Information for Active Employees

Benefit Information for FY 23 (July 1, 2022 - June 30, 2023)

  1. Benefits At A Glance FY23 Rates
  2. FY 23 MIIA Middleton HMO Alt Summary of Benefits and Coverage 7.1.22
  3. FY 23 MIIA Middleton HMO Alt Summary of Benefits 7.1.22
  4. FY 23 MIIA 2022 Dental Blue Freedom Summary of Benefits
  5. FY 23 Vision Plan Information
  6. MIIA enrollment and change form
  7. MIIA Member Enrollment Form - VISION
  8. Life Insurance Boston Mutual and Colonial Open Enrollment
  9. Vision Summary of Benefits
  10. Boston Mutual Life Enrollment Form
  11. Nationwide 457 Annuity Enrollment
  12. FY23 Open Enrollment Letter

Employee Forms

  1. Sick bank registration
  2. Incident Report
  3. Tickets at Work Details
  4. Tickets at Work Enrollment
  5. At Home Covid Test Coverage
  6. Direct Deposit Form (PDF)