Retirement

• A Summary Of The Retirement Plan
  For The Employees Of The Town Of Madison, Connecticut
• Beneficiary Designation Form

Collective Bargaining Agreement

• Agreement Between the Town of Madison and The National Association of Government Employees - RI-184

Life Insurance

• Life Insurance Enrollment and Change Form

Family Medical Leave Act (FMLA)

• FMLA Brochure PDF Overview of FMLA
• Notice of Obligations PDF
  Outline of the Obligations of Employees Who Take FMLA
• Employee Request for FMLA Form PDF

Medical and Health Care Forms

For information regarding your Anthem Blue Cross Blue Shield coverage, you can request information on your summary plan document by calling 800-233-4947 which is the customer service number on your insurance card. You'll be asked to provide your Subscriber number (which is on the front of the card) and they will send the document to your home.

• Salary Reduction Agreement
  Selection of Benefits
• Open Enrollment Letter
• Anthem Rx Direct Order Form
• Anthem Claim Form
• Enrollment and Membership Change Form
• COBRA Notification Letter
• Bluecare Option 1- Description of Benefits
• Bluecare Vision
• Century Preferred- Vision Care Plan
• 3-Tier Prescription Drug Program
• Generic Select Program
• Salary Reduction Agreement
• Paymeny in Lieu of Benefits