Human Resources

 
 

* If you have any questions on any of the following forms please contact Jessica Coulombe at Central Office 375-4273 x 175 or jessica.coulombe@rsu4.org

Professional Leave Request ( Must be printed on green paper)

Anthem Enrollment Form

Anthem Booklet 2019-2020

Anthem Summary of Benefits and Coverages(SBC) Choice Plan 2018-2019

Anthem Summary of Benefits and Coverages(SBC) Choice Plan 2019-2020

Anthem Summary of Benefits and Coverages (SBC) Standard Plan 2018-2019

Anthem Summary of Benefits and Coverages(SBC) Standard Plan 2019-2020

Transfer Health to Retirement Status

Cash-in-Lieu Request

Dental Enrollment Form

Dental Booklet 2018-2019

403B Salary Reduction

Approved Annuities/Deductions

Annual Meaningful Notice: Participation in 403(b)

 

Payroll Direct Deposit Form 

 
  
 
Maine Educational Association Benefits Trust: Standard $500 Plan
Maine Educational Association Benefits Trust: Standard $1000 Plan
Maine Educational Association Benefits Trust: Standard
Maine Educational Association Benefits Trust: Choice Plus
 
 
 * If you have any questions on any of the following forms please contact Shannon Beaule at Central Office 375-4273 x 174 or shannon.beaule@rsu4.org
 
Helpful links:

MEA Benefit Trust

Anthem