Personnel Forms
403(b)/Penserv
- 403(b) Plan Universal Availability Notice
- Participant Enrollment and Web Access Guide
- 403(b) Salary Deferral and Investment Election Agreement
- Transfer/Change of Custodian Request
Annual Notices
- Employee Benefits Open Enrollment Notice
- Health Insurance Choice – Highmark or UPMC
- Medical and Dependent Care Flexible Spending Account Enrollment
- 403(b) Plan Universal Availability Notice
- Procedures for Reporting Work Related Injuries
- Worker’s Compensation Designated Physicians List
- Review of Hermitage School District Safety Procedures
- Policy 317 – Conduct & Disciplinary Procedures Policy
- Policy 317.1 – Educator Misconduct
- Policy 104 – Discrimination/Title IX Sexual Harassment Affecting Staff
- Policy 103 – Discrimination/Title IX Sexual Harassment Affecting Students
- Policy 103.1 – Nondiscrimination – Qualified Students with Disabilities
- Policy 806 – Child Abuse Policy
- Policy 815 – Computer/Network Acceptable Use
- Policy 824 – Maintaining Professional Adult/Student Boundaries
- CHIP Notice
- HIPAA Notice of Privacy Practices
- HIPAA Notice of Special Enrollment Rights
- Women’s Health and Cancer Rights Act Notice
- Highmark Summary of Benefits and Coverage (SBC)
- UPMC Summary of Benefits and Coverage_(SBC)
- United Concordia Summary Plan Document (SPD) – Dental Insurance
- Vision Insurance Information
- General Notice of COBRA Continuation Coverage Rights
- New Health Insurance Marketplace Coverage Options