State of Alabama W-4 Form
Description
State of Alabama W-4 Form document sample
Document Sample


“PLAN…PREPARE…EXPECT.”
Payroll / Insurance Orientation
Agenda/Topics to Be Covered
Department Staff
Types of leave
Payroll deduction options
Benefits review
Required paperwork
DEPARTMENT STAFF
PAYROLL INSURANCE
Jettie Hyatt Brenda Slater
Janie Honea Pam Clardy
As a permanent employee
of the Madison County
Board of Education
you are entitled
to the following
benefits . . . .
SICK LEAVE
1 Sick Leave Day
Earned Per Month Worked
(Based on Contract Months)
Example: 9 month Teachers
1 day per month
Sept. - May
PERSONAL LEAVE
State Personal Leave – 1 day per semester;
2 per year @ no cost
Board Personal Leave – 1 ½ days per semester;
3 per year
With Board Personal Leave Cost May Apply:
$50 per day certified $19 per day support
with 10 years 1 day @ no cost
with 13 years 2 days @ no cost
with 16 years 3 days @ no cost
All Unused Personal Leave Rolls To Sick Leave June 30th
VACATION
12 Month Employees Earn
5/6 of a Day Per Month
You Can Only Carry Over
10 Days January 1
SICK LEAVE BANK
Complete an application
Requires a deposit of five of your
sick leave days
Upon exhausting your sick leave
the bank allows you to
“borrow” up to fifteen
days
OTHER LEAVE
IS AVAILABLE UPON PRIOR APPROVAL
Family Medical Leave
up to twelve weeks without pay
Extended Leave of Absence
up to one year leave without pay
Catastrophic Leave
must be a member of the sick leave bank
DEFERRED COMPENSATION
PROGRAMS
403B Annuities:
VALIC
Security Benefits Corp.
403B7 Mutual Funds:
Security Benefits Corp.
457 Plans:
Security Benefits Corp.
RSA 1
AEA MEMBER BENEFIT
PROGRAMS
Automobile, Homeowners
Disability, AD&D, Term Life, Universal Life
Long-Term Care
Deferred Compensation Plans
Critical Care
Cancer
Legal Services
OTHER SAVINGS PLANS
“Prepaid Affordable College Tuition”
PACT was created as a choice to be offered
to parents as they consider preparation for
the great expense of college.
Savings Bonds
"Save through payroll deductions. Payroll deductions that go
directly into your savings account or into U.S. Savings Bonds
are an excellent way of saving, since it is money that you never
see."
Teachers’ Retirement Systems
of Alabama
Mandatory 5% Gross Salary Per
Month
$15,000 Paid Life Insurance
Vested in Ten Years*
*To become vested in ten years, an employee
must work full time*
DIRECT DEPOSIT
Allows your check to be deposited directly into
your account
No delays in receiving your checks
No worries about checks being lost in the mail
Free checking accounts are offered by Compass Bank
and North Alabama Educators Credit Union
Your effective date for insurance
benefits may be any of the following. . . .
Date of Employment or
First Day of the Month Following
Employment or
October 1st
Part Time & Temporary Employees should contact the
Payroll/Insurance Department for Eligibility of Benefits
PEEHIP OPEN
ENROLLMENT
July 1st
thru
August 31st
All other July 1 – Sept. 15
MEDICAL INSURANCE
Immediate Eligibility or Open Enrollment
PEEHIP / BCBS
VIVA (HMO)
Enrollment booklet mailed to
employee’s home address
SUPPLEMENTAL INSURANCE
Immediate Eligibility or Open Enrollment
Dental
SOUTHLAND
NATIONAL Cancer
Vision
Indemnity
IF YOU CHOOSE TO ENROLL IN MEDICAL INSURANCE YOU MAY ALSO
PURCHASE ANY OR ALL OF THE SUPPLEMENTAL POLICIES.
LIFE INSURANCE
Immediate Eligibility or Open Enrollment
Board Paid $14,000 Policy on full
time employees
Employee Can Purchase Additional
Coverage Up to $300,000.00
INSTRUCTIONS
USE BLACK OR BLUE INK
READ INSTRUCTIONS
CAREFULLY
In your new employee
packet you will find the
following forms for
completion . . . .
Teachers’ Retirement System
Please use
black or blue
ink
Complete with signature and date
Direct Deposit Application
Please use
black or blue
ink
Complete with signature and date
Federal Tax Withholding
Please use black or blue ink
Complete with signature and date
State Tax Withholding
Please use black or blue ink
Complete with signature and date
Life Insurance
Please use
black or blue
ink
Complete 3 pages with signature and date
Required Paperwork
Life Insurance Enrollment Form
Teachers’ Retirement System of Alabama
Member Information Record
Direct Deposit Application
W-4 Federal Tax Withholding
A-4 State Tax Withholding
Summary
In order for you to be processed in our
payroll department we would like to
remind you to submit all paperwork as soon
as possible.
Information can be obtained in more detail
by accessing the specific area in question
on our website.
We are glad to have you as employees of
the Madison County Board of Education
and hope you have a great year.
Other Resources
Benefits Handbook
Quarterly Newsletter
Website: www.madison.k12.al.us
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