Doc Delivery

Check Advices are now available online at: http://www.doculivery.com/batesville

Employee Forms

• Payroll Direct Deposit Authorization
• Paid Leave Form
• Request for Extended Leave
• Continuing Education Form
• Request for Travel (only to be used when leaving campus)
• Vehicle Request (only to be used when requesting use of a school vehicle)

Anthem

(800) 345-2460 for questions or issues. If not resolved, then please call Todd Nobbe at the administration building.

Benefits

• SISC – Southeastern Indiana School Insurance
• 2021 Anthem CERTIFIED
• 2021 Anthem CLASSIFIED
• HSA 2 Plan Summary 2021
• HSA 2 Benefit Booklet 2021
• HSA 1 Plan Summary 2021
• HSA 1 Benefit Booklet 2021
• PPO Plan Summary 2021
• PPO Benefit Booklet 2021
• Vision Benefit Summary
• Pre-Dent Dental Benefits
• Anthem Application

Current Clinic Providers

• http://www.sisicprimarycare.com/
• PreventiveRX Drug List October 2020
• Labs 9-16-16

Valic

John Kitlinski – (812) 212-5779 – john.kitlinski@valic.com
Ryan Brown – (317) 364-8399  – Ryan.Brown@valic.com

American Fidelity

(317) 871-2480 or (800) 638-4268, ext 207

2021 Tax Forms & Employment Eligibility Verification Form

• W-4 2021
• Indiana State Tax Form
• Employment Eligibility Verification Form

Classified Employees Compensation and Benefit Package

• Classified Staff Compensation and Benefit Package 2021

Background Checks

• Employment Certified Background Check
• Employment Non Certified Background Check

Families First Coronavirus Response Act (FFCRA or Act)

• FFCRA Employee Rights