For Employees

The following links and documents are made available to employees who may have questions about benefits, or need forms to submit for accessing benefits or payroll changes.  If the information you are looking for is not here, please contact the business office.

To access information regarding your retirement program, use the links below.

Mass Teachers Retirement Board

State Board of Retirement

State Board of Retirement Benefits Guide

There are tax deferred retirement savings options available to employees through payroll deductions.  As our payroll is processed through the City of Leominster, participation in 403b and 457 programs must be available to city employees for us to be eligible to participate.  If you would like to participate in the 403b plan, information regarding how to access the plan is available here:

Leominster 403b Web Enrollment

The 457 plan, managed on behalf of the Commonwealth of Massachusetts, can be accessed here:

Smart Plan

If you need to submit a form to change your payroll tax withholdings, complete the forms below, they can be printed, signed and sent to the business office.   We only need the first page, the worksheet is for your use only, and does not need to be completed.

Federal withholding form

State withholding form

The Collaborative provides worker compensation insurance to assist you if you are injured on the job.  The following guide provides helpful information about what is covered and how.  Hopefully, you will never need it, but it is available to you if you do.

Worker Compensation Guide

Documents that you may find useful….

Time off request form

Mileage request form

Group Health Insurance is available through the Collaborative for staff working at least 3 days per week.  Staff may elect to participate or make changes during open enrollment, which is December, or when there is a ‘qualifying event’.  A qualifying event would be marriage, divorce, spouse loses insurance, birth, etc.  If you have any questions about your eligibility, please contact the business office. Rates are available through the business office.  Insurance plan summaries are available below, and more information can be obtained through the insurer’s website.

Tufts Health Plan

Tufts HMO Premium plan summary

Tufts HMO Value plan summary

Fallon Community Health Plan

Fallon Premium Saver Direct

Fallon Premium Saver Select

The State Ethics Commission

Summary of Conflict of Interest Law

Family/Medical Leave-fmla poster

Covered employers must grant an eligible employee up to a total of 12 workweeks of unpaid leave (If your leave extends beyond the end of your FMLA entitlement, you do not have return rights under FMLA.) during any 12-month period for one or more of the following reasons:

  • for the birth and care of the newborn child of the employee;
  • for placement with the employee of a son or daughter for adoption or foster care;
  • to care for an immediate family member (spouse, child, or parent) with a serious health condition; or
  • to take medical leave when the employee is unable to work because of a serious health condition.

To be eligible, an employee must have worked for an employer for at least 12 months, and have worked at least 1,250 hours in the 12 months preceding the leave.

When requesting a Family or Medical Leave, an employee will receive the Notice of Eligibility and Rights & Responsibilities form stating your eligibility determination and any requirements related to your leave.  If the employee’s leave request is due to a serious health condition of the employee or covered family member, the Collaborative may request that certification from the employee’s or family member’s health care provider be obtained by the employee using the linked form.  If you have any questions regarding making a leave request, please call Terri Burchfield at 978-345-5250.

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