Benefits

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• FMLA - Military Exigency for Family Form - WH-384

  Form to be completed by agency and then employee seeking FMLA leave due to a qualifying exigency due to a military member’s covered active duty or call to covered active duty status

• FMLA - Military Family Leave - Med Certificate for Military Family Member - WH-385

  Form to be completed by an agency, employee and then health care provider when an employee requests leave under the FMLA to care for a family member who is a current member of the Regular Armed Forces, the National Guard, or the Reserves who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list for a serious injury or illness.

• Tuition Reimbursement - State of Connecticut Tuition Reimbursement Program Guide for State of Connecticut Agencies and Employees - Revised April 2011

  Guidelines for tuition reimbursement for state agencies and employees

• Military Service - USERRA - Uniformed Services Employment and Reemployment Rights - A Non-Technical Resource Guide

  Information about the application of the Uniformed Services Employment and Reemployment Rights

• Tuition Reimbursement Application Form - CO-101

  Form used for employees fo apply for tuition reimbursement. Must be submitted to agency tuition reimbursement officer no later than two weeks prior to the start of the course.

• Military Service - USERRA - Uniformed Services Employment and Reemployment Rights - United States Department of Labor USERRA Page

  References for questions pertaining to USERRA

• Retirement - Tier I Summary Plan Description

• Retirement - Tier IIA Summary Plan Description

• Retirement - Hybrid Summary Plan Description

• Benefits Manual - State of Connecticut Employees

  The Office of the State Comptroller Employee Benefits Manual - details and resources about the benefits available to state employees

• Office of the State Comptroller Memoranda - Index of Memoranda

  Memoranda published by the Office of the State Comptroller relating to employee and retiree benefits

• FMLA - Military Family Leave - Med Certificate for Veteran Family Member - WH-385V

  Form to be completed by an employee and then health care provider when the employee seeks military caregiver leave under the FMLA leave due to a serious injury or illness of a covered veteran; this certification must provide sufficient facts to support the request for leave.

• Retirement - Tier II Summary Plan Description

• Retirement - Tier III Summary Plan Description

• Military Service - USERRA - Uniformed Services Employment and Reemployment Rights - Poster

  Military - USERRA Rights for those in military service