Forms and Documents
Legal Documents
The forms and documents on this page are generally Adobe® Acrobat® files. To view or print these forms, you need to have the Adobe Acrobat Reader installed on your computer.
Follow the directions on the form and submit to the appropriate party and address.
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| General | Choice Time & Extended Sick Bank Accruals (Salaried) | |
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Choice Time & Extended Sick Bank Accruals (Hourly) | |
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CMMC Parking Map & Violation Notice |
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CMH Applicant Substance Abuse Policy | |
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| Spending Accounts | FSA Expense List | |
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Retirement: Defined Benefit Pension Plan (Frozen 04/01/2011) |
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Retirement: Defined Benefit Pension Plan (Frozen 04/01/2011) |
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| Retirement: 403(b), 401(k), & 457 Plans | 401(k) and 403(b) Plan Document | |
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| General | PPACA Notice, August 2012 | |
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Documents | |
| Medical Plan |
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About Creditable Prescription Drug Coverage and Medicare: |
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COBRA Rates 2018 |
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Understanding Health Care Reform | |
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Health Insurance HIPAA Privacy Notice | |
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| Dental Plan | Dental Summary Plan Description | |
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| Spending Accounts |
Spending Account Summary Plan Description
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| Life and Disability Insurance | Life/LTD Summary Plan Description (non-MD) | |
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Life Insurance Summary Plan Description (MD) | |
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LTD Summary Plan Description (MD) | |
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Retirement: Defined Benefit Pension Plan (Frozen 04/01/2011) |
Summary Annual Report for12/31/2018 Summary Annual Report for 12/31/2017 Annual Funding Notice for 12/31/2018 |
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| Retirement: 403(b), 401(k), & 457 Plans | CMH 403b Plan Highlights 2019 |
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