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2019 Bi-Weekly Payroll Calendar (last update -- 1/7/19)  118k v. 3 Aug 14, 2019, 10:49 AM Courtney Akers
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  9233k v. 2 Jun 26, 2019, 6:39 AM Courtney Akers
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  58k v. 2 Jun 26, 2019, 6:36 AM Courtney Akers
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  391k v. 2 Jun 26, 2019, 6:36 AM Courtney Akers
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  92k v. 2 Jun 26, 2019, 8:45 AM Courtney Akers
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2019 Annual Notices  539k v. 2 Aug 14, 2019, 10:49 AM Courtney Akers
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  87k v. 2 Jun 26, 2019, 6:42 AM Courtney Akers
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Summary of Benefits for United Healthcare HDHP/HSA Plan -- effective through 7/31/2020   464k v. 3 Aug 14, 2019, 10:49 AM Courtney Akers
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  1645k v. 2 Sep 25, 2019, 1:37 PM Courtney Akers
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United Health Prescription Drug FAQs  56k v. 3 Aug 14, 2019, 10:49 AM Courtney Akers
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401(k) Enrollment Form  58k v. 2 Feb 6, 2017, 8:17 AM Courtney Akers
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401(k) Distribution Request Form  135k v. 2 Oct 13, 2017, 1:37 PM Courtney Akers
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401(k) Financial Hardship Request Form  127k v. 4 Nov 21, 2018, 10:00 AM Courtney Akers
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401(k) Loan Application Request Form  114k v. 2 Oct 13, 2017, 1:37 PM Courtney Akers
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401(k) Rollover Contribution Form  302k v. 2 Nov 21, 2018, 9:47 AM Courtney Akers
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401(k) Enrollment Booklet -- 2018  3121k v. 2 Nov 21, 2018, 9:47 AM Courtney Akers
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401(k) Participant Fee Disclosure Notice - Plan Year 2019 (updated)   2891k v. 2 Dec 7, 2018, 9:31 AM Courtney Akers
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401(k) Summary Plan Description   359k v. 2 Dec 7, 2018, 9:31 AM Courtney Akers
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401(k) Eligibility Requirements -- 2019  92k v. 2 Apr 10, 2019, 1:27 PM Courtney Akers
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401(k) Beneficiary Designation Form   110k v. 2 Dec 14, 2011, 7:17 PM Catharine Vernon
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401(k) Death Benefit Request Form  130k v. 2 Jul 7, 2016, 11:45 AM Courtney Akers
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401(k) Death Benefit Request - Tax Notice   114k v. 4 Jul 7, 2016, 11:45 AM Courtney Akers
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401(k) Deferral Election Change Form  94k v. 2 Nov 27, 2013, 5:59 AM Catharine Vernon
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401(k) Distribution Request - Tax Notice   114k v. 3 Jul 7, 2016, 11:47 AM Courtney Akers
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401(k) Financial Hardship Request - Tax Notice   114k v. 4 Nov 21, 2018, 10:00 AM Courtney Akers
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401(k) Overview of Participant Forms   22k v. 4 Mar 2, 2010, 7:50 PM Catharine Vernon
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401(k) QDIA Notice -- 2019  62k v. 2 Apr 10, 2019, 1:27 PM Courtney Akers
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401(k) Safe Harbor Notice -- 2019  72k v. 2 Apr 10, 2019, 1:28 PM Courtney Akers
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FSA Direct Deposit Form  802k v. 2 Jun 15, 2017, 8:29 AM Courtney Akers
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2017-2018 FSA Enrollment Guide  10640k v. 2 Jun 19, 2017, 6:34 AM Courtney Akers
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FSA Summary Plan Description -- effective through 7/31/2018  573k v. 5 Nov 21, 2018, 10:00 AM Courtney Akers
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  408k v. 2 Jun 26, 2019, 7:01 AM Courtney Akers
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  2619k v. 2 Jun 26, 2019, 6:45 AM Courtney Akers
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  332k v. 2 Jun 26, 2019, 9:04 AM Courtney Akers
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FSA Claim Form - effective through 7/31/18  64k v. 2 Jul 7, 2017, 9:37 AM Courtney Akers
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FSA Plan Participation Form  59k v. 7 Dec 29, 2016, 6:34 AM Courtney Akers
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  131k v. 2 Jan 7, 2019, 4:10 PM Courtney Akers
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  138k v. 2 Jan 7, 2019, 4:10 PM Courtney Akers
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  132k v. 2 Jan 7, 2019, 4:10 PM Courtney Akers
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  130k v. 2 Jan 8, 2019, 9:14 AM Courtney Akers
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International Travel Tips - China  346k v. 2 Jun 22, 2011, 5:43 PM Catharine Vernon
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International Travel Tips - United Arab Emirates  371k v. 2 Jun 22, 2011, 5:43 PM Catharine Vernon
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International Travel Checklist  386k v. 2 Jun 22, 2011, 5:43 PM Catharine Vernon
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Employment Application  189k v. 3 Apr 20, 2016, 10:04 AM Courtney Akers
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USCIS Form I-9 (Paper Version)  73k v. 2 Oct 13, 2017, 1:41 PM Courtney Akers
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  628k v. 3 Sep 5, 2014, 12:36 PM Catharine Vernon
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  247k v. 2 Sep 17, 2019, 10:59 AM Courtney Akers
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  564k v. 2 Sep 17, 2019, 10:54 AM Courtney Akers
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  219k v. 2 Sep 17, 2019, 10:59 AM Courtney Akers
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  119k v. 2 Jun 26, 2019, 6:36 AM Courtney Akers
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  810k v. 2 Oct 3, 2019, 12:07 PM Courtney Akers
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  495k v. 2 Oct 3, 2019, 12:07 PM Courtney Akers
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  129k v. 3 Oct 3, 2019, 12:06 PM Courtney Akers
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  64k v. 3 Oct 3, 2019, 12:06 PM Courtney Akers
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United Healthcare HIPAA Disclosure Authorization Form  86k v. 3 Jul 7, 2016, 1:02 PM Courtney Akers
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United Healthcare Prescription Reimbursement Request Form  646k v. 5 Jul 13, 2017, 2:18 PM Courtney Akers
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Guardian - Summary Plan Description for Dental Coverage -- effective through 7/31/2018  62k v. 2 Aug 30, 2017, 7:03 AM Courtney Akers
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HSA Summary - effective through 7/31/2018  1117k v. 2 Aug 30, 2017, 7:03 AM Courtney Akers
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HSA Employee Contribution Form -- effective through 7/31/2018  168k v. 2 Jul 13, 2017, 3:02 PM Courtney Akers
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2018 Preventive Drug List for HDHP/HSA Health Plan -- Plan Year 2018-2019  854k v. 3 Aug 15, 2018, 8:27 AM Courtney Akers
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Benefits Enrollment and Change Form -- Effective through 7/31/2019   171k v. 3 Jun 18, 2018, 1:02 PM Courtney Akers
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United Healthcare Dental Plan Summary -- effective 8/1/18 - 7/31/19  172k v. 2 Jun 18, 2018, 1:02 PM Courtney Akers
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UHC Dental Plan Certificate of Coverage -- effective through 7/31/19 -- Revised 1/3/19  783k v. 2 Jan 3, 2019, 1:13 PM Courtney Akers
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  792k v. 2 Jun 26, 2019, 6:45 AM Courtney Akers
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  1503k v. 2 Sep 17, 2019, 10:59 AM Courtney Akers
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  1516k v. 2 Sep 17, 2019, 10:59 AM Courtney Akers
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  1499k v. 2 Sep 17, 2019, 10:59 AM Courtney Akers
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Summary of Benefits for United Healthcare Base Plan -- effective through 7/31/2020   464k v. 2 Aug 14, 2019, 10:42 AM Courtney Akers
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Summary of Benefits for United Healthcare Buy-Up Plan -- effective through 7/31/2020   466k v. 2 Aug 14, 2019, 10:43 AM Courtney Akers
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  223k v. 2 Oct 3, 2019, 11:53 AM Courtney Akers
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  414k v. 2 Oct 9, 2019, 7:57 AM Courtney Akers
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  411k v. 2 Oct 9, 2019, 7:57 AM Courtney Akers
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  410k v. 2 Oct 9, 2019, 7:57 AM Courtney Akers
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  1613k v. 2 Sep 25, 2019, 1:53 PM Courtney Akers
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  702k v. 2 Sep 25, 2019, 1:53 PM Courtney Akers
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  118k v. 2 Sep 25, 2019, 1:53 PM Courtney Akers
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2019 Semi-Monthly Payroll Calendar (last update -- 1/7/19)  119k v. 2 Jan 7, 2019, 2:43 PM Courtney Akers
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Payroll Direct Deposit Form   125k v. 3 Jul 3, 2014, 7:42 AM Catharine Vernon
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Home Office Reimbursement Approval Form -- Effective January 1, 2018  89k v. 2 Nov 27, 2017, 2:28 PM Courtney Akers
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Home Office Reimbursement Policy -- Effective January 1, 2018  150k v. 2 Nov 27, 2017, 2:28 PM Courtney Akers
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Voice/Data Reimbursement Approval Form -- Effective January 1, 2018  91k v. 2 Nov 27, 2017, 2:28 PM Courtney Akers
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Voice/Data Reimbursement Policy -- Effective January 1, 2018  160k v. 2 Nov 27, 2017, 2:27 PM Courtney Akers
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California Tax Withholding Form  79k v. 2 Oct 13, 2017, 1:44 PM Courtney Akers
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NC Tax Withholding Form - NC-4EZ   2275k v. 2 Nov 21, 2018, 9:59 AM Courtney Akers
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NC Tax Withholding Form - NC-4  2318k v. 2 Nov 21, 2018, 9:59 AM Courtney Akers
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Federal Income Tax Withholding W-4   62k v. 2 Jan 16, 2019, 12:07 PM Courtney Akers
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  445k v. 2 Jun 26, 2019, 7:06 AM Courtney Akers
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  408k v. 2 Jun 26, 2019, 7:06 AM Courtney Akers