Personnel

	DOC Personnel
	*Insurance Forms and Job Aids*

Insurance Forms and Job Aids	Description
DOC Payroll Cancellation Form	The form used to submit a cancellation for any of the agency specific insurance plans.
NC Flex Change Form (12/09)	The form used to submit cancellation or changes to an NC Flex election due to a qualifying life status change.
SHP Change Form	The form used to submit cancellation or changes to the State Health Plan due to a qualifying life status change.
SHP Warehouse Requisition Form	The form used to order enrollment kits for the State Health Plan.
401k Address & Contribution Rate Change Form (4/06)	The form used to submit a change of address or contribution rate change to Prudential for the 401k Savings Plan.
Deferred Comp Address & Contribution Rate Change Form (12/08)	The form used to submit a change of address or contribution rate change to Prudential for the Deferred Comp Savings Plan.
Beacon Adjustment Reason Job Aid (7/14/09)	A job aid that lists all applicable adjustment reasons used in the Beacon/SAP systems.
BEST LOA Process Job Aid (3/3/09)	A job aid that explains how an employee's insurance benefits are administered in the Beacon/SAP system during a Leave of Absence (LOA).
Enrolling in Benefits Online Job Aid (4/30/09)	A job aid that gives step by step instructions on ESS online enrollment in the Beacon/SAP system.
Employee Benefits LOA Letter Employee Benefits LOA Letter	The letter that outlines an employee's options to continue or discontinue their insurance elections while on LOA status.
Reinstatement from LOA - Insurance Guide	A job aid that provides re-enrollment procedures and information onh how to identify the insurance elections an employee is eligible or required to re-enroll in upon reinstatement from LOA.
2010 DOC Insurance Reference Guide - HBRs (1/7/10)	Insurance Vendor reference guide for facility HBRs that contains contact information, enrollment & cancellation procedures, where to send forms, how to obtain enrollment kits as well as the impact to insurance products when employees go out on LOA or terminate.
2010 DOC Insurance Reference Guide - Employees (1/7/10)	Insurance Vendor contact guide that can be given to employees with their New Hire insurance packets.
Insurance Benefits Process Overview & Quick Reference Guide (1/7/10)	Reference guide outlining the Insurance benefits responsibilities shared between OSP, DOC Central Personnel, BEST Shared Services, DOC Payroll, Facility HBRs & Employees.
Insurance Benefits Guideline (1/5/10)	Step by step procedures for HBRs on how to perform the following Insurance benefits functions in SAP: Print Benefit Confirmation Forms, Create an Adjustment Reason, Print Health Plan Not Enrolled Letters, Print LOA Notice Letters, Print Benefit Termination Letters.
Employee Insurance Benefits Coverage Form (09/23/11)	*NEW* - This form can be used by Facility HBRs to list the employee's current insurance elections & monthly premium amount to accompany the 'Continuation of Benefits During Leave of Absence (LOA) Notice' Letter that is printed from Beacon/SAP.
Employee Insurance Benefits Termination Guide (09/08/11)	*NEW* - A job aid that outlines an employee's insurance continuation options upon termination of employment for all DOC insurance products. HBRs can provide this guide to employees upon separation or attach and mail along with the 'Benefits Termination Letter' that is printed from Beacon/SAP.
IT0019- Estimated Leave Run Out Guide (09/16/11)	*NEW* Step by step procedures for HBRs on how to update the 'estimated leave run out date' in the Monitoring of Tasks Infotype 0019 for employees on LOA status when they exhaust all leave.

THE NORTH CAROLINA DEPARTMENT OF CORRECTION DOES NOT DISCRIMINATE ON THE BASIS
OF RACE, COLOR, SEX, RELIGION, NATIONAL ORIGIN, AGE, OR DISABILITY.