Employee Forms and Resources
· AD&D Benefit Highlight Sheet
Explains the general purposes of Accidental Death & Dismemberment Insurance.
· AD&D Enrollment Form
Enrollment form for Accidental Death & Dismemberment Insurance. (This is voluntary insurance.)
· Adventist Risk Management Personal Risk Information
Adventist Risk Management website with access to various forms relative to AD&D, Group Life, Long-term Disability, and Supplemental Life.
· Long Term Disability
Certificate of Insurance for Long Term Disability Group Benefit Plan.
· Supplemental Life Benefit Highlight Sheet
Explains the general purposes of Supplemental Life Insurance.
· Supplemental Life Enrollment Form
Enrollment form for Supplemental Life Insurance. (This is voluntary insurance.)
Health Care Assistance Plan (HCAP)
Access to forms for the various life insurances as well as health care assistance plan forms and policies.
Request reimbursement for:
- Hearing Aid
- Adult Immunizations
· Health Care Plan Document (2015)
Describes the health care assistance plan in detail.
Temporary health insurance designed for people who are between permanent health plans.
Leave of Absence
Application for leave of absence.
Authorization form for submitting to a background check.
Completion of this form helps us either find your current service record or start a record if you are a new denominational employee.
Authorization for Southwestern Adventist University to deposit your pay directly into your bank account.
· I-9 Form
Federal form which establishes employee identity and employment authorization.
Provides online assistance in filling out and printing your expense report. Attach receipts and submit to financial vice president’s office.
· W-4 Form
Employee’s withholding allowance certificate.
Access a video, Leaving Money on the Table, which outlines the importance of prudently planning for retirement by participating in the Adventist Retirement Plan.
Designate someone other than spouse as the beneficiary of employee’s Adventist Retirement Plan account.
Also known as the “Pink” book, this is a summary of the Seventh-day Adventist Retirement Plan of the North American Division—the defined benefit plan.
Also known as the “Blue” book, this is the detailed policy book of the Seventh-day Adventist Retirement Plan of the North American Division-the defined benefit plan.
· Salary Reduction Agreement (SRA)
Designate a voluntary contribution to the Adventist Retirement Plan (ARP) and name a primary and secondary beneficiary.
Introduces the North American Division Supplemental Healthcare Adventist Retirement Plan (SHARP), and gives eligible retirees the opportunity to select benefit options.
Summary of the Adventist Retirement Plan (ARP), a defined contribution plan.
A pre-retirement syllabus for Adventist employees.