{"id":242,"date":"2012-06-15T08:47:03","date_gmt":"2012-06-15T12:47:03","guid":{"rendered":"http:\/\/brothersexpress.local\/?page_id=242"},"modified":"2021-03-22T10:28:21","modified_gmt":"2021-03-22T14:28:21","slug":"documents","status":"publish","type":"page","link":"https:\/\/brothersexpress.com\/ep\/documents\/","title":{"rendered":"Documents & Forms"},"content":{"rendered":"

The following documents are available for you to download, save, print or review.  If you print and fill out a form, you can turn it in to dispatch or fax it to 260.440.2000.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
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BENEFIT INFORMATION<\/h4>\n<\/td>\n<\/tr>\n

Benefit Booklet<\/a> – Explains all company provided benefits and eligibility dates.<\/td>\n<\/tr>\n
Summary Plan Description (SPD)<\/a> – Explains in detail our entire group medical insurance and dental plans.<\/td>\n<\/tr>\n
   Medical Plan A<\/a><\/td>\n<\/tr>\n
   Medical Plan B<\/a><\/td>\n<\/tr>\n
   Medical Plan C<\/a><\/td>\n<\/tr>\n
First Care Walk-In Clinic Info<\/a> – Locations and Hours for Walk-In Clinics<\/td>\n<\/tr>\n
Core Benefits Online<\/a> – Information to login and view important benefit information through Core Benefits<\/td>\n<\/tr>\n
Vision Insurance Plan Description<\/a> – Explains in detail our entire group vision insurance plan.<\/td>\n<\/tr>\n
Life Insurance<\/a> and Short-Term Disability Certificate of Coverage<\/a> – This is the employee certificate showing coverage and plan details.<\/td>\n<\/tr>\n
<\/td>\n<\/tr>\n
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FORMS<\/h4>\n<\/td>\n<\/tr>\n

W-4 Federal Tax Form<\/a> – Fill this form out to change your federal exemptions\/payroll withholdings.<\/td>\n<\/tr>\n
WH-4 State Tax Form<\/a> – Fill this form out to change your state exemptions\/payroll withholdings.<\/td>\n<\/tr>\n
Direct Deposit Form<\/a> – Fill this form out to change your direct deposit accounts or allocation amounts or enroll for a new direct deposit.<\/td>\n<\/tr>\n
Medical & Dental Insurance Form<\/a> – Fill this form out to change coverage<\/td>\n<\/tr>\n
Spousal Carve-Out Form<\/a> (Coordination of Benefits Form) – Your spouse or spouse’s employer must fill this form out to enroll a spouse onto our group insurance plan.<\/td>\n<\/tr>\n
Vision Insurance Form <\/a>– Fill this form out to make changes to your insurance coverage elections. You must have a “qualifying event” to make changes during the year. If you do not have a qualifying event, you must wait until our annual open enrollment period to enroll, decline or change coverage. Open enrollment for Vision is during the month of December.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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 <\/p>\n","protected":false},"excerpt":{"rendered":"

The following documents are available for you to download, save, print or review.  If you print and fill out a form, you can turn it in to dispatch or fax it to 260.440.2000. BENEFIT INFORMATION Benefit Booklet – Explains all company provided benefits and eligibility dates. Summary Plan Description (SPD) – Explains in detail our entire […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":195,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"page-fullpage.php","meta":[],"_links":{"self":[{"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/pages\/242"}],"collection":[{"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/comments?post=242"}],"version-history":[{"count":0,"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/pages\/242\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/pages\/195"}],"wp:attachment":[{"href":"https:\/\/brothersexpress.com\/wp-json\/wp\/v2\/media?parent=242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}