WELCOME TO YOUR BENEFITS PORTAL!
This site is designed to:
- help you understand, enroll, manage and administer the benefit plans in which you choose to participate,
- serve as a Document Library to assist in organizing the many documents that you need access to, and
- allows you to submit documents securely and directly to Kelley Insurance for easy processing.
NEW HIRE & ADMINISTRATIVE DOCUMENTS
Employer Eligibility Verification Form (I-9)
Request for Taxpayer ID (W-9)
Employee Withholding (W-4)
DC State Tax Form (D-4)
Maryland State Tax Form (MW/507)
Virginia State Tax Form (VA-4)
Direct Deposit Authorization Form
BENEFIT NOTICES & SUMMARY PLAN DESCRIPTIONS
Electronic Consent Form
Benefits Notice for Employees Enrolled in Benefits
Benefits Notice for Employees not Enrolled in Benefits
POP Summary Plan Description