Current MCAS Employees

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To view your paystubs and benefit information, please visit Employee Access. (Username/password required.)

Human Resources Forms and Information

Absence Forms


Form Number & Name	Find it here:
223: Advance Application for Permission to Be Absent - Classified/Administrator	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form223_AdvApp4Absence_Admin_Classified.pdf
224: Classified Personnel Report of Absence	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form224.pdf
572: Pre-Approved Travel Reimbursement Application for Teachers	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Form572.pdf
Fitness for Duty Certification Form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms - staff/Fitness_for_Duty_Cert.pdf

Other HR Forms


Form Number & Name	Find it here:
209: Certificated Employee's Request for Transfer	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form209.pdf
329: Authorization for Direct Deposit	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form329.pdf
553: Employee Resignation (fillable pdf)	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - staff/Form553_fillable.pdf
573: Checklist for Employees Leaving the District	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form573.pdf
584: Application for Payout of Unused PTO	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form584.pdf
585: MCAS Para/Instructional Assistant/EAP Evaluation form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms%20-%20staff/Form585.pdf
586: MCAS Secretary Evaluation Form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms - staff/Form586.pdf

Miscellaneous


Form	Find it here:
516: Volunteer Forms	http://mcas.schoolwires.net/domain/2029
568: Abuse/Neglect Reporting Form	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/shared/forms - staff/Form568.pdf
American Fidelity (Section 125) benefits and services	https://benefits.americanfidelity.com/michigan-city-area-schools
Employee Assistance Program (EAP)	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/Domain/4/20130131142008145.pdf
Medicare Part D Information	https://www.mcas.k12.in.us/cms/lib/IN01001792/Centricity/Domain/25/Medicare Part D.pdf
VRG-7 State Form 50504: Indiana Voter Registration Application	http://educatemc.net/cms/lib/IN01001792/Centricity/shared/forms - public/VRG-7_2014 revision_ 10-15_version.pdf
Wall of Fame Nomination Info & Forms	https://www.mcas.k12.in.us/domain/664

Training Resources


Title:	Find it here:
Bus Drivers and Bullying Prevention	http://www.nea.org/assets/docs/ESP-Bus-Bullying-final.pdf
Paraeducators and Student-to-Student Bullying	http://www.nea.org/assets/docs/ESP_STOP_Bully_Para_Final.pdf
Food Service ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_Food_Final.pdf
Clerical Services/Administrative ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_Clerical-rev.pdf
Health and Student Services ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_Health-final.pdf
Custodial and Maintenance Services ESPs and Bullying Prevention	http://www.nea.org/assets/docs/ESP_STOP_Bully_custodial-final.pdf

Insurance Information (Teachers Only)

Plan A

Effective 7/1/20

Plan A.pdf 3.41 MB (Last Modified on June 11, 2020)

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Plan B

Effective 7/1/20

Plan B.pdf 3.41 MB (Last Modified on June 11, 2020)

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Plan C

Effective 7/1/20

Plan C.pdf 3.71 MB (Last Modified on June 11, 2020)

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Plan D

Effective 7/1/20

Plan D.pdf 3.77 MB (Last Modified on June 11, 2020)

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Dental Coverage Information

1920 Teachers_Dental.pdf 115.6 KB (Last Modified on May 17, 2019)

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Vision Coverage Information

1920 Teachers_Vision.pdf 40.21 KB (Last Modified on May 17, 2019)

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Insurance Information (ESP Staff Only)

ESP Insurance Summary - Blue Access Plan

Effective 7/1/20

Blue Access Plan.pdf 354.45 KB (Last Modified on June 11, 2020)

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Vision Coverage Information

1920 ESP_Vision.pdf 39.91 KB (Last Modified on May 17, 2019)

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Dental Coverage Information

1920 ESP_Dental.pdf 115.7 KB (Last Modified on May 17, 2019)

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Porter Co. Insurance (Administrators, Technology Staff and Admin Bldg Staff only)

Dental and Vision Summary of Benefits

20150728064736173.pdf 428.75 KB (Last Modified on July 28, 2015)

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Employee Assistance Program (EAP)

Employee Assistance Program - Introductory Letter for Staff

eap ltr.pdf 79.87 KB (Last Modified on October 21, 2015)

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Employee Assistance Program Manual

EAP Manual Updated 3.2019.pdf 709.99 KB (Last Modified on March 18, 2019)

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EAP Informational Flyer

EAP Flyer 10.26.15.pdf 392.52 KB (Last Modified on October 26, 2015)

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Dependent Eligibility Audit

Memo - Dependent Verification Audit

SACS Dependent Verification Audit.pdf 32.41 KB (Last Modified on December 15, 2014)

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Dependent Eligibility Guidelines

ELIGIBILITY GUIDELINES.pdf 51.71 KB (Last Modified on December 15, 2014)

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Frequently Asked Questions - Dependent Eligibility Audit

DEPENDENT ELIGIBILITY AUDIT FAQs.pdf 182.95 KB (Last Modified on December 15, 2014)

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Annuity Information (403b)

Plan Summary Information - 2019

MICHIINB4290_3_33.pdf 493.84 KB (Last Modified on June 7, 2019)

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403(b) Plan Administration Information

TSA Consulting Group - Information for Employees and Advisors

403bPlan Information.pdf 361.87 KB (Last Modified on June 5, 2019)

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Transaction Information Form

TSA Consulting form for Distributions, Rollovers, Transfers, Loans, etc.

5.2_Transaction Information Form.pdf 470.05 KB (Last Modified on June 5, 2019)

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Salary Reduction Authorization Form - 403(b)

For 403(b) Annuity or 403(b)(7) Custodial Accounts

MICHIINB4290_403.pdf 40.2 KB (Last Modified on June 5, 2019)

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Salary Reduction Authorization Form - ROTH 403(b)

For ROTH 403(b) Annuity Contract or Custodial Accounts

MICHIINB4290_403Roth.pdf 40.65 KB (Last Modified on June 5, 2019)

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About MCAS

Current MCAS Employees

Human Resources Forms and Information

Absence Forms

Other HR Forms

Miscellaneous

Training Resources

Insurance Information (Teachers Only)

Plan A

Plan B

Plan C

Plan D

Dental Coverage Information

Vision Coverage Information

Insurance Information (ESP Staff Only)

ESP Insurance Summary - Blue Access Plan

Vision Coverage Information

Dental Coverage Information

Porter Co. Insurance (Administrators, Technology Staff and Admin Bldg Staff only)

Dental and Vision Summary of Benefits

Employee Assistance Program (EAP)

Employee Assistance Program - Introductory Letter for Staff

Employee Assistance Program Manual

EAP Informational Flyer

Dependent Eligibility Audit

Memo - Dependent Verification Audit

Dependent Eligibility Guidelines

Frequently Asked Questions - Dependent Eligibility Audit

Annuity Information (403b)

Plan Summary Information - 2019

403(b) Plan Administration Information

Transaction Information Form

Salary Reduction Authorization Form - 403(b)

Salary Reduction Authorization Form - ROTH 403(b)