Flexible Benefits

Job Aides (Manual)
General Agency Audits Agency Edits File Sharing Logging In-Out Security Access
Reports Daily Agency Edits Employee Pending Enrollment Downloading Monthly & Annual Benefit Deductions Uploading Agency Payroll Results Imputed Income Financial Manager Summary & Details Annual Benefit Salary Updates
SMART Forms Annual Benefit Salary Updates Employee Indicative Data Update Leave Begins Leave Ends New Hire and Rehire Secondary Job Termination

Imputed Income Information

Imputed Income FAQs
Examples of Imputed Income
Spouse Life Imputed Income Employee Memo
Life Insurance Rate Calculator

Benefits Administration Webinars

Processing Webinar	Webinar Dates
Action/Reason Codes for PeopleSoft HR agencies	Tuesday, January 24th 10:00 a.m. – 11:00 a.m.
ERWS Smart Forms for Manual HR agencies	2:00 p.m. – 3:00 p.m.
ERWS Smart Forms for Manual HR agenciess	Thursday, January 26th 10:00 a.m. – 11:00 a.m.
Action/Reason Codes for PeopleSoft HR agencies	2:00 p.m. – 3:00 p.m.
Online Webinar Registration (required)	https://www.careers.ga.gov/eventregistration/
Conference call number: 1-877-402-9753	Access code: 7243987

Webinar Archive

Action/Reason Codes Webinar (PeopleSoft HR agencies)
ERWS Smart Forms Webinar (Manual HR agencies)
General Operating Procedures
Post AE Processing Webinar Webinar (P'Soft) 2011
Post AE Processing Webinar (Manual) 2011
2011 Annual Enrollment Webinar
Annual Enrollment Payroll Processing PeopleSoft 2011
Annual Enrollment Payroll Processing Webinar 2011
COBRA & Retirement Webinar 2010
Business Rule Changes Webinar 2010
Upload Reporting Tool Webinar 2010
Download Reporting Tool Webinar 2010
Benefits Professionals Webinar 2010

Frequently Used Forms

Claim Forms

Accelerated Benefit Form (Life)
AD&D Claim Form
Dental Claim Form
Dependent Care Spending Account Claim Form
How to File a Disability Claim
Disability Claim Packet
Health Care Spending Account Claim Form
Specified Critical Illness Claim Form
Vision ID Card Printing Instructions
Waiver of Premium Claim Form (Life)
Long Term Care Coverage Form

Summary Plan Descriptions

CAIC Specified Illness SPD
CIGNA Dental SPD
Minnesota Life Certificate Endorsement
Minnesota Life ADD SPD
Optum Health Vision SPD
SHPS Spending Account SPD
SHPS Medical Mileage Rate
Hyatt Legal SPD
The Standard LTD SPD
The Standard STD SPD
United Concordia Dental SPD
UNUM LTC SPD

Financial Reconciliations Materials

2012 Report Availability Dates
FLX PS Retroactive Deduction Report Instructions
Text to Excel Instructions
2012 Reconciliations Variance
2012 Reconciliations Variance 127s DFCS
2012 Reconciliations Variance 128s Health Dept.
2012 Reconciliations Variance Clayton/Dekalb BOE
2012 Reconciliations Variance PeopleSoft

CSB’s / 129’s

361 LOOKOUT MOUNTAIN COMMUNITY SERVICES
363 HIGHLAND RIVERS CSB
364 AVITA COMMUNITY PARTNERS
365 COBB COUNTY COMMUNITY SERVICES BOARD
366 DOUGLAS COUNTY COMMUNITY SERVICES BOARD
368 DEKALB COMMUNITY SERVICE BOARD
369 GWINNETT/ROCKDALE/NEWTON COMMUNITY SERVI
370 CLAYTON COMMUNITY MH, SA AND DEV SERVICE
371 ADVANTAGE BEHAVIORAL HEALTH SYSTEMS
372 PATHWAYS CTR. -BEHAVIORAL & DEVELOPMENT
373 MCINTOSH TRAIL MH,MR & SA COMMUNITY SERV
374 RIVER EDGE BEHAVIORAL HEALTH CENTER
375 PHOENIX CENTER BEHAVIORAL HEALTH SERVICE
376 OCONEE COMMUNITY SERVICE BOARD
377 SERENITY BEHAVIORAL HEALTH SYSTEMS
378 OGEECHEE MH,MR AND SA COMMUNITY SERVICE
379 NEW HORIZONS
380 MIDDLE FLINT COMMUNITY SERVICE BOARD
381 COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
382 ALBANY AREA COMMUNITY SERVICE BOARD
383 THE GEORGIA PINES COMMUNITY SERVICE BOARD
384 SOUTH GEORGIA COMMUNITY SERVICE BOARD
385 PINELAND AREA MH,MR,SA COMMUNITY SERVICE
386 SATILLA COMMUNITY SERVICE BOARD FOR MH,M
388 GATEWAY COMMUNITY SERVICE BOARD
129008 WOODRIGHT INDUSTRIES
129009 BEN HILL MR SVCS/JESSAMINE PLACE
129022 CARROLL TRAINING CENTER
129035 GREEN OAKS CENTER
129043 DECATUR-SEMINOLE TRAINING CENTER
129071 HARALSON BOARD OF HEALTH MH\MR\SA
129101 MITCHELL TRAINING CENTER
129136 THOMAS-GRADY MR SERVICE CENTER
129137 TIFT MR SERVICE CENTER

128’s All County Health Departments / Public Health Agencies

128001 APPLING HEALTH DEPARTMENT
128002 ATKINSON HEALTH DEPARTMENT
128003 BACON HEALTH DEPARTMENT
128004 BAKER HEALTH DEPARTMENT
128005 BALDWIN HEALTH DEPARTMENT
128006 BANKS HEALTH DEPARTMENT
128007 BARROW HEALTH DEPARTMENT
128008 BARTOW HEALTH DEPARTMENT
128009 BEN HILL HEALTH DEPARTMENT
128010 BERRIEN HEALTH DEPARTMENT
128011 BIBB HEALTH DEPARTMENT
128012 BLECKLEY HEALTH DEPARTMENT
128013 BRANTLEY HEALTH DEPARTMENT
128014 BROOKS HEALTH DEPARTMENT
128015 BRYAN HEALTH DEPARTMENT
128016 BULLOCH HEALTH DEPARTMENT
128017 BURKE HEALTH DEPARTMENT
128018 BUTTS HEALTH DEPARTMENT
128019 CALHOUN HEALTH DEPARTMENT
128020 CAMDEN HEALTH DEPARTMENT
128021 CANDLER HEALTH DEPARTMENT
128022 CARROLL HEALTH DEPARTMENT
128023 CATOOSA HEALTH DEPARTMENT
128024 CHARLTON HEALTH DEPARTMENT
128025 CHATHAM HEALTH DEPARTMENT
128026 CHATTAHOOCHEE HEALTH DEPARTMENT
128027 CHATTOOGA HEALTH DEPARTMENT
128028 CHEROKEE HEALTH DEPARTMENT
128029 CLARKE HEALTH DEPARTMENT
128030 CLAY HEALTH DEPARTMENT
128031 CLAYTON HEALTH DEPARTMENT
128032 CLINCH HEALTH DEPARTMENT
128033 COBB HEALTH DEPARTMENT
128034 COFFEE HEALTH DEPARTMENT
128035 COLQUITT HEALTH DEPARTMENT
128036 COLUMBIA HEALTH DEPARTMENT
128037 COOK HEALTH DEPARTMENT
128038 COWETA HEALTH DEPARTMENT
128039 CRAWFORD HEALTH DEPARTMENT
128040 CRISP HEALTH DEPARTMENT
128041 DADE HEALTH DEPARTMENT
128042 DAWSON HEALTH DEPARTMENT
128043 DECATUR HEALTH DEPARTMENT
128044 DEKALB HEALTH DEPARTMENT
128045 DODGE HEALTH DEPARTMENT
128046 DOOLY HEALTH DEPARTMENT
128047 DOUGHERTY HEALTH DEPARTMENT
128048 DOUGLAS HEALTH DEPARTMENT
128049 EARLY HEALTH DEPARTMENT
128050 ECHOLS HEALTH DEPARTMENT
128051 EFFINGHAM HEALTH DEPARTMENT
128052 ELBERT HEALTH DEPARTMENT
128053 EMANUEL HEALTH DEPARTMENT
128054 EVANS HEALTH DEPARTMENT
128055 FANNIN HEALTH DEPARTMENT
128056 FAYETTE HEALTH DEPARTMENT
128057 FLOYD HEALTH DEPARTMENT
128058 FORSYTH HEALTH DEPARTMENT
128059 FRANKLIN HEALTH DEPARTMENT
128061 GILMER HEALTH DEPARTMENT
128062 GLASCOCK HEALTH DEPARTMENT
128063 GLYNN HEALTH DEPARTMENT
128064 GORDON HEALTH DEPARTMENT
128065 GRADY HEALTH DEPARTMENT
128066 GREENE HEALTH DEPARTMENT
128067 GWINNETT HEALTH DEPARTMENT
128068 HABERSHAM HEALTH DEPARTMENT
128069 HALL HEALTH DEPARTMENT
128070 HANCOCK HEALTH DEPARTMENT
128071 HARALSON HEALTH DEPARTMENT
128072 HARRIS HEALTH DEPARTMENT
128073 HART HEALTH DEPARTMENT
128074 HEARD HEALTH DEPARTMENT
128075 HENRY HEALTH DEPARTMENT
128076 HOUSTON HEALTH DEPARTMENT
128077 IRWIN HEALTH DEPARTMENT
128078 JACKSON HEALTH DEPARTMENT
128079 JASPER HEALTH DEPARTMENT
128080 JEFF DAVIS CO. HEALTH DEPT
128081 JEFFERSON HEALTH DEPARTMENT
128082 JENKINS HEALTH DEPARTMENT
128083 JOHNSON HEALTH DEPARTMENT
128084 JONES HEALTH DEPARTMENT
128085 LAMAR HEALTH DEPARTMENT
128086 LANIER HEALTH DEPARTMENT
128087 LAURENS HEALTH DEPARTMENT
128088 LEE HEALTH DEPARTMENT
128089 LIBERTY HEALTH DEPARTMENT
128090 LINCOLN HEALTH DEPARTMENT
128091 LONG HEALTH DEPARTMENT
128092 LOWNDES HEALTH DEPARTMENT
128093 LUMPKIN HEALTH DEPARTMENT
128094 MACON HEALTH DEPARTMENT
128095 MADISON HEALTH DEPARTMENT
128096 MARION HEALTH DEPARTMENT
128097 MCDUFFIE HEALTH DEPARTMENT
128098 MCINTOSH HEALTH DEPARTMENT
128099 MERIWETHER HEALTH DEPARTMENT
128100 MILLER HEALTH DEPARTMENT
128101 MITCHELL HEALTH DEPARTMENT
128102 MONROE HEALTH DEPARTMENT
128103 MONTGOMERY HEALTH DEPARTMENT
128104 MORGAN HEALTH DEPARTMENT
128105 MURRAY HEALTH DEPARTMENT
128106 MUSCOGEE HEALTH DEPARTMENT
128107 NEWTON HEALTH DEPARTMENT
128108 OCONEE HEALTH DEPARTMENT
128109 OGLETHORPE HEALTH DEPARTMENT
128110 PAULDING HEALTH DEPARTMENT
128111 PEACH HEALTH DEPARTMENT
128112 PICKENS HEALTH DEPARTMENT
128113 PIERCE HEALTH DEPARTMENT
128114 PIKE HEALTH DEPARTMENT
128115 POLK HEALTH DEPARTMENT
128116 PULASKI HEALTH DEPARTMENT
128117 PUTNAM HEALTH DEPARTMENT
128118 QUITMAN HEALTH DEPARTMENT
128119 RABUN HEALTH DEPARTMENT
128120 RANDOLPH HEALTH DEPARTMENT
128121 RICHMOND HEALTH DEPARTMENT
128122 ROCKDALE HEALTH DEPARTMENT
128123 SCHLEY HEALTH DEPARTMENT
128124 SCREVEN HEALTH DEPARTMENT
128125 SEMINOLE HEALTH DEPARTMENT
128126 SPALDING HEALTH DEPARTMENT
128127 STEPHENS HEALTH DEPARTMENT
128128 STEWART HEALTH DEPARTMENT
128129 SUMTER HEALTH DEPARTMENT
128130 TALBOT HEALTH DEPARTMENT
128131 TALIAFERRO HEALTH DEPARTMENT
128132 TATTNALL HEALTH DEPARTMENT
128133 TAYLOR HEALTH DEPARTMENT
128134 TELFAIR HEALTH DEPARTMENT
128135 TERRELL HEALTH DEPARTMENT
128136 THOMAS HEALTH DEPARTMENT
128137 TIFT HEALTH DEPARTMENT
128138 TOOMBS HEALTH DEPARTMENT
128139 TOWNS HEALTH DEPARTMENT
128140 TREUTLEN HEALTH DEPARTMENT
128141 TROUP HEALTH DEPARTMENT
128142 TURNER HEALTH DEPARTMENT
128143 TWIGGS HEALTH DEPARTMENT
128144 UNION HEALTH DEPARTMENT
128145 UPSON HEALTH DEPARTMENT
128146 WALKER HEALTH DEPARTMENT
128147 WALTON HEALTH DEPARTMENT
128148 WARE HEALTH DEPARTMENT
128149 WARREN HEALTH DEPARTMENT
128150 WASHINGTON HEALTH DEPARTMENT
128151 WAYNE HEALTH DEPARTMENT
128152 WEBSTER HEALTH DEPARTMENT
128153 WHEELER HEALTH DEPARTMENT
128154 WHITE HEALTH DEPARTMENT
128155 WHITFIELD HEALTH DEPARTMENT
128156 WILCOX HEALTH DEPARTMENT
128157 WILKES HEALTH DEPARTMENT
128158 WILKINSON HEALTH DEPARTMENT
128159 WORTH HEALTH DEPARTMENT

1’s – 6’s – 7’s

1451100 COUNCIL OF SUPERIOR COURT CLERKS
6052000 TWIN LAKES LIBRARY SYSTEM
6072000 PIEDMONT REGIONAL LIBRARY
6082000 BARTOW COUNTY PUBLIC LIBRARY SYSTEM
6092000 FITZGERALD-BEN HILL COUNTY LIBRARY
6112000 MIDDLE GEORGIA REGIONAL LIBRARY SYSTEM
6142000 BROOKS COUNTY LIBRARY
6162000 STATESBORO REGIONAL LIBRARY
6222000 WEST GEORGIA REGIONAL LIBRARY
6272000 CHATTOOGA COUNTY LIBRARY
6282000 SEQUOYAH REGIONAL LIBRARY
6292000 ATHENS REGIONAL LIBRARY
6311000 CLAYTON COUNTY PUBLIC SCHOOLS
6316000 Lewis Academy of Excellence
6342000 SATILLA REGIONAL LIBRARY
6352000 MOULTRIE-COLQUITT COUNTY LIBRARY
6432000 SOUTHWEST GEORGIA REGIONAL LIBRARY
6441000 DEKALB COUNTY SCHOOL SYSTEM
6446000 DESTINY ACADEMY OF EXCELLENCE
6452000 OCMULGEE REGIONAL LIBRARY SYSTEM
6522000 ELBERT COUNTY PUBLIC LIBRARY
6551000 FANNIN COUNTY BOARD OF EDUCATION
6561000 FAYETTE COUNTY SCHOOLS
6572000 SARA HIGHTOWER REGIONAL LIBRARY
6632000 THREE RIVERS REGIONAL LIBRARY SYSTEM
6652000 RODDENBERY MEMORIAL LIBRARY
6673000 GWINNETT COUNTY PUBLIC LIBRARY
6673000 GWINNETT COUNTY PUBLIC LIBRARY
6691000 HALL COUNTY SCHOOL SYSTEM
6692000 CHESTATEE REGIONAL LIBRARY SYSTEM
6693000 HALL COUNTY LIBRARY SYSTEM
6732000 HART COUNTY LIBRARY
6752000 HENRY COUNTY LIBRARY SYSTEM
6762000 HOUSTON COUNTY PUBLIC LIBRARY
6812000 JEFFERSON COUNTY LIBRARY SYSTEM
6872000 OCONEE REGIONAL LIBRARY SYSTEM
6882000 LEE COUNTY LIBRARY
6922000 SOUTH GEORGIA REGIONAL LIBRARY
6922000 SOUTH GEORGIA REGIONAL LIBRARY
6931000 LUMPKIN COUNTY BOARD OF EDUCATION
6992000 PINE MOUNTAIN REGIONAL LIBRARY
7042000 UNCLE REMUS REGIONAL LIBRARY
7052000 CHATSWORTH-MURRAY COUNTY LIBRARY
7072000 NEWTON COUNTY LIBRARY
7076000 CHALLENGE CHARTER ACADEMY
7112000 PEACH PUBLIC LIBRARY
7212000 AUGUSTA RICHMOND COUNTY LIBRARY
7212000 AUGUSTA RICHMOND COUNTY LIBRARY
7222000 CONYERS-ROCKDALE LIBRARY SYSTEM
7242000 SCREVEN-JENKINS REGIONAL LIBRARY
7262000 FLINT RIVER REGIONAL LIBRARY
7292000 LAKE BLACKSHEAR REGIONAL LIBRARY
7352000 KINCHAFOONEE REGIONAL LIBRARY
7362000 THOMAS COUNTY PUBLIC LIBRARY
7372000 COASTAL PLAIN REGIONAL LIBRARY
7412000 TROUP-HARRIS-COWETA REGIONAL LIBRARY
7462000 CHEROKEE REGIONAL LIBRARY
7471000 WALTON COUNTY SCHOOL SYSTEM
7511000 WAYNE COUNTY SCHOOL SYSTEM
7552000 NORTH WEST GEORGIA REGIONAL LIBRARY
7572000 BARTRAM TRAIL REGIONAL LIBRARY
7592000 WORTH COUNTY LIBRARY
7731000 DECATUR CITY SCHOOLS
7911000 TRION CITY SCHOOLS
7932000 OHOOPEE REGIONAL LIBRARY
7942000 OKEFENOKEE REGIONAL LIBRARY SYSTEM

8’s – 9’s

8504000 NORTHWEST GEORGIA RESA
8524000 NORTH GEORGIA RESA
8544000 PIONEER REGIONAL EDUCATIONAL SERVICE AGE
8564000 METROPOLITAN REGIONAL EDUCA SERV AGENCY
9100000 JEKYLL ISLAND AUTHORITY
9130000 LAKE LANIER DEVELOPMENT AUTHORITY
9140000 GEORGIA DEVELOPMENT AUTHORITY
9260000 GEORGIA AGRICULTURAL EXPOSITION AUTHORIT
9280000 GEORGIA ENVIRONMENTAL FACILITIES AUTHORI
9320000 COMMODITY COMMISSION FOR COTTON
9330000 COMMODITY COMMISSION FOR EGGS
9340000 COMMODITY COMMISSION FOR MILK
9360000 GEORGIA PEANUT COMMISSION
9380000 COMMODITY COMMISSION FOR TOBACCO
9400000 GEORGIA AGRIRAMA DEVELOPMENT AUTHORITY
9440000 GEORGIA SPORTS HALL OF FAME AUTHORITY
9500000 GEORGIA FIREFIGHTERS' PENSION FUND
9550000 GEORGIA SUPERIOR COURT CLERKS'AUTHORITY
9680000 GEORGIA MILITARY COLLEGE
9720000 GA FED-STATE SHIPPING POINT INSPEC SERV
9760000 GA REGIONAL TRANSPORTATION AUTHORITY