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Employee Resources
Information & Documents
Nye County employees can find useful forms, guides, directories, and more listed below.
18-19 Open Enrollment Miscellaneous
- 2018-2019 Renewal Information
- 2018 Legal Notices
- FSA Plan Document
- FSA Overview
- FSA Enrollment Form
- HSA Enrollment
- HSA Payroll Election Form
- Premium Only Plan Waiver
- Voluntary Elections Benefits Manual
Dependent Rate Memos
Ameritas Dental/Vision
- Dental Highlight Sheet
- Vision Highlight Sheet
- Enrollment Form
- Certificate Coverage - Nye County
- Certificate Coverage - Dependents
- Certificate Coverage - Pahrump Town
Lincoln National Life Insurance
PERS
- Change of Personal Information
- Plan Description for Police and Fire
- Plan Description for Regular Members
- Pre-Retirement Guide
- Purchase of Service Program
- Survivor Beneficiary Form
- Member Annual Statements
Sierra Health & Life
- PPO 500 Summary of Benefits
- PPO 1000 Summary of Benefits
- HMO Summary of Benefits
- HSA 3000 Summary of Benefits
- Enrollment Form
- Change Form (plan, dependents, etc.)
- HMO Provider Directory
Workers' Compensation
- Accident and Injury Reporting Procedures
- Accident Investigation Form
- C-1
- Contracted Providers
- First RX Fill Flyer