Weston Public Schools - Payroll - Benefit Forms

Payroll - Benefit Forms

Connecticut Income Tax Withholding Requirements for Connecticut Employees

Employment Verification Form

payroll schedule fy 25 (1)

Anthem/State Partnership Plan Health Insurance Information

Benefit Summary

Portal Information

Click here to view the SPP introductory presentation

Summary of Benefits and Coverage

Employee Cost Share

Voluntary Vision Plan Document

Delta Dental Information

Prudential Optional Life Insurance Information

Prudential General Information, Rates

Prudential Voluntary Life Enrollment Form

MERS (Municipal Employees Retirement System)

CT Teachers’ Retirement System Members Handbook

Non Certified Pension

Teacher’s Retirement Beneficiary Form

Section 125 Flex Spending

2023 section 125 debit card information

ABS Direct Deposit Form

ABS Summary Plan Description

fsa eligible fact sheet 2025

FSA Limits and Regulations

How to Save on Medical Expenses

2023 section 125 debit card information

ABS Pre Tax Program Reimbursement

FSA Debit Card Information

FSA Enrollment Booklet

FSA Plan Highlights

Limited FSA Information

ABS Dependent Care Affidavit

FSA/HRA Eligible/Ineligible Fact Sheet

FSA Flex Spending Enrollment Form

FSA Worksheet and OTC Form

Section 125 Flex Spending

The OMNI Group

OMNI’s Web-site click: 403B

Open Enrollment Period

*All ORIGINAL SIGNED FORMS must be returned to Marisa Forchione, Payroll/Benefits Dept., with the Open Enrollment Form.

Open enrollment forms only need to be completed if you would like to make a change to your current information.

Even if you only want to change the number of pays you receive each year, 22 vs. 26, please complete the appropriate enrollment form (AFSCME, WTA, Central Office, WAA.) below:

Annual Open Enrollment Form for Non-Certified Staff – AFSCME
Annual Open Enrollment Form for Non-Represented – Central Office
Annual Open Enrollment Form for Administrators – Admin/WAA
Annual Open Enrollment Form for Certified Staff – WTA
Federal W-4
Connecticut W-4
Anthem/State Partnership Plan Enrollment Form
Delta Dental Enrollment Form
Eyemed Voluntary Vision Enrollment Form
District Provided Prudential Life Insurance Beneficiary Form
Direct Deposit Form
Credit Union Enrollment Form
FSA Flex Spending Enrollment Form

Once you have completed the necessary forms, please print them, sign them, and then send them to Marisa Forchione in the Payroll Dept. via interoffice mail or via postal mail to Weston Public Schools, Payroll Department, 24 School Rd, Weston, CT 06883.

25 26 annual open enrollment form central office

eyemed voluntary vision enrollment form

prudential life insurance

2025 federal w 4

25 26 annual open enrollment form wta

fillable dental enrollment form 520

section 125 employee enrollment form 2025 fillable

25 26 annual open enrollment form afscme

anthem spp enrollment form

fillable direct deposit form