Common Human Resources Forms | Bayfield County, WI

well wisconsin wellness program:

Bayfield County offers employees that participate in the county health insurance the opportunity to save on their health insurance premium through the Well Wisconsin Wellness Program. Program participants can complete a health check as well as a variety of activities to receive a health insurance premium reduction for the following year. Participating employees have two options for the wellness program, the Well Wisconsin Program provided by WebMD or the Bayfield County Alternative Wellness Program option.

The WebMD Well Wisconsin Program requires participants to complete a health assessment through the WebMD wellness portal, a health check, and a well-being activity.

-Well Wisconsin 2023 Launch Poster

Bayfield County's Alternative Wellness Program requires employees to complete and return a Preventative Exam Provider Verification Form as well as one of the activity options given by the county.

-Bayfield County Alternative Wellness Program Activity List

TUITION REIMBURSEMENT PROGRAM:

The Bayfield County Tuition Assistance Program is designed to provide financial assistance to employees who voluntarily enroll in job-related, educational courses that are of benefit to the County as an employer.

Worker's Compensation Claim:

Bayfield County provides Worker’s Compensation Insurance as required by law. All injuries that occur on the job should immediately be reported to a supervisor or the County Administrator's office, even if no medical attention is anticipated.

Family and Medical Leave Request:

The Wisconsin Family and Medical Leave Law went into effect April 26, 1988. The Federal Family and Medical Leave Act went into effect August 5, 1993. The purpose of the laws is to provide unpaid leave to eligible employees for specific reasons and to protect those employees’ jobs and certain benefits while on leave. Substitution of paid leave may be allowed (state law) or required (federal law). The purpose of this policy is to comply with the FMLA laws. When any of the following occur or are anticipated, employees should contact the County Administrator's Office for FMLA protections:

For the birth and care of the newborn child of an employee;
For placement with the employee of a child 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.

Emergency Leave Bank Donation Request:

The Temporary Emergency Leave Program is available to employees for use in unforeseen emergencies and urgent situations and allows unused vacation of an employee to be transferred for use by another employee.

Vacation Carry-Over:

Subject to the approval of the employee's Department Head or designee, full-time employees may carry over up to five (5) days of vacation, but such hours must be used within six months. The carry over for part-time employees shall be prorated.

HRA/FSA direct deposit form:

Bayfield County Provides a Health Reimbursement Account, also known as a Health Retirement Account (HRA) to all Teamster employees and all vested employees. The amounts vary depending upon the Health Insurance coverage. The account is managed by Diversified Benefit Services, Inc. Employees have electronic access to their account information.

Bayfield County also provides employees with the opportunity to participate in a Flexible Spending Account (FSA). This is a tax deferred program offered through the IRS which allows employees to set aside monies from their paycheck to pay eligible medical, dental and vision expenses that are not covered by insurance, while reducing their taxable income.