Payroll Documents

Authorization for ACH Payments

Please complete this form in order to have Bene-Care automatically withdrawal your monthly health insurance premiums from your business or personal bank account.

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Bene-Care Cancellation Form

Please use this form to remove an employee and/or their dependent(s) from your group policy. Once completed please return to Bene-Care for processing.

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2018 Univera Healthcare Plan Comparisons for Individuals

Please contact our Buffalo office at 716.688.8161 to discuss the plan options available available to individuals through Univera Healthcare

2018 Independent Health Plan Comparisons for Individuals

Please contact our Buffalo office at 716.688.8161 to discuss the plan options available to individuals through Independent Health

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2018 BCBS of WNY Plan Comparisons for Individuals

Please contact our Buffalo office at 716.688.8161 to discuss the plan options available to individuals through BCBS of WNY

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2018 MVP Health Care Plan Comparisons for Individuals

2018 comparison of MVP Health Care plan options offered to Individuals residing in Monroe, Ontario, Livingston, Seneca, Wayne and Yates Counties.

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2018 Excellus BCBS Plan Comparisons for Individuals

2018 comparison of Excellus BCBS plan options offered to Individuals residing in Monroe, Ontario, Livingston, Seneca, Wayne and Yates Counties.

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2018 Q1 Univera Healthcare Plan Comparisons for Employer Groups

Please contact our Buffalo office at 716.688.8161 to discuss the employer group plan options available through Univera Healthcare

2018 Q1 Independent Health Plan Comparisons for Employer Groups

Please contact our Buffalo office at 716.688.8161 to discuss the employer group plan options available through Independent Health

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2018 Q1 BCBS of WNY Plan Comparisons for Employer Groups

Please contact our Buffalo office at 716.688.8161 to discuss the employer group plan options available through BCBS of WNY

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2018 Q1 MVP Health Care Plan Comparisons for Employer Groups

2018 comparison of MVP Health Care’s Liberty plan options offered to Employer Groups headquartered in Monroe, Ontario, Livingston, Seneca, Wayne and Yates Counties. Rates shown are for Q1 and include Pediatric Dental coverage.

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2018 Q1 Excellus BCBS Plan Comparison for Employer Groups

2018 comparison of Excellus BCBS plan options offered to Employer Groups headquartered in Monroe, Ontario, Livingston, Seneca, Wayne and Yates Counties. Rates shown are for Q1 and include Pediatric Dental coverage.

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Rapid! Pay Direct Deposit Form

Bene-Care offers Rapid! Pay employee pay cards as an alternative to receiving a live check or direct deposit.

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NYS Notice and Acknowledgement of Pay Form – Salaried Employees

New York State Wage Theft Prevention Act Notice and Acknowledgement of Pay Rate and Paydate form for salaried employees.

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NYS Notice and Acknowledgement of Pay Form – Hourly Employees

New York State Wage Theft Prevention Act Notice and Acknowledgement of Pay Rate and Paydate form for hourly employees.

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New York State Notice of Pay Rate and Paydate Guidelines

Guidelines for Written New York State Notice of Pay Rate and Payday, including the regulation changes effective 12/29/2014. Although forms are no longer required to be furnished and returned annually prior to February 1st, notices must still be given to employees at their time of hire.

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Form I-9

Updated Employment Eligibility Verification Form, and instructions for completion. Although the existing form is still valid through 9/17/2017, this updated form was released on 7/17/17 and may now be used. After September 17, 2017 you must use this new form. It is valid through 8/31/2019.

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Employee Direct Deposit Form

Bene-Care Payroll Direct Deposit Enrollment Form

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2017 NYS Minimum Wage Poster

2017 New York State Minimum Wage Poster. Changes effective 12/31/2016.

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2017 NYS Employee Withholding Allowance Certificate

2017 NYS Form IT-2104, and instructions for completion.

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2017 New Hire Packet

When hiring a new employee, please have them complete the forms within this packet for payroll purposes. The packet includes a data gathering form, a direct deposit form, NY State and Federal withholding forms, a NYS Pay Notice form (separate forms for hourly and salaried workers), and an I-9 Form.  Completed documents may be emailed to your Payroll Specialist or to payroll@bene-care.com, or faxed to 585-347-1334

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2017 Form W-4

2017 Form W-4 for Federal Withholdings, and instructions for completion.

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2017 Bene-Care Payroll Calendar

2017 Bene-Care Payroll Calendar; includes important dates and closings.

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Learn More About 2017 Bene-Care Payroll Calendar