AGENCY: St. George (Utah). Mayor

SERIES: 26559
TITLE: Flex benefits enrollment forms
DATES: 1987.
ARRANGEMENT: Alphabetically by employee surname

DESCRIPTION: These forms were created by the city to assist employees in determining how to spend their flex dollars for insurance. They are used by Payroll to determine how much should be deducted from paychecks and by Human Resources to determine which insurance plan to enroll an employee. Information on the forms includes name, address, social security number, phone number, amount of city's bi-weekly contributions to medical reimbursement account, contributions to dependent care reimbursement account, contributions to 401 or 457 accounts, life insurance, signature and date.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Payroll processing records, GRS-1903

AUTHORIZED: 07/15/2015

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

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