<p>Welcome to State Government!</p><p>In this packet you will find important, time sensitive, information related to your benefits with the State of Washington. If you have any questions on this material please schedule a meeting with your payroll representative as soon as possible. </p><p>Below is a summary of important due dates and default information if you fail to return your forms. Please pay close attention to the repercussions of missing these important deadlines.</p><p>Form When the form is The default selection if you do not return Other Critical information due to Payroll your form by the due date W-4 2 days Withhold at the rate of single, with zero allowances.</p><p> from your hire date</p><p>Medical 31 days Uniform Medical Plan and Uniform Dental Plan with Forms coverage for yourself only, even if you have from your hire date dependents to cover</p><p>Long Term 31 days Basic Coverage only If you wish to enroll in optional coverage at a later date you will: Disability  Need to go through the evidence of insurability process. from your hire date  Lose the right to the guaranteed issue period as a new employee Life 31 days Basic Life Insurance coverage only If you wish in the future to have supplemental coverage you will: Insurance  Need to go through the evidence of insurability process from your hire date NOTE: Enrollment form needs to be submitted  Lose the right to the guaranteed issue amounts as a new directly to MetLife employee Retirement 90 days PERS Plan 3, rate option A, program self-investment Whether you choose your plan or are defaulted, it is permanent.</p><p> from your hire date</p><p>Optional Programs Flexible 31 days None Spending from your hire date Account Dependent 31 days None Care from your hire date Program Enterprise Services & WaTech Payroll Enterprise Services Small Agency Payroll</p><p>PO Box 41405 PO Box 41465</p><p>Olympia, WA 98504 Olympia, WA 98504</p><p>Whitney Bannish, Payroll Manager </p><p>Mike Olson, Benefits Specialist</p><p>DES/WaTech Payroll</p><p>Becky Yarnell, Payroll Supervisor</p><p>Joan Osborn, Payroll Analyst</p><p>Brittany Keeling – Time & Attendance</p><p>Small Agency Payroll</p><p>Tanya Brogan, Payroll Supervisor Rebecca Brown, Lead Payroll Analyst</p><p>Vanno Non, Payroll Analyst</p><p>Anna Lee, Payroll Analyst</p>