Northampton County, Virginia

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Employee Forms & Benefits Information


Employee Forms

2017 Payroll Schedule

Federal Form W4 (Personal Allowances)

Federal I-9 Form

Virginia VA 4 Form (Personal Exemptions)

Change of Address

Direct Deposit Form

Time sheet - full time

Time sheet - part time



Northampton County Employee Benefits

Anthem Health
555 Middle Creek Parkway
Colorado Springs, CO. 80921
www.anthem.com

MetLife
PO Box 981282
El Paso, TX 79998-1282br /> 800-275-4638
www.metlife.com/mybenefits

Flexible Benefit Administrators
Cobra Administrator
PO Drawer 8188
Virginia Beach, Va. 23450
800-437-3539
www.flex-admin.com

Virginia Retirement System
1200 East Main St.
PO BOX 2500
Richmond, Va. 23218
888-827-3847
www.varetire.org

Minnesota Life (group life insurance)
PO BOX 1193
Richmond, Va. 23218-1193
800-441-2258
www.lifebenefits.com


Voluntary benefits thru:

Commonwealth of Virginia’s Voluntary Group Long Term Care Insurance
Genworth Life Insurance Company
http://www.genworth.com/content/home.html

Minnesota Life (optional life insurance)
PO BOX 1193
Richmond, Va. 23218-1193
800-441-2258
www.lifebenefits.com

Flexible Benefit Administrators
PO Drawer 8188
Virginia Beach, Va. 23450
800-437-3539
www.flex-admin.com

Nationwide Retirement Solutions
PO BOX 182787
Columbus, OH 43218
877-677-3678
www.nrsforu.com

Aflac
Chad T. Knapp – Group Critical Illness
Charles Bono – Representative
PO BOX 496
Nassawadox, Va. 23413
www.aflac.com

Express Scripts
Home Delivery Service
PO BOX 66785
Saint Louis MO 63166

 

Payroll deductions that are available:

United Way of Virginia’s Eastern Shore
PO BOX 605
Onley, Va. 23418
757-787-5622
www.unitedway4us.org

Virginia Credit Union
PO BOX 90010
Richmond, Va. 23225
800-285-6609
www.vacu.org

Northampton County Treas. Office
PO BOX 598
Eastville, Va. 23347
757-678-0450

 

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