2024

• September 19, 2024 Dodge County Salary Schedule [PDF]
• 2024 Miscellaneous Wage Schedule [PDF]

2020 McGrath Compensation and Classification Study Executive Report [PDF]

• 2025 Payroll Calendar [PDF] 
• 2024 Payroll Calendar [PDF]

Health Insurance Information and Resources

• Dean website 
• Dean Provider Network - Find a Doctor  - Select Plan: "Commercial HMO/POS Insurance (Group or Individual Coverage)
• Dean Provider Map 
• Dean Drug Formulary List (link) 
  • How to Look up Prescription Drugs (pdf) 

 Forms

• 2024 Dean Health Employee Application/Change Form (pdf)
• Dean Employee Application and/or Change Form (pdf)
• Dean Transition-of-Care Information and Form (pdf)
• Dean Out-of-Area Dependent Information and Form (pdf)
• Dean Prescription Transition Form (pdf)

Other Information

• Model Notices Medicare Part D Regulations- Disclosure (pdf)

• Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) (pdf)2023

• Premium Assistance Under Medicaid and the Children's Health Insurance Program (CHIP) (pdf) 2024

• 2023 Notice of Creditable Coverage (pdf)

• 2024 Notice of Creditable Coverage (pdf)

• Women's Health and Cancer Rights Act Annual Disclosure Notice (pdf)

• 2025 Wellness Affidavit [PDF]

• Delta Dental
• Summary Plan Description 
• Delta Dental-Vision Enrollment Form (pdf)

• Department of Employee Trust Funds / Wisconsin Retirement System 
• Domestic Partners

• Employee Benefits Corporation (link)
• 2025 Flex Spending Enrollment Form [pdf]
• 2024 Flex Spending Enrollment Form [pdf]
• General Flex Spending Enrollment Form [pdf]
• FSA Eligible Expenses [pdf]
• EBC Claim Form (FSA, Dependent Care, HRA) [pdf]
• FSA Summary Plan Description

• HRA:  How to create account and submit claims (pdf)
• EBC Claim Form  (pdf)
• HRA Summary Plan Description

• 2025 HSA Enrollment/Change Form (pdf)
• 2024 HSA Enrollment/Change Form (pdf)
• IRS Publication 969 - Health Savings Account (link)
• IRS Publication 502 - Medical and Dental Expenses (link)
• Health Savings Account List of Eligible Expenses (provided by EBC) (pdf)

       Frequently Asked Questions: 

• HSA FAQ's - General Information (pdf)
• HSA FAQ's - Do my dependents qualify? (pdf)
• HSA FAQ - Is the County Contribution Taxable Income? (pdf)

• Nationwide Retirement Solutions 
• North Shore Bank 

• Delta Vision -(link)
• Delta Vision Application Form
• Delta Vision Benefit Flyer (Tier 2)

Dodge County has been given the opportunity to offer vision insurance through The Labor Association of Wisconsin, Inc. (LAW, Inc.).  The insurance is through National Vision Administrators, LLC.   This is a voluntary, 100% employee paid benefit and is available to ALL Dodge County employees regardless of benefit status. 

If you are interested in participating please go to the LAW, Inc. website (https://www.law-inc-wi.com/vision-2),  and click on the vision insurance link for detailed information on the benefits, premium, and instructions on how to enroll in the plan. 

• LAW Vision Plan Employee Information
• LAW Vision Summary of Benefits
• LAW Vision Insurance Enrollment Form
• LAW NVA Vision Provider Directory

ENROLLMENT Information: 
The open enrollment period is from November 1 through December 31  for an effective date of January 1st .  The enrollment from must be received by LAW no later than December 31st.

Enrollment forms can be sent to Ben Barth at LAW, Inc. via scan/email, fax, or regular mail.  The fax number is 414-476-6015; email is Email and the mailing address is:

Labor Association of Wisconsin, Inc
11430 W Bluemound Rd Suite 104
Wauwatosa, WI  53226

* Accident Insurance
* Critical Illness Insurance
* Hospital Indemnity Plan
* Short-Term Disability

Contact Information: (715) 241-537
How to Submit a Claim [PDF]