Additional Resources
Additional Resources
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HSA Voluntary form-Group 100 2026-Teachers
HSA Voluntary form-Group 100 2027-Teachers
HSA Voluntary form-Group 670 rev 2026
HSA Voluntary form-Group 670 rev 2027
403(b) Salary reduction agreement
403(b) Salary reduction agreement (1 time)
457 Salary reduction agreement
457 Salary reduction agreement (1 time)
Dependent care assistance plan (Section 125 Plan) enrollment form
Dependent care assistance plan (Section 125 Plan) Reimbursement form
Medical Expense Reimbursement form (section 125 plan)
Medical Expense Reimbursement plan enrollment form (section 125)
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Form 1095-C - Employers no longer have to automatically send Form 1095-C to individuals. If you would like to request a copy of your Form, please contact the payroll office at 203-407-2240/2241 or for former employees please email dalbizu@hamden.org.
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