Administration Attorney Communities that Care Community Development / Public Works Economic Development Engineering Finance Fire Department Human Resources Library Parks & Recreation Police Department Recorder
My Account Renew My Items Downloadables Events & Programs at My Library About My Library Ask-a-Librarian Social Media

Human Resources

Kami Perkins
Human Resources Director

90 North Main Street
Tooele, UT 84074

Phone: 435.843.2105
Fax: 435.843.2106

Provider Links

Dental

PEHP  801.366.7555 | 800.765.7347

•  Medical and Dental Enrollment Change Form

Disability

Short-Term Disability Master Policy

Short-Term Disability Summary of Benefits

•  Short-Term Disability Insurance Claim Form

PEHP (Long-Term Disability)

Employee Assistance Program

Employee Brochure

Blomquist Hale  800.926.9619

Flexible Spending Account

Benefit Management Services  801.532.3412

Flex Card Inquiry

•  Flexible Spending Account Enrollment Form

•  Flexible Spending Account Worksheet

•  Flexible Spending Account Reimbursement

How to Access Your Flex Account?

Health Insurance

Healthcare Plans (PEHP)

Summit Care  801.366.7555  |  800.765.7347

•  Health Insurance Waiver Form FY2020

•  Medical and Dental Enrollment Change Form

Healthy Utah Link

PEHP Basix Wellness Works

Pharmacy

•  Mail Order Pharmacy Form

Cost & Quality Tools

It's Your Money

Health Savings Account

•  Health Savings Account Enrollment Form

U.M.B.

Flex Check

Summary Plan Description (Effective July 1, 2013)

Life Insurance

Mutual of Omaha Life Insurance

Certificates and Policies

 

Basic Term Life Insurance and AD&D

Certificate and Master Policy FTR Employees (Basic)

Certificate and Master Policy City Council (Basic)

Certificate and Master Policy EPC Retirees (Basic)

Certificate and Master Policy Retirees (Basic)

Voluntary Term Life and AD&D

Certificate and Master Policy Voluntary Term Life FTR Employees

Certificate and Master Policy Voluntary Term Life City Council

Certificate and Master Policy Voluntary Term Life EPC Retirees

Voluntary AD&D – FTR Employees

Optional Benefits

Colonial Life

Retirement, 401K & IRA's

Utah State Retirement Office

John Hancock – Contract #67701

•  401K Change Form – John Hancock

•  Summary Plan Description for Tooele City Employees 401(k) Plan

Vision

Utah Local Governments Trust  800.748.4440

•  Vision Claim Form

•  Vision Enrollment Form

Worker's Compensation

Worker’s Compensation Fund of Utah
Site Shortcuts:   |