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Documents
- FY25 Open Enrollment
- FY24 Open Enrollment
- FY23 Open Enrollment
- EEO-4 Reporting Data
- DROP
- Empower
- Families First Coronavirus Response Act Information
- Retiree Dental
- Vision
code_of_ethics- Health & Wellness - Take Charge
- Communication Dispatcher SPD printer version 02012019
- Correctional Officer SPD printer version 02012019
- Police Officer SPD printer version 02012019
- SORP Plan Document Restatement signed by CC FINAL 07012018
- County Plan Document Restated signed by CC 07012018 F INAL
- Non-Public Safety Participants SPD printed version final 02012019
- Public Safety Participants SPD printed version final 02012019
- 2018-Health Law Notices
- FSA - Enrollment Brochure
- hk4_employeeinformationsheet08-09-10
- SBC2019, 7-1 Charles County Commissioners BlueChoice Advangtage1
- SBC2019, 7-1 Charles County Commissioners BlueChoice HMO Open Access1
- Active Employee Rates
- Cobra Rates
- Full-time, Reduced Hours Rates
- CareFirst Formulary 2
- Restricted Generics Program Details
- CareFirst Health Benefit Options For Active Employees Booklet
- CareFirst Preferred Dental Summary
- Delta Dental Preferred Plan Summary
- Flexible Spending Account Brochure
- Post Employment Health Program Brochure
- Employee Rights under the Family Medical Leave Act
- AFLAC Accident Policy Brochure
- AFLAC - Critical Illness Brochure
- House Keys 4 Employees Information Sheet
- Legal Resources Brochure
- Deferred Compensation Schedule January 2020 through June 2020
- Deferred Compensation Plan
- CareFirst Health Benefits Claim Form
- Post Employment Health Plan Claim Form
- Post Employment Health Program Enrollment Form
- CareFirst BlueVision Plus Claim Reimbursement Form
- BlueCross Blueshield International Claim Form
- Prescription Reimbursement Claim Form
- Prescription Reimbursment Claim Form Instructions
- CareFirst Dental Claim Form
- Delta Dental Claim Form
- Brand Name Prescription Exception Request
- Non Formulary Drug Exception Request Form
- Mail-Order Service Form
- Life Insurance Beneficiary Form
- Mass Mutual - Contribution Change Form
- MetLife - Contribution Change Form
- Nationwide - Contribution Change Form
- Nationwide Beneficiary Form
- Mass Mutual Beneficiary Form
- AFLAC wellness claim form for both accident and critical illness policies
- Aflac Accident Claim Form
- AFLAC critical illness claim form
- AFLAC Claim Fax Coversheet
- Aflac Service Request Form
- Medical FSA - Reimbursement Form
- Statement of Dependent Care Expense
- Legal Resources Cancellation Form
- MetLife Beneficiary Form
- Legal Resources Cancellation Form
- Application for FMLA
- Certification of Health Care Provider - Employee Serious Health Condition
- Certification of Health Care Provider - Family Member Serious Health Condition
- Certification of Qualifying Exigency
- Certification for Serious Injury or Illness of Current Servicemember
- MetLife Beneficiary Form
- Duty Status Form
- Charles County Pension Plan Document
- Non-Public Safety Summary Plan Description
- Public Safety Participants Summary Plan Description
- Post Employment Health Plan Document
- CareFirst Retiree Over 65 Booklet
- CareFirst Medicare Supplement Plan Summary of Benefits and Coverage
- FY20 Retiree Rates
- SORP Plan Document
- Police Officer SPD
- Correctional Officer SPD.pdf
- Communication Dispatcher SPD
- Election to Participate in DROP
- Revocation of Election to Participate in DROP
- Optional Form of Payment Election Form
- Active Employee Rates
- Full Time Reduced Hour Rates
- Cobra Rates
- PostEmploymentHealthProgra
- SBC2019, 7-1 Charles County Commissioners BlueChoice HMO Open Access1
- SBC2019, 7-1 Charles County Commissioners BlueChoice Advangtage1
- BlueVision Plus
- FY22 Active Employee Rates
- FY21 FTRH Rates
- Retiree Rates
- FY22 Cobra Rates
- CareFirst Booklet - Actives
- CareFirst Booklet - Retirees Over 65
- CareFirst Booklet - Retirees Over 65
- SBC BlueChoice HMO Open Access
- SBC BlueChoice Advantage
- 2020 SBC BlueChoice Advantage
- 2022 SBC BlueChoice Advantage
- SBC CareFirst Standard Over 65 with Major Medical
- FY22 Legal Resources Interactive Brochure
- Aflac Application 2020
- 3-FY21 Marketplace Notification - Final
- Website-CHIP Notice
- CCG Privacy Notification
- Presciption Drug Coverage and Medicare
- Hartford EOI
- hk4_employeeinformationsheet08-09-10
- FY22 FTRH Rates
- CareFirst Formulary 2
- PEHP Enrollment Form
- Certification of Qualifying Exigency for Military Family Leave
- Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave
- Personnel Manual
- Deer Oaks EAP Services
- 2025-2026 Benefit Overview Guide
Employee Share Rates- CCG Job Fair
- 2023 Holiday Leave Schedule
- Career Fair Links
- Retiree Health Plan Document
- CCPP Charles County Pension Plan Civilian Public Safety
- SORP - Communications Dispatchers
- SORP - Correctional Officers
- SORP - Police Officers
- CareFirst Dental
- Delta Dental
- CCPP Charles County Retiree Pension Plan Civilian NonPublic Safety
- DROP Slideshow
- 2025 Holiday Leave Schedule
- Correctional Officer Summary Plan Description
- Certificate of Health Care Provider for Employee BLANK - Expires 6_30_2026
- Cert of Health Care Provider Family Member
- 2025-2026 OE Benefits Guide
- SAFETY TRAINING REGISTRATION FORM
- Pubic Safety Animal Control Officers SPD
- SORP Plan Document Bylaws Amendments through 2025_1
- CCG 2025-2026 Benefit Guide_FINAL-2
- Health Insurance Policy Retirees signed 040325
- 2026 Holiday Leave Schedule
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