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Employee Resources


Get Adobe Reader for your computer Warren Equities is an Equal Opportunity Employer currently employing more than 1,000 people in 9 states. In addition to competitive salaries, Warren Equities offers a variety of benefits packages, including health, dental, 401K, life insurance, disability, and paid time off. Each division of Warren Equities carries it's own plans and benefits package; be sure to check with Human Resources for your appropriate benefits package.

PAYROLL FORMS 2012

Name and Address Change Form

Federal W-4 Form

New York W-4 Form
Automatic Deposit Authorization Form

I-9 Form



MEDICAL BENEFITS

Benefit Strategies LLC
Dependent Care Reimbursement Form

Health Care Reimbursement Form

FSA Store



United Healthcare



Connector's Commonwealth Choice
Comm Choice - Bronze Plan

Comm Choice - Silver Plan

Comm Choice - Gold Plan

Comm Choice - Young Adult Plan

Pricing for products are available by visiting the Connector's web site, www.mahealthconnector.org, or by calling our customer service center, 877-MA-ENROLL.



Health Coverage Change Form


OTHER BENEFITS

Mass Mutual Financial Group - Retirement Services Warren Equities offers its employees a comprehensive benefits package including 401K, life insurance, disability and paid time off in addition to its health insurance packages.


Group Term Life Enrollment Form


Beneficiary Designation Form
Used to change and/or correct beneficiary information and participant name information for a participant's account (shown on The Journey(SM) or Benefit Statements). Participants generally may update beneficiary designation electronically through The Journey(SM). Spousal consent may be required for a married participant’s beneficiary designation.



Beneficiary/Alternate Payee Election
Used when a Beneficiary or a QDRO Alternate Payee chooses to leave the account balance with MassMutual. The beneficiary or alternate payee must complete this form and attach it to the Notice of Death election form. If the deceased has multiple beneficiaries, each beneficiary electing to leave the account balance must complete the form and return it with the completed Notice of Death election form.



Benefit Election at 70 1/2
Used by active Participants who are age 70˝ or older. A 5% owner must request a benefit option each year until retirement, and non-5% owners may delay their benefit or request a withdrawal. NOTE: The Special Tax Notice and the State Tax Information document must be provided to the Participant with this distribution form.

NOTE: The Special Tax Notice and the State Tax Information document must be provided to the Participant with this distribution form.



Benefit Election Without Spousal Consent NOT Required
Used to request: (1) one-sum cash payments or annuities for active 5% owners over age 70˝; (2) distributions for surviving beneficiaries who continued the deceased Participants' accounts, and (3) for plans not serviced by our Retirement Specialist Group, benefit options or partial withdrawals for terminated or retired Participants who continued their accounts. Use the link above if spousal consent is not required for distributions. Otherwise, use the "Spousal Consent Required" link below.

NOTE: The Special Tax Notice and the State Tax Information document must be provided to the Participant with this distribution form.



Benefit Election – Spousal Consent Required
A Waiver of Qualified Joint and Survivor Annuity form will also need to be completed.

NOTE: The Special Tax Notice and the State Tax Information document must be provided to the Participant with this distribution form.



Direct Rollover Request
Used by the Participant's prior employer or IRA to forward a distribution eligible for rollover into your Plan directly to MassMutual.

NOTE: A Rollover Statement is also needed.



Hardship Withdrawal Request
Used to request a hardship withdrawal from the Plan prior to separation from service. First, the Participant must complete a Participant Hardship Statement or Primary Beneficiary Hardship Statement as applicable. For withdrawal without financial hardship, complete an In-Service Withdrawal Request form.
  • Primary Beneficiary Hardship Statement
    Used by the Plan Administrator to determine that a hardship withdrawal is available to a participant when the plan allows for these withdrawals to be based on a qualifying hardship of the participant’s primary beneficiary. Please do not submit this form to MassMutual.
  • Participant Hardship Statement
    Used by the Plan Administrator to determine, based on safe harbor determination for hardship, whether a Participant has financial hardship qualifying for an in-service withdrawal. Please do not submit this form to MassMutual.
NOTE: The Special Tax Notice and the State Tax Information document must be provided to the Participant with this withdrawal request form.



Participant Change Information Form
For Terminated Employees Only - Used to change and/or correct information for Participant's account: the Participant's name, Social Security number, date of birth, marital status, or beneficiary designation.



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