Forward all signed and completed forms to director of human resources.


Blue Cross and Blue Shield (health and dental)
Customer Service: 1-800-432-3990 – 7am to 4:30pm, Monday – Friday

Benefits/Direct (all other supplemental insurances except health and dental)
Customer Service: 1-877-523-0176 –  8am to 5pm, Monday – Friday

Assistance with Flexible Spending Accounts and Health Savings Accounts

Brigid Foley at 855-615-3679, Monday through Friday 8am to 5pm


Benefits Direct Brochure 2018:

BCBS Enrollment or Change Form 2018

BCBS 2018 Dental Plan Brochure

EAP-Brochure 11/2016

EAP Guidance for Online Access 11/2016

EAP Wallet Card 11/2016
Summaries of Benefits and Coverage- Health Insurance

BCBS Waiver Form

Request for Payroll Change 10.27.2015

Confidentiality Statement and Proprietary Information Obligations Policies
McPherson College General Information Sheet
Guidelines for Keys
Hiring Disclosure Form 10.27.2015
I-9 8.31.2019
Personnel Action Form 10.2015
Separation Checklist

Family and Medical Leave Act (FMLA)
FMLA Certification Current Service Member 5.2018
FMLA Health Care Certification Employee 5.2018
FMLA Certification Family Member 5.2018
FMLA Exigency for Military Family Leave 5.2018
FMLA Designation Form 5.2018
FMLA Rights and Responsibilities 5.2018


Kansas Employee’s Withholding Allowance Certificate (K-4 2015)
Notice of Payroll Deductions for College Property Form 7.2015
Direct Deposit Form
Payroll Deduction Form
Federal Withholding Form W4 2017

Overtime Authorization Form 11-21-2016


Performance Management

Performance Management Evaluation- Exempt 2016/2017

Performance Management Self-Evaluation- Exempt 2016/2017
Performance Management Evaluation- Non-Exempt 2016/2017
Performance Management Self-Evaluation- Non-Exempt 2016/2017


Retirement 403(b)
SRA Agreement
403(b) Fee Disclosure TIAA 3.2017

403(b) Fee Disclosure Lincoln 2017 1

403(b) Fee Disclosure Lincoln 2017 2

403(b) Fee Disclosure Lincoln 2017 3
403(b) Fee Disclosure Letter 3.2017

403(b) Menu Change Notice 5.5.2017
403(b) Summary Plan Description 1 1.2015
TIAA-CREF Mariner Transition Letter 2.25.2015
Lincoln Mariner Transition Letter 2.25.2015

403(b) Annual Summary Report 2016

TIAA-CREF Customer Service 800-842-2252

Monday – Friday, 8am – 10pm, Sat 9am – 6pm (EST)

Thomas Whisenant, TIAA Financial Consultant for McPherson College

Monday – Friday, 8am to 5pm MST

Lincoln Financial Group Customer Service 800-454-6265

Monday-Friday, 8am – 8pm (EST)

RAVE Registration Staff
Release of Liability Waiver 2.2013

Student Employment

Student Worker Handbook-7-2015

Travel Forms

McPherson College Travel Form 7.2016

McPherson College Travel Release of Liability Waiver-7-2016

Worker’s Compensation
Workers’ Comp First Report of Injury
Workers’ Comp 221-8754 to Employee
Workers’ Comp 221-8755 to Employee