
Contact: Alberto Santana
Phone: 201-332-3344
Email: alberto@thesantanaagency.com
Website: http://www.statefarm.com

Beckerman & Company
Contact: Louis Beckerman
Phone: 1-800-339-1836
Email: lbeckerman@beckermanco.com
Website: http://www.beckermanco.com


SHORT TERM DISABILITY INFORMATION

• Disability Claim Form
  

FAMILY MEDICAL LEAVE INFORMATION

• FMLA (Family Medical Leave) Request Form
  
• Family Leave Insurance Coverage Form
  

VARIOUS FORMS

• Waiver Form 2010
  

• PPI Enrollment Form
  

• W-4 Form 2010
  

• Employee Accident Report Form