Summary of Benefits

Insurance Forms

Salary-Election Form 2017 (REQUIRED for W2 employees)
Employee Benefit Booklet-2017 (Please read – W2)
Humana Enrollment Form (Option for W2 employees)
Humana Employee Change Form (Option for W2 employees)
Lincoln Life/Dental/Vision App (Option for W2 employees)

Employment Forms

IRS W-4 (Required for W2)
Authorization for Direct Deposits (Required for W2)
C2C Direct Deposit Form (Required for C2C)
Form I-9 (Required for W2)
IRS Form W-9 (Required for 1099/C2C)

401(k) Forms

Nationwide 401(k) Enrollment Guide (Option for W2 employees)

For questions concerning health insurance or 401k, click here for contact info

W2’s, Please send forms to your Neos contact and all insurance paperwork to