Documents & Forms

Flexible Benefit Plan

• Flexible Benefit Reimbursement Form
• Meritain Direct Deposit Authorization Form

Medical and Dental Plans

• Authorization for Release of PHI
• Legally Domiciled Adult Certification Form
• Legally Domiciled Adult Decertification Form

Lay Employees' Retirement Plan

• Direct Deposit Form
• Federal Tax Withholding Form
• Michigan Tax Withholding Form
• Request for Pension Estimate
• Request for Retirement Application Kit

MCC 403(b) Retirement Savings Plan

• Beneficiary Designation Form
• Salary Reduction Agreement

New Hire/Newly Eligible Employee Enrollment Guide

The “New Hire/Newly Eligible Employee Enrollment Guide” can now be found on the “New Hires/Newly Eligible Employees” page.