Contact Information

Forms

• Family Medical Leave Act
• FMLA Families First Coronavirus response Act
• 403B Salary Reduction
• Approved Annuities/Deductions
• Annual Meaningful Notice: Participation in 403(b)
• Cash-in-Lieu Request
• Dental Enrollment Form
• Payroll Direct Deposit Form
• I 9 Employment Eligibility Verification
• W 4 Maine
• W 4 Federal 2023
• Fingerprinting Renewal Form

MEABT ANTHEM BENEFITS

• Anthem Enrollment Form
• Anthem 2021-22 Benefit Booklet
• Summary of Benefits Choice Plus
• Summary of Benefits Standard
• MAP Members Assistance Program
• Virgin Pulse
• Maine Walk In Centers
• Smart Shopper
• Telehealth
• Future Moms
• Condition Care
• Blue View Vision
• Blue View Vision FAQs
• Transfer into Retirement

Helpful Links

• MEA Benefit Trust
• Anthem
• Mainepers

Reimbursement Forms

• Expense Reimbursement Direct Deposit Form
• RSU 04 Expense Reimbursement
• RSU # 4 Building to Building Mileage Chart
• Course Reimbursement

DENTAL BENEFITS

• Dental 2020-2021