Utah Department of Administrative Services

Division of Archives & Records Service

St. George (Utah). Mayor

26559--Flex benefits enrollment forms

AGENCY: St. George (Utah). Mayor

SERIES: 26559
TITLE: Flex benefits enrollment forms
DATES: 1987-
ARRANGEMENT: Alphabetically by employee surname
ANNUAL ACCUMULATION: 1.00 cubic foot.

DESCRIPTION: These forms were created by the city to assist employees in determining how to spend their flex dollars for insurance. They are used by Payroll to determine how much should be deducted from paychecks and by Human Resources to determine which insurance plan to enroll an employee. Information on the forms includes name, address, social security number, phone number, amount of city's bi-weekly contributions to medical reimbursement account, contributions to dependent care reimbursement account, contributions to 401 or 457 accounts, life insurance, signature and date.


Retain 3 years




Paper: Retain in Office for 3 years and then destroy.


Administrative Fiscal

This disposition is based on Utah Municipal General Records Retention Schedule, Schedule 8, Item 8.