Forms for Current Employees

WEBSITES Christian Brothers:
mycbs.org/health
Humana:
https://www.humana.com

Paycor:
https://www.paycor.com
Empower Retirement Services:
empowermyretirement.com
EMPLOYEE FORMS Various forms needed for new employees as well as existing employees who undergo transfers or other changes Employee Benefit Change Form
Background Check Authorization Form
Background Check for Child Care Staff
Central Registry Check for Child Care Staff
Employee Enrollment Form Checklist
Employee Termination Form
Employee Transfer Guide
Payroll ACH Authorization Form
Credit Check Release Form
Whistleblower Report Form
TAX FORMS Various tax forms needed for employees Form I-9
Form W-4
KY Form K-4
IN Form WH-4
CHRISTIAN BROTHERS Enrollment and benefit summary Benefit Enrollment Guide
Amino – EAP
Teladoc & My Catholic Doctor flyer
CBS Letter to Providers
CBS Provider Finder flyer
Express Scripts
Summary of Benefits & Coverage
HUMANA Enrollment and benefit summary Archdiocese of Louisville Dental & Vision 
Humana Plan and Issuer Price Transparency
AIM Flexible Spending Account form Request for Reimbursement Form
Reimbursable Medical Expenses
RETIREMENT Beneficiary Designation Form Contact your bookkeeper
ClearPath Required form for reporting an injury for workers’ compensation purposes Workers’ Compensation First Report of Injury Form
Employee’s Statement
RELIANCE STANDARD Long-term and short-term disability applications Long-Term Disability and Group Life-Wavier of Premium
Short-Term Disability
FMLA Family and Medical Leave Act Click here for more information
Information for Terminating or Retiring Employees Basic Benefit Information for all Departing Employees
or Employees No longer Eligible for Benefits
Information for Retiring or Terminating Employees
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