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Department of
Human Resources
Madison, Connecticut

8 Campus Drive, Madison, CT 06443

Monday - Friday, 8:30 a.m. - 4:00 p.m.

OFFICE
Telephone: (203) 245-5603

Rita Umile
Manager, Human Resources
umiler@madisonct.org

Communications - UPSEU - Dispatchers/Clerks/Secretaries

COLLECTIVE BARGAINING AGREEMENT


Agreement between the Town of Madison & The United Public Service Employees Union

MEDICAL & 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 and providing your Subscriber number (located on your card).

Anthem Rx Direct Order Form

Anthem Claim Form

Enrollment & 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

Payment in Lieu of Benefits

 

FAMILY MEDICAL LEAVE ACT (FMLA)

FMLA Brochure (Overview of FMLA)

Notice of Obligations - Outline of the Obligations of Employees Who Take FMLA

Employee Request for FMLA Form

 

LIFE INSURANCE

Life Insurance Enrollment & Change Form

 

RETIREMENT

Retirement Plan Summary - For the Employees of the Town of Madison, CT

Beneficiary Designation Form

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