Close

Important Enrollment Documents

 

FLEX SPENDING OPEN ENROLLMENT

Please use your Merton Google account for access to these staff forms.

Guide to Pre-Tax Savings
Details about the flex spending plan
New $500 Rollover
Great News for those who take advantage of flex spending!
Enrollment Form
Claim Instructions
Step-by-step instructions on how to submit claims and get reimbursed for qualified expenses

 

FAMILY AND MEDICAL LEAVE INFORMATION

US FMLA RIGHTS AND RESPONSIBILITIES
The following poster is required to be posted by the employer
WI FAMILY AND MEDICAL LEAVE ACT
If an employee qualifies for both federal and state FMLA leave, the law that is more generous applies
FMLA LEAVE REQUEST
If you are requesting FMLA leave, please complete the following form.
TIME OFF REQUEST IN SKYWARD
The following screenshot shows an employee what your request should look like in Skyward.
Certification of EE Serious Health Condition
If you are requesting FMLA, you will be asked to have your healthcare provider complete this form. The Business Office would complete the top part, print, and give to you to return to the Business Office.
FMLA DESIGNATION NOTICE
You will be provided this form with the request approved and some general guidelines to follow.
FMLA Notice of Eligibility and Rights
This form must be provided to the employee five business days after notice is provided to the employer of the need for FMLA leave.

Medicare Part D - Creditable Coverage Notice

Creditable Coverage Document
Required Posting
Last Updated: 11/18/16