Official County Seal of DeKalb County Government
DeKalb County, Illinois

Forms and Publications

Employee Benefits


Health

Insurance

Employment

Flex

Information

Misc Info

e.g. Def Comp, YMCA Info, Svgs Bonds

HEALTH INSURANCE  - (PDF's)

Employee Health Care Benefits Booklet .pdf

2010 Health Insurance Rates .pdf December 3, 2009

Insurance Buy Out Program-2010 .pdf 11/ 2009

PPO Benefit Changes .pdf Janaury 08, 2010

Student Dependent Certificate .pdf

2010 Changes in Age Limits for Dependents .pdf Decmeber 11, 2009

Over Aged Dependents 2010 .pdf Janaury 08, 2010

Prescription Drug Program Highlight Sheet .pdf

Prescription Drug Card Claim Form .pdf September 14, 2009

 

COBRA -Continuation of Health Insurance  .pdf

EMPLOYMENT INFORMATION

 

  • County Employment Applications
  • Employment Eligibility Verification Form (I-9)  .pdf Please read carefully

    • I-9 Form .pdf (69KB) *Please Note: Expired Passports are no longer valid I-9 Documents

     

FLEXIBLE SPENDING ACCOUNT (fs2a)  information

- Commencing Jan. 1, 2003

  • Plan Number IL 1097

MISC INFORMATION -(PDF's)

    - IMRF Numbers
         County #2996
         Forest Preserve #  0944

Q:  When will I be vested in IMRF (Illinois Municipal Retirement Fund)?
A:  After eight years of employment

  • EMPLOYEE ASSISTANCE PROGRAM

    • The Employee Assistance Program counselors are available 24 hours a day, seven days a week:
      Daytime and evening appointments are available: 
      Monday – Thursday: 8:00am – 8:00pm
      Friday: 8:00am – 4:00pm   
      For confidential, professional assistance:  (815) 748-8999
      *

      In the event of a crisis after hours:     
                         (800) 373-3327
      *  
      * The counselors will be paged immediately in the event of a crisis.
      * KishHealth System also offers Outpatient Counseling.

     

  • VOLUNTARY LIFE INSURANCE

     

  • YMCA FORMS

  • DeKalb Optometric
    $5.00 Off Eye Exam
     20% Off Glasses, Lenses, Frames, & Extras
    10% off disposable contact lens
    Enrollment in duplicate lens club for  daily wear contact lens patients
    Payment in full at time of order or dispensing, in order to get the discount

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