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Compugain, Inc. provides employees with a wide range of benefits designed to protect your health and financial well-being. We trust this web-site will provide you with tools and rescources to help you use your benefits effectively.

If you have questions on these benefits, please [click here] to send an email.

Quick Links
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Delta Dental

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Medical

Enrollment Form

Medical Benefits Summary

myuhc.com Instruction Sheet

Pharmacy Claim Form

Prescription Benefits

 
Dental

Claim Form

Dental Benefit Summary

Diabetes - Added Benefit

Enrollment Form

Pregnancy - Added Benefit

 
Life and Disability

Beneficiary Designation

Employee Assistance Program

Enrollment & Change Form

Life & Disability Benefits

Life Certificate

LTD Certificate

STD Certificate

 
401K

Beneficiary Designation Form

Catch-up Contribution Form

Enrollment Form

Link to Enrollment Meeting

Plan Summary

Rollover Declaration Form

 
Human Resources

CompuGain Corp Employee Application

DC D-4 Form

Direct Deposit Form

Federal W-4 Form

I-9 Employment Eligibility Verification Form

IL W4 Form

NJ W4 Form

Personal Data Change Form

Semi-Monthly Timesheet Template

Timesheet Template

VA W4 Form

Vacation Request Form

 
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