Document Center

Resources to simplify employee administration.

NEW HIRE FORMS


Complete New Hire Enrollment Packet (English)

Your employer has elected to utilize services provided by A Plus Benefits. This decision allows you to experience
some of the benefits of working with one of the nation’s largest and most reputable Professional Employer
Organizations (PEO).

Complete New Hire Enrollment Packet (Spanish)

Su empleador ha elegido utilizar los servicios proporcionados por A Plus Benefits. Esta decisión le permite disfrutar de algunos beneficios trabajando con una de las mas grandes y mas famosa organización empleadora profesional de la nación (PEO).

Employee Policy Guide (English)

We would like to take a few minutes of your time to introduce you to some important information concerning your new Employer (our client) and A Plus Benefits.

 

Employee Policy Guide (Spanish)

Nos gustaría tomar unos pocos minutos de su tiempo para presentarle una importante información concerniente a su nuevo empleador (nuestro cliente) y A Plus Benefits.

I-9 Form (With Instructions)

Form I9 is used for verifying the identity and employment authorization of individuals hired for employment in the United States.

REHIRE FORMS


Rehire Sheet

For employees rehired after 0-90 days and laid off employees coming back after 0-180 days.

Rehire Packet

For employees rehired after 90+ days and laid off employee coming back after 180+ days.

OTHER PAYROLL FORMS


W-4 Form

Used by your employer to determine the amount of taxes to withhold from your paycheck, the W4 Form can help you out at tax time. … The W4 is an Internal Revenue Service (IRS) form you complete to let your employer know how much money to withhold from your paycheck for federal taxes.

Direct Deposit Authorization Form

A request for A Plus Benefits Inc. to make electronic deposits of any amounts owing to me by initiating credit entries to my account.

 

Global Cash Card Enrollment Form

A request for A Plus Benefits Inc. to make electronic deposits of any amounts owing to me by initiating credit entries to my account.

 

Payroll Deduction Authorization

Used by employer to determine the amount of deductions to withhold from employee’s paycheck.


EMPLOYEE SELF-SERVICE PORTAL VIDEOS


How to View and Print Your Pay Stub

This tutorial will help employees use the A Plus Benefits Employee Self-Service Portal to view and print a copy of their pay stub.

How to View and Print Your W-2 Form

This tutorial will help employees use the A Plus Benefits Employee Self-Service Portal to view and print a copy of their W-2 Form.

MANAGER SELF-SERVICE PORTAL VIDEOS


How to View Your Company Payroll Reports

This tutorial demonstrates how clients of A Plus Benefits can access their payroll reports online through the Manager Self-Service Portal.

How to View and Print Employee Job Costing Reports

This tutorial demonstrates how clients of A Plus Benefits can access employee job costing reports online through the Manager Self-Service Portal.

How to View and Print Employee Pay Stubs

This tutorial demonstrates how clients of A Plus Benefits can access their employees’ pay stubs online through the Manager Self-Service Portal.

How to View and Print Employee Pay History

This tutorial demonstrates how clients of A Plus Benefits can access their employees’ pay history online through the Manager Self-Service Portal.

How to View and Print Employee W-2s

This tutorial demonstrates how clients of A Plus Benefits can access their employees’ W-2 forms online through the Manager Self-Service Portal.

How to Submit Payroll for Processing Online

This tutorial demonstrates how clients of A Plus Benefits can submit payroll information to their Payroll Specialist for processing online through the Manager Self-Service Portal.

PRINTABLE TUTORIALS


Employee Self-Service Tutorial – PDF

This tutorial will demonstrate and provide a step-by-step guide on how to utilize your individual payroll information.

Manager Self-Service Tutorial: Accessing Payroll Reports – PDF

This tutorial will demonstrate and provide a step-by-step guide on how to view and print a robust library of payroll reports.

 

Manager Self-Service Tutorial: Accessing Employee Information – PDF

This tutorial will demonstrate and provide a step-by-step guide on how managers can view employee pay information, print pay stubs, help employees enroll in direct deposit, change W-4 elections, update employee addresses, and so much more.

Manager Self-Service Tutorial: Payroll Web Entry – PDF

This tutorial will demonstrate and provide a step-by-step guide on how managers can log online hours.


BENEFIT FORMS


Health, Dental, and Vision Enrollment Form

This is a new enrollment form that can be filled out for medical, dental, and vision services.

Health, Dental, and Vision Enrollment Form (Spanish)

Este es un nuevo formulario de inscripción que puede ser llenado para servicios médicos, dentales y de visión.

Dental and Vision Enrollment Form

This is a new enrollment form that can be filled out for dental and vision services.

Health Member Direct Reimbursement Form

This is a Health Member Reimbursement form for employees and their families.

Benefits Change Form (Medical, Dental, Vision)

This is a medical, dental, and vision change form. Requests for changes must be submitted within 31 days of Qualifying Event.

BENEFITS PARTICIPANT RESOURCES


Understanding your EMI Health Medical Card

Your EMI Health ID card contains a lot of useful information for you and your provider. Download and learn more about your EMI Health Medical ID Card.

How to Read an Explanation of Benefits (EOB)

Download the Explanation of Benefits document to help you better understand how EMI processes claims and more.

Finding Participating Providers

Using participating providers is an important part of ensuring that you make the most of your health plan benefits. Download the document and locate a new participating provider.

How to Sign Up for My EMI Health Online Account

We are pleased to offer My EMI Health, an online services system for viewing benefit, eligibility, and claims information. Download the document and get started today!

WellVia Telemedicine

WellVia for EMI Health gives you access to a U.S. board-certified doctor over the phone anytime, anywhere. Download the document and learn how to get in contact with these certified health care providers.

ALLSTATE BENEFITS


Critical Illness Brochure

Learn how Critical Illness Coverage can offer peace of mind if a critical illness occurs.

Accident Insurance Brochure

Are you covered for life’s accidents? Learn how our accident coverage helps keep peace of mind for when accidental injury occurs.

Allstate Benefits Enrollment Form

Download and fill out the Allstate Benefits Enrollment form.

Evidence of Insurability Form

Download and fill out Allstate’s Evidence of Insurability form.

Allstate Benefits Website

Visit the Allstate/A Plus website for more information about the benefits that Allstate insurance offers and the benefits that are being offered to you.

Accident Claim Form

In an accident? Download the Allstate claim form and get started.

Critical Illness Claim Form

Download and fill out the claim for if you have a critical illness and start the claiming process.

FLEXIBLE SPENDING


How Flexible Spending Works

Learn about the different spending plans and which one would benefit you the most.

FSA Calculator

Are you covered for life’s accidents? Learn how our accident coverage helps keep peace of mind for when accidental injury occurs.

FSA/Dependent Care Enrollment Form

Download this fillable FSA/Department Care Enrollment form.

FSA Debit Card/Direct Deposit Enrollment Form

Download this fillable FSA Debit Card/Direct Deposit Enrollment Form.

FSA/Dependent Care Claim Form

Download this fillable FSA (Flexible Spending Account)/Dependent Care Claim Form.

Dependent Care Change of Status Form

Download this Dependent Care Change of Status Form. Participant Must Apply Within 30 Days of the Qualifying Event for a Status Change.

Sample FSA Expenses

Download this Sample FSA Expenses Sample.

National Benefit Services (FSA Online Access)

Visit National Benefit Services (FSA Online Access) and lean about their various programs and resources.

HEALTH SAVINGS ACCOUNT


Health Savings Account Enrollment and Change Form 2016

Download this fillable Health Savings Account Enrollment and Change Form 2016.

GROUP LIFE AND LONG-TERM DISABILITY


Group Life Insurance Highlights and Rates

Download the Group Life Insurance Highlights and Rates for Group Supplemental Rates.

Long-Term Disability Insurance Highlights and Rates

Download the Long-Term Disability Insurance Highlights and Rates to learn more about Voluntary Group Long Term Disability.

Group Life and Long-Term Disability Insurance Application

Download the fillable Group Life and Long-Term Disability Insurance Application.

Group Life Insurance Designation of Beneficiary

Download the fillable Group Life Insurance Designation of Beneficiary.

Group Life Insurance Highlights and Rates (Spanish)

Descargue los Puntos Destacados y Precios de Seguro de Vida de Grupo (Español).

Long-Term Disability Insurance Highlights and Rates (Spanish)

Descargue los puntos destacados y las tarifas del Seguro de Discapacidad a Largo Plazo (Español).

Group Life and Long-Term Disability Insurance Instructions (Spanish)

Descargue las Instrucciones de Seguro de Discapacidad a Largo Plazo y Vida en Grupo (español).

SENIOR BENEFITS


Senior Benefits Insurance Company Website

Visit the Senior Benefits Insurance Company Website. Find answers to the important questions surrounding Medicare, Social Security and Long Term Care.


MISCELLANEOUS FORMS


Personal Insurance and Retirement Planning Questionaire

Download this fillable Personal Insurance and Retirement Planning Questionaire.

Personal Insurance (Home, Auto, Etc.) Quote Information Sheet

Download this fillable Personal Insurance (Home, Auto, Etc.) Quote Information Sheet.

401(k)


Enrollment Instructions

Download the 401(k) Enrollment Instructions.

Easy Enrollment

Download the Easy Enrollment Roth Options form.

Rollover Form

Download the 401(k) Rollover Form.

Participant Data Change Form

Download and fill out the 401(k) Participant Data Change Form.

Beneficiary Deisgnation

Download the 401(k) Beneficiary Deisgnation form.

Distribution Request Form

Download the Transamerica 401(k) Distribution Request Form.

Transamerica Video: Benefits of PEO

Loan Application Form

Download the Transamerica Application form.


HUMAN RESOURCES


Human Resources Toolbox

View the Human Resources Toolbox.

Human Resources Assessment Tool

Take the quiz! Visit the Human Resources Assessment Tool.

Decision Making Leave Worksheet

Download the fillable Employee’s Decision Making Leave Worksheet.

Twenty-Factor Checklist to Determine Independent Contractor vs. Employee Status

Download the Twenty-Factor Checklist to Determine Independent Contractor vs. Employee Status.

Overtime Exemption Duties Test Worksheet

Download the Overtime Exemption Duties Test for employee’s.

Corrective Action Report

Download the Corrective Action Report document for employers.

FMLA ELIGIBILITY REQUIREMENTS


FMLA Eligibility Requirements

View and download the FMLA Eligibility Requirements doc.

Client FMLA Opt In/Out Notice

View and download the Client FMLA Opt In/Out Notice.

Employee Request for Family or Medical Leave

Download the Request for Family or Medical Leave Document.

Employer Response – Not Qualified for FMLA

Employer Response to Employees Request for or Employers Designation of Family Medical Leave – Not Qualified for FMLA.

FMLA Client Tracking Tool

Download the FMLA Client Tracking Tool.

Employer Response – With Medical Certification

Employer Response to Employees Request for or Employers Designation of Family Medical Leave – With Medical Certification.

Employer Response – Without Medical Certification

Employer Response to Employees Request for or Employers Designation of Family Medical Leave – Without Medical Certification.

Employer Response – Without Notice

Employer Response to Employees Request for or Employers Designation of Family Medical Leave – Without Notice.

EMPLOYEE RESOURCES AND POLICIES


Employee Policy Guide (English)

View and download the New Employee Policy Guide.

Employee Policy Guide (Spanish)

Ver y descargar la Guía de políticas de nuevos empleados.

Personnel Action Form

Download the fillable Personnel Action Form.


WORKERS’ COMPENSATION


How to Report a Claim Instructions / Poster

View and download the Injury Reporting Policy doc.

Designated Provider List – Utah

Download the Utah Designated Provider List.

Designated Provider List – Idaho

Download the Idaho Designated Provider List.

Designated Provider List – Nevada

View and download the Nevada Designated Provider List.

Designated Provider List – Other States

Download Other States Designated Provider List.

Supervisor’s Incident Report of Work-Related Injury or Illness

Download the Supervisor’s Incident Report of Work-Related Injury or Illness.

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