Family Medical Leave Act

• Certification of Health Care Provider for Serious Health Condition
• Certification of Health Care Provider for Family Member's Health Condition
• Doctor's Disability Release Form
• Request to Be Absent 5 or More Days

Worker's Compensation

• Supervisor's Accident Investigation
• Injury Report Form

Life Insurance Forms

• Lincoln Life Insurance

Health Insurance Plans

• HDHP HSA Presentation

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Virtual Care (Telehealth) Options
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Suzanne Michaud
Benefits Specialist
smichaud@mpspride.org
860.647-3458