Northampton County, Virginia

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Employee Forms & Benefits Information


Employee Forms

2010 Payroll Schedule

Federal Form W4 (Personal Allowances)

Federal I-9 Form

Virginia VA 4 Form (Personal Exemptions)

Change of Address

Direct Deposit Form

2011 Time sheet - full time

2011 Time sheet - part time



2009 – 2010 Northampton County Employee Benefits

Optima Health
4417 Corporation Lane
Virginia Beach, Va.  23462
800-741-9910
 www.optimahealth.com

Anthem Dental
555 Middle Creek Parkway
Colorado Springs, CO.  80921
800-453-3622
 www.anthem.com

Optima EAP
4417 Corporation Lane
Virginia Beach, Va.  23462
800-899-8174
www.OptimaEAP.com

EyeMed Vision Care
866-939-3633
www.eyemedvisioncare.com

 Keiter, Slabaugh, Penny & Holme, LLC
Cobra Administrator
4191 Innslake Drive, Suite 211
Glen Allen, Va.  23060
804-565-6022
www.ksphllc.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:

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

Allstate Insurance
1776 American Heritage Life Dr.
Jacksonville, FL.  32224
877-880-0161
www.allstate.com

 Caremark Mail Service Pharmacy
PO BOX 94467
Palatine, IL  60094
888-766-5495
www.optimahealth.com/mailorder

 

Payroll deductions that are available:

YMCA – Eastern Shore
26164 Lankford HWY
Onley, Va.   23418
757-787-5601
www.ymcashr.org

Impact Fitness
12 Peach St.
Cape Charles, Va.  23310
757-331-1730
Impact-Fitness@verizon.net

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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