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Business Office > Faculty/Staff Employment & Benefit Information

Faculty/Staff Employment & Benefit Information

Business Office

2012 Employee Benefit Update (PDF)
Faculty and Staff Payroll Deduction Form (PDF)

Explore the information and forms below to find what you need. If you have questions, please contact Patricia Bruce, 601-974-1127, in the Academic Complex, Room 107.

You will need the software Adobe Acrobat Reader in order to access the PDFs. It's a free download.

Millsaps Employee General Information and Forms:

• Faculty and Staff Discounts
• 2012-13 Millsaps Holiday Schedule (PDF)
• Brief Summary of Employee Benefits (PDF)
• Faculty Handbook (PDF) - Restricted Access
• Staff Handbook - (PDF) - Restricted Access
• Change of Name and Change of Address Form (PDF)
• Employee Rights E-Verify Form (PDF)
• Employee Rights E-Verify Explanation (PDF)
• Faculty and Staff Payroll Deduction Form (PDF)
• MHN Online Member Services - Member Matters newsletter
• Millsaps Payroll Direct Deposit Form (PDF)
• Request for Tuition Exchange Form (PDF)
• Staff Leave Report Form (PDF)
• Tuition Exchange Program Explanation (PDF)
• YMCA Corporate Membership Application (PDF)
• YMCA Corporate Membership Change Request (PDF)
• YMCA Payroll Deduction Form (PDF)
• YMCA Rates and Guest Pass (PDF)
• Annual Employee Performance Evaluation (PDF)
• Staff Self-Evaluation Form (PDF)
• Supervisor Evaluation Form (PDF)
• Sexual Misconduct Policy (PDF)
• Whistleblower Policy (PDF)
• Campus Conduct Hotline (PDF)

Dental Benefits:

• Millsaps Dental Plan Overview - Metlife (PDF)
• Metlife
• Find a PDP Dentist
• MetLife Dental Claim (PDF)
• MetLife Dental Enrollment Form (PDF)
• Metlife Dental Certificate (PDF)

Medical Benefits:

• Summary of Medical Benefits (PDF)
• Millsaps PPO Medical Plan (PDF)
• Millsaps High Deductible Medical Plan (PDF)
• Blue Cross Blue Shield of Mississippi
• Find a Blue Cross Blue Shield Network Provider
• Blue Cross Blue Shield Preferred Benefit Medication Search
• Primemail (Mail) Pharmacy Service Forms (PDF)
• Primemail Pharmacy Service Member Brochure (PDF)
• Primemail (Online) Pharmacy Service
• Blue Cross Blue Shield Claim Form (PDF)
• Blue Cross Blue Shield Enrollment Form (PDF)

Long-Term Care Insurance:

• John Hancock Long-Term Care Insurance Information

Long-Term Disability Insurance:

• Metlife Long-Term Disability Certificate (PDF)
• Metlife Long-Term Disability Enrollment (DOCX)

Standard Life Insurance:

• Standard Life Insurance Enrollment and Change (PDF)
• Standard Life Insurance Portability Application (PDF)
• Standard Life Insurance Certificate (PDF)

Cafeteria Plan:

• Southern Administrators Cafeteria Plan
• SABC Cafeteria Plan Balance Info
• SABC Cafeteria Plan Newsletter (PDF)
• SABC Cafeteria Plan Summary (PDF)
• SABC Claims SABC Claim Form (PDF)

Tax Information:

• Mississippi State Tax Withholding Form (PDF)
• W-4 Form for 2012 (PDF)
• Employment Eligibility Verification (Form I-9) expires 8-2012 (PDF)

Retirement:

• TIAA-CREF Financial Services
• TIAA-CREF Salary Reduction Form (PDF)