Congratulations on your employment with the United States District Court, Middle District of Pennsylvania!  As a new employee, you are required to complete various forms prior to your hire date. This site contains all of the forms required to process your appointment. 

     All appointment and payroll forms must be completed and returned to the Human Resources Office via email and U.S. Mail, or other carrier no later than four weeks prior to your hire date to ensure timely processing of your appointment. As part of this process, all law clerks must be sworn in by his/her respective Judge. Also, it is recommended that you be sworn in prior to your hire date. Please contact Chambers to arrange a convenient time. 

     If you have any questions on any of the forms, benefits or policies, please contact Human Resources Director Deborah T. Skopek at (570) 207-5670. Thank you.

 

 

Term Law Clerk Benefits
Benefits Overview Brochure
HEALTH INSURANCE:   Enroll by completing the election forms below
Health, Dental and Vision Insurance Plans Offered Scranton | Harrisburg and Williamsport	HMO Plans / Premiums
Health Insurance Information	Fee-For-Service Plans / Premiums
	Health Insurance Comparison Tool
Health Insurance Marketplace (Affordable Care Act)	Election Form (SF 2809) - Complete Pages 17 and 18. Please sign and date on or after your hire date.
	Important: Proof of family member eligibility must accompany your health benefits election form (SF 2809). The attached file lists documents that may be used to establish family member eligibility.
LIFE INSURANCE:   Enroll by completing election forms below
Life Insurance Brochure | Rates effective 10/11/2021	Election Form (SF 2817) - Complete Page 1 only. Please sign and date on or after your hire date.
Premium Calculator	Beneficiary Form (SF 2823) Please sign and date on or after your hire date.
ENROLLMENT IN THE FOLLOWING BENEFITS CANNOT OCCUR UNTIL YOU ENTER ON DUTY.
Dental and Vision Summary
Dental Plan Information	Enroll via BENEFEDS (Employing Agency is Federal Judiciary.)
Dental Rates	Dental Rating Area
	Dental Comparison Tool
Vision Plan Information	Enroll via BENEFEDS (Employing Agency is Federal Judiciary.)
Vision Rates	Vision Comparison Tool
Information on the Flexible Benefits Program and the Commuter Benefit will be mailed to your home address from the Federal Judiciary’s Benefits Center. The Long Term Care Insurance information will be mailed from CNA.
Flexible Benefits Program	Enroll via Judiciary Benefits Center
Health Care Reimbursement
Limited Purpose Health Care Reimbursement Account
Dependent Care Reimbursement
Premium Payment Plan
Commuter Benefit	Enroll via Judiciary Benefits Center
Long Term Care Insurance	Enroll via Long Term Care Partners / John Hancock
	The LTC Insurance is suspended until December 2024.
Parking Subsidy Program	Parking Subsidy Program Enrollment Agreement and Certification* *If interested in participating in this parking program, please return the Enrollment Agreement directly to Ruth Davies via email. Ruth can be reached at (570) 207-5666.
Employee Assistance Program (EAP)
Transportation Subsidy Program

 

        As an employee of the United States District Court, Middle District of Pennsylvania, you are responsible for reviewing the online Personnel Manual and all other related policies and information located on the District Court’s intranet Human Resources Page upon hire.