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 another carrier prior to your hire date to ensure timely processing of your appointment.  Also, it is recommended that you be sworn in and fingerprinted prior to your hire date. Please contact the HR Director Deborah T. Skopek to arrange a convenient time. 

     If you have any questions on any of the forms, benefits or policies, please contact Debbie at (570) 207-5670. Thank you.

 

Employee 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 the election forms below
Life Insurance Brochure | Rates effective 10/1/2021	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 Rating Area
Dental Plan Information	Enroll via BENEFEDS (Employing Agency is Federal Judiciary.)
Dental Rates	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 Program 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.
Transportation Subsidy Program
Employee Assistance Program (EAP)
RETIREMENT INFORMATION:
The retirement plan for Federal Employees, FERS, includes three components:  (1) Social Security, (2) a Basic Benefit Plan and (3) the Thrift Savings Plan (TSP).  The three components work together.  Most of the cost of social security is paid through payroll taxes, while the FERS Basic Benefit Plan includes a mandatory deduction of 4.4% of your pay, which is an automatic payroll deduction.  You are also automatically enrolled in the TSP at a contribution rate of 5% of your pay.  Additional information on this benefit is included in the welcome letter.
FERS Benefits Overview	Summary of TSP
FERS Beneficiary Form (SF 3102) Please sign and date on or after your hire date.	To make changes to your TSP contribution rate (dollar or percentage amount), please contact the Judiciary Benefits Center at (877) 207-3220. You can change your beneficiary information directly on the tsp.gov website, once you receive your TSP Welcome Letter and account information.
TSP for New Hires

BENEFICIARY FORM

 

        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.