EIS Procedures

New Hire Checklist

Instructions: Print this form. Use the hyperlinks to print the associated forms. Follow the steps outlined below

Name:____________________________________ Date Complete:_________________

• Direct Deposit
  • Print & complete Direct Deposit Form. Include a voided check, if participating.

• Adobe Acrobat Reader needed for W4's (Download Adobe Acrobat Reader).

• Complete IL-W-4 (IL-W-4: Illinois Withholding Allowance Certificate)

• Complete US-W4 (US Federal W-4 Employee's Withholding Allowance)

• Complete US Immigration Form w/ support documentation (refer to the back of the form).

• Pre-Tax Payroll Deductions (Premium Only Plan or P.O.P.)
  • Print Premium Only Plan Summary Plan Description
  • Decide if you want to participate in the P.O.P. If you do, then simply e-mail (peterk) your election to participate. If you do not, the complete the P.O.P. Waiver Form
• Medical/Dental/Drug/Life/Accidental Death and Dismemberment
  • Print & complete Principal Application
  • Dental
    • Either complete the Dental portion of the Principal application or complete the appropriate section to waive coverage. If you have dependents, want coverage, but do not want dependent or spousal coverage, then complete the application and waive on the dependent(s) or spouse.
• Long Term Disability
  • Print & complete MetLife Application.
• Voluntary Life
  • E-mail jonw with your age, sex, and whether you are a smoker or not for a Voluntary Life quote.
  • Complete the Voluntary Life Election form after you are presented with it.
• Review EIS Policies and Procedures.
• Return all completed forms to marcm upon completion.