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Information for Employees
Welcome to the Village of Germantown! Below are forms needed for full and part time employment. If you have questions about any of these forms, please contact:
Erin Hirn, Support Service Manager
(262)250-4750
The Policy and Procedure Manual applies to all employees; everyone is required to sign an acknowledgment of understanding.
Policy and Procedure Manual
Acknowledgment Non-Represented
Required Forms for all New Employees
Info and Forms for Full Time Employees
Health
- 2023 Benefits and Enrollment Guide
- HSA Contribution Form 2023 (Silver Plan Only)
- Power Point
- Summary of Benefits and Coverage PPO
- Summary of Benefits and Coverage HD
- Rate Sheet
To comply with the new Transparency in Coverage regulations, UnitedHealthcare/All Savers creates and publishes the Machine-Readable Files on behalf of T&A Industrial LTD. To link to the Machine-Readable Files, please click on the URL provided. Our company specific data will be available as of July 1st, 2022: transparency-in-coverage.uhc.com
Dental
Flexible Spending
- Diversified Power Point
- Claims Filing Options
- Debit Card FAQ's
- Dependent Care FSA
- FSA Expense Worksheet
- Health Care FSA
Deferred Compensation
Mission Square
North Shore Bank
Info and Forms for Employees Working over 24 Hours
Long Term-Short Term Disability
Life Insurance
Accident Insurance
Vision
Vision Enrollment Application
Retiree Continuation Application
GO365
Wisconsin Retirement System
- Beneficiary Designation Form (Please do not return to Employer)
- Calculating Retirement Benefits
- Choosing an Annuity Option
- Guide to Retirement
- Information for Retirees
Notices
- Premium Assistance Under Medicaid and the Children’s Health Insurance Program
- New Health Insurance Marketplace Coverage Options and Your Health Coverage
- Information About Our G365 Program
- Women's Health and Cancer Rights Act Annual Disclosure Notice
- About Your Prescription Drug Coverage and Medicare
- Summary of Benefits and Coverage PPO
- Summary of Benefits and Coverage HDHP