MyBPS
Payroll/Benefits Forms & Resources

Formstack Time Sheets:  

• Hourly Time Sheet
  
  
  
• Hourly-DMAP Time Sheet
  
  
  
• Per Diem Time Sheet
  
  
  
• Homebound Tutor Time Sheet
  
  
  
• Summer Weekly Timesheet
  
  
  
• School Team Payment Request
  
  
  
• Acting Pay Roster Transmittal [for the Facilities Department ONLY]

Medical / Prescription Benefits:

• 2022-2023 Premium Cost Share 
  
  
  
• CT 2022 Partnership Prescription Benefit Plan Document – RX SPD
  
  
  
• CT 2022 Partnership Medical Benefit Plan Document – Medical SPD
  
  
  
• CT Partnership Plan Summary of Benefits and Coverage (SBC) 2022-2023 
  
  
  
• Anthem Member Site 
  
  
  
• CT Partnership Plan 2.0
  
  
  
• Acting Pay Roster Transmittal [for the Facilities Department ONLY]
  
  
  
• Adding/Canceling Dependents Process
  
  
  

• (HEP) Account Creation/Log In   
  
  

• Cigna Dental Website
  
  
  
• Cigna Claims Forms

• VSP Members Website
  
  
• VSP Claims Form

• 2022 Annuity and Voluntary Deduction Listing 
  
  

• 2023 Federal W4 Form
  
  
  
• 2023 CT W4 Form

• Change of Name/Home Address/Personal Email
  
  
  
• Direct Deposit: Notification of E-Mail Address for Transmittal of Advices

KES Absense Management:

• Employee Guide
  
  
  
• Frontline Absence Approvals