Staff Employee Documents
Treasurer's Office of the Holston Conference
Holston Conference Staff Employee Documents
Please read the description for each form - only return the necessary document(s) with changes in deductions or withholdings for the current year.
Downloads
2012 Health Insurance Plan Enrollment Confirmation
Posted on October 19, 2011
ALL STAFF EMPLOYEES - Confirm no changes to your current coverages for 2012 or change your BC/BS rate plan or Health Savings Account (HSA requires an account at either Holston Methodist Federal Credit Union or HealthEquity)
2012 PBS Enrollment Packet
Posted on November 7, 2011
This form is for medical spending (FSA) or (HSA) enrollment
2012 W-4
Posted on December 19, 2011
Housing Allowance Worksheet
Posted on November 7, 2011
UMPIP Deduction
Posted on November 4, 2011
This form is to change your UMPIP deduction
Insurance
BC/BS Medical Spending Claim Form
Posted on February 10, 2009
Medical Reimbursement Claims for 2011
BC/BS New Enrollment Form
Posted on October 19, 2011
New Enrollment for Blue Cross/Blue Shield
