If you are a current employee of Hand County, you may find this information helpful during your time with us. The forms here are for your benefit and serve a reference for you. Should you find something in error or believe something is missing, please contact me at [email protected] or by phone at 605.853.2182.

AFLAC

The auditor’s does not provide any counseling on this product. Employees with questions should contact the agent directly.

AFLAC products are available through the Shon Ford AFLAC Agency.

Shon Ford, Regional Sales Coordinator, is the representative for Hand County employees.

Contact Information:

427 North Broadway Avenue, Miller, SD 57362
605-893-0104
[email protected]

Employee / Member Access Portal: https://mylogin.aflac.com/

Member claim form page: File a Claim | Aflac

AVERA HEALTH INSURANCE

The auditor’s does not provide any counseling on this product. Employees with questions should contact the agent directly.

The county provides full-time employees the opportunity to have health insurance provided to them at no charge (presently). Permanent part-time employees who work 25 hours or more may also be eligible for health insurance on a shared basis.

Family coverage is available, but the additional premium is paid by the employee.

Agency / Agent Contacts:

Plan administrator: Mike LeBrun & Jesse Tolsma DICE Financial Services of Mitchell.

Entire DICE team and contact information.

Hand County Specific / Renewal Effective September 1, 2024

Voluntary Avera Foundation Careflight Membership [2024 pricing is $49 for new enrollment or renewals].

“Careflight membership covers 100 percent of the cost of emergency Careflight transports within the service area.”
2024 pricing is $49 for new enrollment or renewals.
Paper Application for Membership

Hand County Specific / Renewal Effective September 1, 2023

Avera Health Plan (links to the Avera Health Plans home page)

Avera $1,000 in-network / $2,000 out-of-network deductible. 60/40 with $3,500 total out of pocket.
Avera $2,000 in-network / $5,000 out-of-network deductible. 70/30 with $4,500 total out of pocket.
Avera $4,500 in-network / $10,000 out-of-network deductible. No coinsurance. $4,500 total out of pocket.
Plan comparison summary. All three plans summarized on one page.
Avera $1,000 detailed plan summary of benefits and coverage.
Avera $2,000 detailed plan summary of benefits and coverage.
Avera $4,500 detailed plan summary of benefits and coverage.
Plan / benefit selection form (Avera and Standard products)
Avera’s Who to Contact Directory.
Avera’s Coverage Connected to Life.
Avera’s Employee Assistance Program.
Avera’s Covered Preventative Services.
Avera’s Free 24/7 Urgent Care Virtual Visits
Expires August 31, 2024

COLONIAL LIFE & ACCIDENT INS Co.

(Injury / Illness / Dental / Vision / Life)

The auditor’s does not provide any counseling on this product. Employees with questions should contact the agent directly.

Available 01.01.2023
Agent Contact Information:
- Steven Melnick – Account Executive – Independent Agent
- 308-379-6980
[email protected]

Policyholder Portal: Policyholder Support | Colonial Life

Eligibility Class: “All employees in active employment working at least 20 hours per week.”
- See complete definitions in the following policy downloads.
DOWNLOADS
- Group Term Life Insurance Policy (G0069034) up to $200,000 available to employees at their cost.
- Group Term Life Insurance Policy (G0069035) $10,000 for $2 per month provided by employer.
Forms: You should contact the agent for any forms or use the policyholder online portal to access forms.

SOUTH DAKOTA PUBLIC ASSURANCE ALLIANCE

Proof of Financial Responsibility for automobiles v. 2023. Each county owned vehicle which is required to be licensed should have this proof of insurance in the vehicle and be presentable upon demand.

SOUTH DAKOTA RETIREMENT SYSTEM

The auditor’s does not provide any counseling on this product. Employees with questions should contact the SDRS directly.

222 East Capital Avenue, Suite 8, PO Box 1098,
Pierre, SD 57501

1-888-605-SDRS (toll-free)
605-773-3731 (local)
[email protected] (email)
https://sdrs.sd.gov

[Available to only to employees who are approved by the commission to work 1250 hours or more in a year.]

New to the South Dakota Retirement System? Click this link to learn the basics.

Looking for information the South Dakota Retirement System Supplemental Retirement Plan, skip to page 17 on the link above or re-click this link.

Please read this linked document from May 2021 that details eligibility rules:

Please follow this link to the SDRS revised forms page which were put into effect on July 1, 2021. This page has all the forms the employer or employee would need. New online E-1 enrollment form. Print a copy before sending.

SDRS does not allow address changes via phone, email, or website contacts. All members must complete an E-2 for address changes.

South Dakota Retirement System—Authorized Agent Manual (90 pages, PDF)

“THE STANDARD”

The auditor’s does not provide any counseling on this product. Employees with questions should contact the agent directly.

Providing Dental, Vision, group life and accidental death / dismemberment coverage.

Beginning on October 1, 2022 the Dental Plan(s), the Vision plan(s), and the Group Basic Life and Accidental Death and Dismemberment Insurance will all be a product purchased from The Standard Insurance Company. The prior plans with VSP, Delta Dental and Companion Life will be terminated. Employees will need to be absolutely familiar with the transition and submit their paperwork before the deadlines to avoid a lapse in coverage(s).

The Standard “Group Dental Insurance” plan summary.
The Standard “Group Vision Insurance” plan summary.
The Standard “Group Basic Life and Accidental Death and Dismemberment Insurance” eligibility, benefit, and feature summary.
The Standard “Enrollment and Change” form (to be completed to enroll)
The Standard “Enrollment and Change” form-fill version
DICE Financial Services Voluntary Dental and Vision rate calculator (if you add to your employee plan)
DICE Financial Services / The Standard benefit election form (to be completed to enroll)
DICE Financial Services – The Standard benefit package (cost detail sheet)

The auditor’s office will no longer provide benefit counseling for employees. Dice Financial Services will field all benefit queries directly.

800-996-7171 – Toll Free
605-996-7171 – Direct
605-996-1781 – Fax line
[email protected] – General Email
1716 N. Sanborn Boulevard, PO Box 790, Mitchell, South Dakota 57301-0790

Contacts:

Michael “Mike” LeBrun: [email protected]
Jesse Tolsma: [email protected]
Kylie Odell: [email protected]

Basic Information:

Policy Number: 761549
Billing Division: 0001
Effective Date: 10/01/2022
Basic Life value: $25,000. Premium is $8.50 per month.
Accidental Death and Dismemberment value: $25,000. Premium is $0.70 per month.

NEW EMPLOYEE FORMS

All newly hired full and part-time employees must complete the following forms:

The employee must complete the Yellow highlighted areas. Ignore the Red highlighted areas. The auditor’s staff will complete the Green areas. All forms are to be given to the department head who will return them to the auditor’s office for filing.

USCIS Form I-9 “Employment Eligibility Verification” as required by the Department of Homeland Security.
1. Requires forms of identification to be scanned in color or very clearly printed.
IRS Form W-4 “Employee’s Withholding Certificate” as required by the Department of the Treasury.
Direct Deposit Authorization Form as required by county policy.
A photocopy of the Oath of Office (when required).
A photocopy of the Certificate of Appointment (when required).
Employees will have to request, pay for and provide an official copy of their driver’s license history for each state they were licensed to drive in. South Dakota’s form is found here: SOUTH DAKOTA DMV. Other states may require an online search to locate the request form or portal.
Employees will also have to provide a copy of their proof of insurance. This is need in case they operate a vehicle for work purposes but have an incident outside of employment standards, practices or in violation of the law.
All employees working in public safety, emergency response, or as a department head, must complete the Incident Command Systems training (as required by county adoption of NIMS) outlined by the Federal Emergency Management Agency / Emergency Management Institute (FEMA/EMI). The ICS Resource Center URL is: ICS Resource Center (fema.gov).
1. Employees must complete the ICS-100, ICS-200, IS-700 and IS-800 courses within the probationary period.
2. If an employee has previously taken the courses but can not locate the certificate, please click here.

References:
2018-2019 South Dakota Labor and Employment Laws (PDF)
2019 First Report Of Injury (SD EForm 1830 V2 / Form Fill PDF) & Medical Release Form
Weather Emergencies / Outdoor Warning Sirens (From Pennington County)
Sign up for South Dakota Amber Alerts
Sign up for South Dakota Missing / Blue Alerts
South Dakota Statewide Wage and Benefit Survey for 2019 (Compiled by NECOG)

SOUTH DAKOTA MUNICIPAL LEGUE

WORKERS COMPENSATION FUND

SDML-Work Comp & other Forms Website / Page

First Report of Injury Forms:

SDML “Claims Procedures” for 1st report of worker injury.
Hand County Employee Authorization for Release of Information (2024)
South Dakota Employer’s First Report of Injury w/ Instructions (v11.2018)

Other SDML offerings:

Worker’s Compensation for 1st Responders: “CONNECTIONS” – First Responders Assistance Program
Available only to qualified first responders and their families. Included in the county’s coverage.

Hand County Payroll Deduction List for 2020

Annual / Vacation Leave, Sick Leave and Funeral Leave form.

Payroll Links:

Wage & Salary Report