Enroll in Yurcor Employer of Record

If you have been invited to work for a business or staffing supplier through Yurcor Employer of Record, please follow the instructions provided by Yurcor or your recruiting contact. Otherwise, to enroll in the Yurcor Employer of Record service for individual consultants, follow these steps:

1. Call 800.445.5775 and review the service with Yurcor.
2. Download the enrollment forms, sign, and fax them back to 561.278.1408.
   Yurcor must receive all forms to activate your account. Complete all forms whether or not you are enrolling for benefits.
3. Start instructions will be emailed to you as soon as your enrollment paperwork is completed and Yurcor executes an agreement with your client.

Enrollment Forms

Benefits

		Program		Description
		Aetna Managed Choice Open Access		Std  High  Doctor Lookup
		Guardian Dental PPO		Plan
		Guardian Vision		Plan  Vision QA
		Guardian Life		$25,000 Term Life
		Guardian LTD		60% of Salary
		Fidelity Investments		401k Fund Description | SPD
		529 College Savings		Plan  News
		ADP iPay Statements		Receive paystubs online
		SF Sick Leave		Applicable if working in SF

Monthly Premiums

Effective through May 31, 2011

		Program		Employee		Employee + One		Employee & Child		Family
		Health - Std		$ 484.97		$ 1,139.20		$ 1,321.66		$ 1,321.66
		Health - High		692.55		1,577.75		2,093.12		2,093.12
		Dental		39.88		*85.33		78.06		123.52
		Vision		9.75		14.79		25.99		25.99
		Life		Free		-		-		-
		LT Disability		Free		-		-		-