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Adding page for links to supervisor's packets.
This section contains links to the general employment forms required for processing appointments.
Welcome to the LSU Agricultural Center!As a new employee of the LSU AgCenter, there is an online packet of information with several orms you will need to complete.
This section includes forms and instructions for the miscellaneous benefits offered by the AgCenter which are not included in Folder 2 and 3.
After you have submitted the Request for Employment Packet form to the HRM Office and received the email stating which forms are required, print out the required forms for each folder and provide to your new employee for completion. Forms - Folder #5 All employees who are non-U.S. citizens must complete the forms in Folder #5 to determine the employee's status for U.S. tax withholding purposes. The University is required to fulfill tax reporting obligations and maintain compliance with tax and immigration laws for the United States pertaining to nonresident alien individuals. Instructions for Completing Alien Tax Information Forms Alien Tax Information Request Form Form 8233 - Exemption From Withholding on Compensation for Independent Personal Services of a Nonresident Alien individual Attachment to Form 8233 - This form is the tax treaty specific to a country; therefore, please request this form from the AgCenter HRM office if the employee's country has a tax treaty or consult this website. Use the drop-down menu under Foreign Teachers/Researchers for more information.
BENEFITS EXPLAINED BELOW: Health Insurance - with options from the State and LSU ELIGIBILITY:Appointments greater or equal to 121 days and 75% effort or greaterIMPORTANT INFORMATION: You will need to present a Social Security Card for each individual enrolling in the health insurance plan. If no Social Security number has been issued, the Individual Tax Identification Number will need to be presented. If you are choosing to add your spouse, children, or any other qualified dependents to the plan, you must also provide DEPENDENT VERIFICATION for each along with the enrollment form. You have 30 days from your date of hire to make a health insurance election. If you do not sign up for health insurance during this time, you will not be eligible to sign up until you experience a family qualifying event or you make an election to participate during Annual Enrollment (generally, each October - for a January 1 effective date). Additionally, no one may be added to or deleted from the plan unless you experience a family qualifying event and initiate the addition or deletion within 30 days of that event. You have 30 days from your date of hire to elect to participate in the state life insurance. If you do not sign up for the life insurance during this time, you may apply at any time. However, you must be approved after submitting Evidence of Insurability before coverage can begin. PLEASE COMPLETE THE FORM THAT APPLIES: (REQUIRED) If you are enrolling for State health insurance for the first time, this is the form for you: New Hire Enrollment Form If you are an Agency Transfer, please complete this form: Agency Transfer Enrollment Form If you are waiving State health and life insurance, please complete this form: Waiver - New Hire LIFE INSURANCE:Since we are employees of the state, we are offered the STATE GROUP life insurance as well as the LSU Supplemental life insurance. The State Group plan enrollment is on the health insurance form, linked above. LSU's plan is described in Folder 4, with the other Supplemental Benefits. This link (Enrollment Kit) describes the plan in far more detail, but here's the gist: Basic Life = $5,000 of coverage for $2.70/month Coverage is offered for spouse and child at two levels: Option 1: Spouse $1,000 / Children $500 ($0.90/month) Option 2: Spouse $2,000 / Children $1,000 ($1.80/month) Supplemental life = 1.5 x your annual salary, with a maximum coverage of $50,000. (That amount would be $27.00/month.) Coverage is offered for spouse and child at two levels: Option 1: Spouse $2,000 / Children $1,000 ($1.80/month) Option 2: Spouse $4,000 / Children $2,000 ($3.60/month)HEALTH PLAN CHOICES FOR 2015:Health Rates for 1/1/16 1. Pelican HRA 1000 - The plan includes $1,000 in employer contributions for employee-only plans and $2,000 for family plans in a health reimbursement account that can be used to offset deductible and other out-of-pocket health care costs throughout the year. Prescription drugs are not reimbursable by the HRA. Any unused funds rollover up to the in-network out-of-pocket maximum, allowing members to build up balances that cover eligible medical expenses when they happen. This plan uses Blue Cross Blue Shield's nationwide network. Click >>>HERE<<< for a synopsis. Additional Plan Information:http://www.bcbsla.com/ogb, 1.800.392.4089, Provider Directory, Summary of Benefits, HRA Info, Schedule of Benefits, HRA Schedule of Benefits, Pharmacy Benefit 2. Pelican HSA 775- Lowest premiums offered in addition to a Health Savings Account funded by both employers and employees. Employers contribute $200 to the Pelican HSA, then match any employee contributions up to $575. Employees can contribute additional funds on a pre-tax basis, up to $3,350, to cover out-of-pocket medical and pharmacy costs. This plan uses Blue Cross Blue Shield's nationwide network. Click >>>HERE<<< for a synopsis.Additional Plan Information: http://www.bcbsla.com/ogb, 1.800.392.4089, Provider Directory, Summary of Benefits, Schedule of Benefits, HSA Info, Pharmacy Benefit 3. Magnolia Open Access Plan - This plan uses Blue Cross Blue Shield's nationwide network. Once a deductible is met ($900 for Employee only, $1,800 for Employee + 1 (child or spouse) and $2,700 for Employee + Children and Family, the member will be responsible for 10% of the bill for in-network care. Out-of-network care is available. The plan will cover 70% of the in-network rate. Balance billing will apply. Click >>>HERE<<< for a synopsis. Additional Plan Information:http://www.bcbsla.com/ogb, 1.800.392.4089, Provider Directory, Summary of Benefits, Schedule of Benefits, Pharmacy Benefit 4. Magnolia Local Plus Plan - This plan uses Blue Cross Blue Shield's nationwide network. Primary care doctor co-pays are $25. Specialists have a $50 co-pay. Wellness visits will not have a charge. Services that do not have a co-pay will be subject to the deductible. In-network deductible for Employee only coverage is $400. $800 for Employee + 1 (child or spouse), and $1,200 for Employee + Children and Family coverage. Out-of-network care is available ONLY For a life or limb-threatening emergency. In such an emergency, the plan will cover 70% of the in-network rate. Balance billing will apply. Click >>>HERE<<< for a synopsis. Prescription Drug Formulary (MedImpact) >>>HERE<<<Additional Plan Information:http://www.bcbsla.com/ogb, 1.800.392.4089, Provider Directory, Summary of Benefits, Schedule of Benefits, Pharmacy Benefit5. Magnolia Local - This plan is for people that live in specific coverage areas. If you life outside of the coverage area (even if your healthcare providers are in the coverage area), you will not be eligible to participate in this plan. There are two networks: Community Blue (for members that live in East & West Baton Rouge, Ascension, Caddo and Bossier Parishes) and BlueConnect (for members that live in Orleans and Jefferson parishes). $25 primary care co-pays and $50 specialist visit co-pays. Wellness visits will not have a charge. Services that do not have a co-pay will be subject to the deductible. In-network deductible for Employee only coverage is $500. $1,000 for Employee + 1 (spouse or child) and $1,500 for Employee + Children and Family coverage. Out-of-network care is available ONLY for a life or limb-threatening emergency. In such an emergency, the plan will cover 70% of the in-network rate. Balance billing will apply. Click >>>HERE<<< for a synopsis Prescription Drug Formulary (MedImpact) >>>HERE<<<, Full Pharmacy Benefit infoAdditional Plan Information:http://www.bcbsla.com/ogb, 1.800.392.4089, Provider Directory - (1) Community Blue (Baton Rouge & Shreveport areas), (2) Blue Connect (New Orleans); Schedule of Benefits, Summary of Benefits 6. Vantage Medical Home HMO - Vantage network. This plan creates partnerships between the individual patient and their physician and when appropriate, the patient's family. Click >>>HERE<<< for a synopsis. Additional Plan Information:http://employees.vhp-stategroup.com, 1.888.823.1910; Plan Provider Directory7. LSU First, Option 1 - Higher premium than LSU First, Option 2, with a smaller deductible. A Health Reimbursement Account (HRA) is funded by LSU and pays 100% of eligible medical and pharmacy expenses until exhausted. (EE - $1,000; EE + Spouse or children - $1,500: EE + Family - $2,000) HRA dollars are not used for wellness visits, which are covered by the plan at 100%. After the HRA is exhausted, you pay for medical and pharmacy expenses until you have met a deductible;(EE - $500; EE + Spouse or Children - $750; EE + Family - $1,000) Services received from First Choice Providers and Generic Drug prescriptions are covered at 100% (no out-of-pocket cost). Once HRA exhausted and deductible met, plan pays 90% of all eligible in-network charges and 60% of out-of-network charges. Balanced billing applies. Prescription drug co-pay applies after deductible is met, unless it is generic. See plan details >>>HERE<<< Watch a video describing both options of LSU First >>>HERE<<< Search for Providers >>>HERE<<< (Keep the search as broad as possible) Citizens RX Drug Exclusions List >>>HERE<<<Plan website: http://www.lsufirst.org 8. LSU First, Option 2 - Lower premium than LSU First, Option 1, with a larger deductible. A Health Reimbursement Account (HRA) is funded by LSU and pays 100% of eligible medical and pharmacy expenses until exhausted. (EE - $1,000; EE + Spouse or Children - $1,500; EE + Family - $2,000) HRA dollars are not used for wellness visits, which are covered by the plan at 100%. After the HRA is exhausted, you pay for medical and pharmacy expenses until you have met a deductible (EE - $1,500; EE + Spouse or Children - $2,250; EE + Family - $3,000) Services received from First Choice Providers and Generic Drug prescriptions are covered at 100% (no out-of-pocket cost). Once HRA exhausted and deductible met, plan pays 90% of all eligible in-network charges and 60% of out-of-network charges. Balanced billing applies. Prescription drug co-pay applies after deductible is met, unless it is generic. See plan details >>>HERE<<< Watch a video describing both options of LSU First >>>HERE<<< Search for Providers >>>HERE<<< (Keep the search as broad as possible) Citizens RX Drug Exclusions List >>>HERE<<< Plan website: http://www.lsufirst.
Note: Employees with J-1 or F-1 status who are considered resident aliens for tax purposes are required to participate in a retirement plan. If considered non-resident aliens for tax purposes, they are not eligible to participate in a retirement program. Contact the HRM Office for details. Are you on a REGULAR appointment or a TEMPORARY appointment? REGULAR TEMPORARY Academic or Non-classified employee Appointment exceeds two years Effort is greater than 50% of full-time May not have F-1 or J-1 status Academic or Non-classified Employee Appointment is less than or equal to 2 years (If appointment is greater than 2 years, effort must be less than or equal to 50% of full-time) Regular Appointments - Employees on Regular Appointments will have the option of enrolling in either the Teachers' Retirement system of Louisiana (TRSL) or the Optional Retirement Plan (ORP). Helpful information on retirement choices can be found in the Schedule of Employee Benefits. New employees must be provided with all forms to determine which program will better suit their needs. Please read and follow the instructions. Forms - Regular Appointments Instructions for Completing Retirement Enrollment Forms (Regular) TRSL vs ORP - How Do I Choose? Teachers' Retirement System of Louisiana (TRSL) Your Benefits Membership prior to January 1, 2011 Membership on or AFTER January 1, 2011 Enrollment Application (Form 2) Designation of Beneficiary (Forms 3 and 3S) SSA-1945 (TRSL) - Statement Concerning Employment in a Job Not Covered by Social SecurityForfeiture of Retirement Benefits - Attestation of Understanding (for those hired after 1/1/13) Optional Retirement Plan (ORP) ORP Enrollment Application (Form 16) SSA-1945 - Statement Concerning Employment in a Job Not Covered by Social Security Carrier Options - (Contact information for each carrier can be found HERE. You are encouraged to contact the carrier's representative to discuss ANY questions you may have regarding your decision. Once you have chosen a carrier, contact that carrier to fill out enrollment paperwork.) VALIC VOYA (Formerly ING) TIAA-CREF Temporary or Part-time Appointments - Employees on Temporary or Part-Time Appointments will have the option of enrolling in either Social Security, the Optional Retirement Plan (ORP) or the Louisiana Deferred Compensation Plan (LDCP). Helpful information on retirement choices can be found in the Schedule of Employee Benefits. New employees must be provided with all forms to determine which program will better suit their needs. Please read and follow the instructions. Forms - Temporary / Part-time Appointments Instructions for Completing Retirement Enrollment Forms (Temporary / PT) Social Security Retirement Election Form Optional Retirment Plan (ORP) Retirement Election Form Enrollment Application (Form 16) SSA-1945 - Statement Concerning Employment in a Job Not Covered by Social Security Carrier Options - (Contact information for each carrier can be found HERE. You are encouraged to contact the carrier's representative to discuss ANY questions you may have regarding your decision. Once you have chosen a carrier, contact that carrier to fill out enrollment paperwork.) VALIC VOYA (Formerly ING) TIAA-CREF Louisiana Deferred Compensation Plan (LDCP) LDCP Website (Contact information for the carrier can be found HERE. You are encouraged to contact the representative to discuss ANY questions you may have regarding your decision.) Retirement Election Form You will need the following forms: Enrollment Application and Salary Deferral Agreement.
After you have submitted the Request for Employment Packet form to the HRM Office and received the email stating which forms are required, print out the required forms for each folder and provide to your new employee for completion. Participation in a retirement program is required of all employees with few exceptions. The instruction sheet lists the eligibility requirements. This information will help to determine which retirement options are available. Forms - Provide the appropriate retirement enrollment forms based on the employee's type of appointment. INSTRUCTIONS for Making a Retirement System Election and Completing Retirement Enrollment Forms Louisiana State Employees Retirement System LASERS Membership Handbook Membership Registration Form Designation of Beneficiary Form SSA-1945 - Statement Concerning Employment in a Job Not Covered by Social Security Benefit Forfeiture (Required) LASERS Website Social Security - No enrollment form Louisiana Deferred Compensation Plan (LCDP) LDCP Website (Contact information for the carrier can be found HERE. You are encouraged to contact the representative to discuss ANY questions you may have regarding your decision.) You will need the following forms: Enrollment Application and Salary Deferral Agreement.
This section includes the processing guidelines and links to the required documents.
This section is to be used by office managers and other individuals responsible for processing appointments, status changes and/or payrolls. Each category provides detailed instructions for processing the documentation required for submission to the HRM Office. Employment Processing Type of Appointment Chart - a summary of the different types of appointments and the criteria used to determine eligibility for miscellaneous benefits . Supervisor's Employment Packet – Instructions and forms for moving through the advertisement, interviewing and appointment process. Employment Packet Instructions and Forms - This section provides a listing and checklist of all documents required for each type of appointment for Academic, Faculty, Non-classified & Classified employees. Forms may be printed from this site, then completed and submitted to HRM (in lieu of requesting the employment packet). Civil Service Rules on Job or Restricted Appointments - list of criteria used by Civil Service to determine if an employee is eligible for temporary employment on a Job or Restricted appointment. Prohibited Work for Minors/Child Labor Laws - guidelines for employing minors. Student, Transient and Graduate Assistant Processing - Personnel Action Forms Processing Guidelines for Forms Processing - Personnel Action Forms PER 1B ( PDF or Word ) - form used to list the duties, responsibilities and qualification requirements of select positions (Associates, Postdoctoral Researchers, Administrative and Unclassified positions) Research Associate Supplemental Job Description Form ( PDF or Word ) Instructions for Entering Personnel Forms into the HRS System Approval Requirements for HRM-Related Actions - chart of actions and the approval levels required for processing. HRM Transaction Codes - listing of codes and terminology to be used on the personnel action forms. HRM Transaction Processing - steps to follow when processing appointments or changes in status. How To Determine End Dates - instructions on how to determine what date to use on the personnel action form for the personnel action end date and/or the funds end date. Exit Checklist - to be used by the unit head or designee to provide for orderly separation of an employee who is resigning, retiring or otherwise terminating employment with the AgCenter. Payroll Processing Bi-Weekly Timesheet - PDF or Word Student Timesheet - PDF Supplemental Timesheet - use to pay a new employee who is not yet listed in ETA. Check with HRM for other limited uses.
