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New Employees’ corner

As a new employee, please complete the following required forms, print , sign and email/fax/mail them to:

Panum Group, LLC

7315 Wisconsin Avenue, #800W

Bethesda, MD 20814

Attn.: HR/Benefits Dept

Fax: 301-299-4216, Email: Benefits@panum.com

· Federal Payroll Tax W/O Form (W-4)

· Employment Eligibility Verification Form (I-9)

· State Payroll Tax W/O Form (Please choose for your state)

· Maryland (MW507) or

· Virginia (VA496) or

· District of Columbia (D-4) or

· Florida or

· Texas

· A new Medical/Dental Insurance Benefit Policy is in effect from 5/1/09. Three options are offered: (1) A Base Plan - Health Savings Plan, (2) Option 1– an HMO Plan and (3) Option 2 - an HMO with Opt-out Open. For details, please see http://panum.com/intranet/Panum_Health_Benefit_Details_2009.pdf

· For employees only, there is a nominal employee co-payment deducted from the participating employees’ biweekly paychecks. An employee may also sign up for medical/dental insurance for dependents. However, the employee is responsible for a large component of the dependent-insurance premiums. By signing up for employee/dependent insurance, the employee authorizes Panum Group to withhold applicable insurance premium from employee’s biweekly paychecks. To enroll, please select an option and complete the applicable form.

· Effective 5/1/09, a new a long-term disability (LTD), a short-term disability (STD) and life & accidental death and dismemberment (AD&D) policy is in effect for all employees at no cost to them. For additional details, please refer to Life_Disability_Benefits.

· Authorization for Background/Credit Check: Please complete, sign and submit the authorization form.

· Panum Employment & Non-Disclosure Agreement: Please complete, sign and submit.

· 401K — Company-Matched Retirement Plan

· Panum Employees/Contractors working on SBA contracts must also complete:

· Initiate Necessary Background Investigation

· Complete Credit Report Release

· Complete Computer Access Clearance/Security Form

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