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Individual Enrollment
For Consultants
Employer of Record
  Features
  Enrollment (Individual)
 

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.
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Enrollment Forms


Provider Program Form
Yurcor Employer of Record Checklist
Yurcor Employer of Record Agreement
Yurcor Employer of Record W-4
State W-4*
Yurcor Employer of Record I-9
Yurcor Employer of Record Direct Deposit
Yurcor Employer of Record COBRA (Ref only)
Cigna PPO Health Enroll  Decline
Guardian Dental, Life, Disability Enroll/Decline
Spectera Vision Enroll/Decline
Fidelity Investments 401(k) Retirement Enroll
Alliance Capital 529 College Savings Call

* Employees living/working in the following states are required to complete a State Withholding Certificate (State W-4). In other states, the Federal W-4 will continue to be used for state tax calculation purposes.
State W-4: | Washington DC | Georgia | Hawaii | Indiana | Iowa | Kentucky | Louisiana | Maryland | Michigan | Missouri | North Carolina | Ohio |


Benefits

You are eligible for coverage at the beginning of the month after your enrollment is completed. You will receive medical and dental plan cards from plan administrators, 4-6 weeks after enrolling.

Program Provider Description
Health Cigna PPO Std  High  Doctor Lookup
Dental Guardian PPO Plan
Vision Spectera Plan  Contacts Covered
Life Guardian $25,000 Term Life
Long-Term Disability Guardian 60% of Salary
401(k) Retirement Fidelity Investments Fund Description | SPD
529 College Savings Alliance Capital Plan  News 
iPay Statements ADP Instructions


Premiums

Effective through May 31, 2009

Program Employee Employee
+ One
Employee
& Children
Family
Health - Std $ 411.10 $ 801.65 $ 1,188.08 $ 1,188.08
Health - High 536.24 1045.67 1,549.74 1,549.74
Dental 39.88 *85.33 78.06 123.52
Vision 9.75 14.79 25.99 25.99
Life Free - - -
LT Disability Free - - -
*Spouse



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