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For Our Clients
For your convenience we have provided following forms, links and resources that you will need for ongoing PEO employee management. You can print the forms, fill them out and fax to (775) 853-5466, mail to 890 East Patriot Boulevard Suite E, Reno, NV, 89511, or scan them and send via e-mail back to us at the e-mail addresses listed below.

Human Resources Sales
Celeste Peterson – Celeste.Peterson@AppliedBusinessNV.com Jim Annis - Jim.Annis@AppliedBusinessNV.com
Megan Lee – Megan.Lee@AppliedBusinessNV.com
Angela Atchley– Angela.Atchley@AppliedBusinessNV.com
Mindy Stewart - Mindy.Stewart@AppliedBusinessNV.com
Payroll
Linda Kukuk - Linda.Kukuk@AppliedBusinessNV.com
Michelle Miles - Michelle.Miles@AppliedBusinessNV.com
Welcome to HR Updates, the latest information you need now to manage your HR issues effectively. From insurance tools to CDC health info, we'll keep you in the know.

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Insurance Enrollment Packet
Premium Deduction Authorization Form (Required)
Saint Mary’s PPO/H.S.A. Insurance Enrollment Form (Medical)
Saint Mary’s HMO Insurance Enrollment Form (Medical)
SelectDent Enrollment Form(Dental)
V S P Enrollment Form (Vision)
Wells Fargo H S A Enrollment Form

New Hire Employment Packet
Generic Employment Application
W-4 Form
I-9 Form
Drug Screen Authorization
Prohibited Harassment Policy
Direct Deposit Authorization Form
Workplace Safety

Employment Forms
Personnel Action Form
Direct Deposit Authorization
C-1 Form
Employee Warning Notice
Exit Interview

Benefit Action Forms
Saint Mary’s PPO/H.S.A. Insurance Enrollment Form (Medical)
Saint Mary’s HMO Insurance Enrollment Form (Medical)
FSA Enrollment Form
FSA Reimbursement Form
V S P Enrollment Form (Vision)
SelectDent Enrollment Form(Dental)
Wells Fargo H S A Enrollment Form

Related websites and contact information:

Saint Mary’s Health Plans: www.saintmaryshealthplans.com
Phone numbers: HMO 800-863-7515
PPO/HSA 800-433-3077

SelectDent: www.ddsppo.com Phone number: 866-616-4888

VSP: www.vsp.com Phone number: 800-877-7195

Wells Fargo H S A: https://healthbenefits.wellsfargo.com Phone number: 866-890-8309

Benefit Information
Saint Mary’s/Lakonia Health Plans Medical Summary of Benefits
Benefit Poster
SelectDent Summary of Benefits
VSP Summary of Benefits
FSA Eligible Expenses
HSA FAQs and Basics

401K Forms
Slavic Sponsor Express Email Form
Related website and contact information:
https://www.slavic.net Phone number: 800-356-3009

Workplace Required Posters
State of Nevada Daily Overtime Bulletin
State of Nevada Minimum Wage Bulletin
Federal Minimum Wage Bulletin

White Papers
Classifying Employees Properly: An Employer's Guide to Exempt Versus Non-Exempt Status

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890 E. Patriot Blvd., Suite E • Reno, NV 89511 • Phone (775) 853-5433 • Fax (775) 853-5466