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Payroll

Resources

Benefits - General

• 2011-2012 PCC Benefits Enrollment Guide
  Benefits Enrollment Guide (© 2011 Keenan)
• Uniform Glossary for Summary of Benefits and Coverage
  Uniform Glossary for Summary of Benefits and Coverage (© 2013 DOL.gov)

Benefits - Standard Plans

• AFLAC Enrollment Form
  AFLAC Enrollment Form (© 2012 AFLAC)
• Anthem/Blue Cross Enrollment Form
  Anthem Blue Cross Medical Insurance Enrollment Form (© 2009 AnthemBlue Cross)
• Delta Dental Enrollment Form
  Delta Dental Insurance Enrollment Form (© 2005 Delta Dental)
• Delta Dental Insurance Claim Form
  Delta Dental Insurance Claim Form (© 2010 Delta Dental)
• Kaiser Enrollment Form
  Kaiser Enrollment Form (© 2010 Kaiser)
• Kaiser Permanente Emergency Claim Form
  Kaiser Permanente Emergency Claim Form (© 2010 Kaiser Permanente)
• Kaiser Senior Advantage Enrollment Form
  Kaiser Senior Advantage Enrollment Form (© 2010 Kaiser Permanente)
• MES Claim Form
  MES Claim Form (© 2010 MES-Medical Eye Service)
• MES Enrollment and Change Form
  MES Enrollment and Change Form (© 2010 MES-Medical Eye Service)
• MES Summ Plan Desc - Eyeware only
  MES Summ Plan Desc - Eyeware only (© 2010 MES-Medical Eye Service)
• MES Summary Plan Description - Full plan
  MES Summary Plan Description - Full plan (© 2011 MES-Medical Eye Service)
• MidAmerica Beneficiary Designation Form
  MidAmerica APPLE Beneficiary designation form (© 2009 MidAmerica)
• MidAmerica Disbursement Request Form
  Form to request withdrawal of APPLE benefits after you have left PCC (© 2009 MidAmerica)
• The Standard Insur - Beneficiary Change Form
  The Standard Insur - Beneficiary Change Form (© 2009 The Standard Insurance Co)
• The Standard Insur -Enrollment Form
  The Standard Insur -District Paid enrollment (© The Standard Insur)

Benefits - Voluntary Plans

• AFLAC-WageWorks Depnd Savings Form Claim
  AFLAC-WageWorks Depnd Savings Form Claim (© 2013 Wage Works)
• AFLAC-WageWorks Health Savings Form Claim
  To file a claim with AFLAC to reimburse for approved services (© 2010 AFLAC)
• The Standard Insur - Addtl life coverage
  The Standard Insur - Addtl life coverage (© 2011 The Standard Insurance Co)

Kronos Documents and Tools

• Hourly Login Training Video  
  How to login to Kronos, for hourly employees (© 2012 PCC)
• Kronos Manual  
  (© )
• Kronos Quick Reference Card-General
  Kronos Quick Reference Card-General (© 2011 Kronos)
• Kronos Workforce Center  
  Link to Kronos log-in page (© 2011 )

Payroll- General Documents

• 2012-2013 PCC Calendar
  PCC 2012-2013 School Calendar (© 2012 Calendar Committee)
• Form 403(b) Deduction
  to add, change or stop deductions for your TSA or 403B with SFFCU (© 2010 )
• Form CA DE-4, 2012
  Change or Update your CA state income tax with holdings (© 2011 CA Franchise Tax Board)
• Form Direct Deposit Enrollment
  to add, change or stop direct deposit of your payroll warrant (© 2011 )
• Form W-4 2013
  to change or update Federal tax withholding (© 2013 IRS)
• Payroll Stub Field Explanations
  Provides an explanation of each field on your paystubs (© 2008 )

Payroll Schedules - Current

• Certificated Hourly - Extended Spring 2013
  Certificated Hourly - Extended Spring 2013 (© 2013 J Rivas-Plata)
• Certificated Hourly - Spring 2013
  Adjunct and Overload Hourly - Spring 2013 (© 2012 Jorge Rivas-Plata)
• Certificated/Monthly C1, 2012-2013
  Certificated/Monthly C1, 2012-2013 (© 2012 Jorge Rivas-Plata)
• Classified Monthly Pay Schedule, 2012-2013
  Classified Monthly Pay Schedule, 2012-2013 (© 2012 Maggie Ory)
• Unclassified Hourly 12-13
  pay schedule for College Assistants, Student Workers, and other Unclassified Hourly (© 2012 Ory)

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