Payroll & Benefits Forms and Information
PAYROLL INFORMATION
Deferred Compensation Policy (School Employees)
Exempt Employees Qualifications
Payroll Call-in Deadlines – 2023/2024
Payroll Call-in Deadlines – 2024/2025
Payroll Forms
New Hire Onboarding Instructions
Change/Transfer/Re-Hire Employee Form
Paycor Online Paystub Registration Instructions
Tax Forms
IRS Form I-9 (Employment Eligibility)
IRS Form W-4 (Federal Withholding)
KY Form K-4 (Kentucky Withholding)
OH Form IT-4 (Ohio Withholding)
IN Form WH-4 (Indiana Withholding)
DIOCESAN PROVIDED BENEFITS
Lay Employee Benefits Summary – 2024-2025
Medical
Open Enrollment Memo to Employees – 2024/2025
Christian Brothers Medical Summary of Benefits and Coverage
Christian Brothers – Specialty Medications SaveOn Program
Medical Insurance Rates – 2024/2025
Chrisitan Brothers – Medical Enrollment Form
Required Disclosure of Your Rights and Protections Against Surprise Medical Bills
Vision Coverage (included with Medical)
EyeMed Vision Plan Summary of Benefits
Lay Employees Pension Plan (Defined Benefit)
Pension Plan – Web Portal User Guide
Pension Plan Participation Waiver Form
Pension Plan Cease Withholdings Form
OPEN ENROLLMENT FORMS – The following three forms are ONLY applicable during the open enrollment period (month of October) for employees that have previously opted out of participation and wish to re-join the plan. All new hires are automatically enrolled in the Pension Plan and complete all applicable forms during the hiring process.
Pension Plan Beneficiary Designation
Pension Plan Employment Record Form
Tax sheltered Retirement Plan (403b Account)
VOLUNTARY EMPLOYEE BENEFITS
Voluntary Insurance Summary of Benefits- 2024/2025
Voluntary Insurance Enrollment Form – 2024/2025
Flexible Spending Accounts
Flexible Spending Enrollment Brochure
Flexible Spending Summary Plan Description
Flexible Spending – Carryover Provisions
Dental Plan
Delta Dental Summary & Information
Insurance Plans
Group Term Life and AD&D Insurance Rates
Long Term Disability Insurance Rates
Universal Life Insurance
Universal Life Insurance Brochure
Accelerated Death Benefit Information for KY
Premiums
Universal Life Premiums – Weekly ($4/$6/$8)
Universal Life Premiums – Weekly ($10/$12/$14)
Universal Life Premiums – Policy Value ($25k/$50k/$100k)
Identity Theft Protection & Legal Services
Legal Shield~ID Shield Brochure
Legal Shield~ID Shield Application
Employee Discount Programs
Banking and Credit Union Options
Northern Kentucky Federal Credit Union
Cove Credit Union – K-12 Tuition Loan Brochure
Tire Discounters Corporate Discount Program