Cathedral Square | 1125 Madison Ave. | Covington, Ky 41017
Diocese of Covington
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Payroll & Benefits

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Payroll & Benefits Forms and Information

New Hire Packet – FYE 2023

PAYROLL INFORMATION

Employee Payroll Information

Deferred Compensation Policy (School Employees)

Exempt Employees Qualifications

Kentucky Child Labor Laws

Kentucky Wage and Hour Laws

Payroll Call-in Deadlines – 2022/2023

Payroll Forms

New Hire Form

New Hire Onboarding Instructions

Change/Transfer/Re-Hire Employee Information

Employee Delete/Transfer Form

Direct Deposit Form

Paycor Online Paystub Registration Instructions

Sample Time Sheet

Hourly Employee Call-in Sheet

Substitute Teacher Pay Form – 2022/2023

Teacher Leave Time – TEMPLATE

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)

Paycor TurboTax Import Employee Toolkit

DIOCESAN PROVIDED BENEFITS

Lay Employee Benefits – 2022-2023

Medical

Open Enrollment Employee Memo – 2022/2023

Anthem Medical and Vision Summary of Benefits – 2022/2023

PPACA Summary of Benefits and Coverage Required Disclosure – 2022/2023

Required Disclosure of your Rights and Protections Against Surprise Medical Bills

US Government Annual Health Plan Notices

Medical Insurance Rates – 2022/2023

Anthem Application Form

Anthem Application Form – Excel Fill-In

Anthem Application Form – Paper Form

Anthem Live Health Online Program

Anthem Certificate Request Form

Diocesan EAP Program

Delete Form – Medical

Medicare Creditable Coverage Notice

Lay Employees Pension Plan (Defined Benefit)

Pension Plan Booklet

Pension Plan – Web Portal User Guide

Retirement Benefit Example

Pension Plan Participation Waiver 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 Enrollment Form

Pension Plan Beneficiary Designation

Pension Plan Employment Record Form

Tax sheltered Retirement Plan (403b Account)

403b Memo – 2022/2023

VOLUNTARY EMPLOYEE BENEFITS

Voluntary Insurance Summary of Benefits – 2022/2023

Voluntary Insurance & Flexible Spending Enrollment Form – 2022/2023

Dental Plans

Dental Care Plus

Dental Care Plus Brochure – 2022/2023

Dental Care Plus Total Vision Service Plan

Dental Care Plus Hearing Service Plan

Dental Care Plus Portal Instructions

HIPAA Privacy Notice

Insurance Plans

Group Term Life Insurance Rates – 2022-2023

Long Term Disability Insurance Rates – 2022-2023

Universal Life Insurance

Universal Life Insurance Brochure

Universal Life Application

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)

Long Term Care Insurance

Long Term Care Insurance Program

Long Term Care Insurance Information

Long Term Care Insurance Brochure

Auto-Home Insurance

Auto-Home Insurance Discount Program

Request for Auto/Homeowners Quote

Click Here to See a Video with More Information

Flexible Spending Accounts

Contact Information

Flexible Spending Enrollment Brochure

Flexible Spending Summary Plan Description

Flexible Spending – Carryover Provisions

Flexible Spending Claim Form

Identity Theft Protection & Legal Services

Legal Shield~ID Shield Brochure – 2022-2023

Legal Shield~ID Shield Application – 2022-2023

Banking and Credit Union Options

Republic Bank

Northern Kentucky Educators Credit Union

Cove Federal Credit Union

Cove Credit Union – K-12 Tuition Loan Brochure

Finance Navigation

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  • Calendar Year End Reporting (2022)
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