Resources

Documents Forms

Belk 401(k) Savings Plan
401(k) Guide 401(k) Plan Highlights Belk Belk 401(k) Savings Plan SMM Belk Belk 401(k) Savings Plan SPD

Belk Pension Plan
Pension Plan SPD

Dental
2021 Dental Plan Summary: High Plan 2021 Dental Plan Summary: Core Plan Dental Plan Certificate of Coverage

Employee Assistance Program
Employee Assistance Program SPD Employee Assistance Program Overview Employee Assistance Program Support Groups

Enrollment Information
2021 Premium Rates 2021 Benefits Guide 2021 Benefits Available to Associates 2020 Premium Rates 2020 Benefits Guide 2020 Benefits Available to Associates 2020 Member Services Information Contacts at a Glance The Belk Stores Services, Inc. Health & Welfare Plan Document

Life Insurance and Disability
Imputed Income Life and AD&D Insurance Certificate of Coverage Long-Term Disability Policy Filing a Leave or Disability Claim Instructions (English) Filing a Leave or Disability Claim Instructions (Spanish)

Medical

New to Belk
Domestic Partner Affidavit and Benefits Enrollment Kit

Other Benefits
Legal Plan Overview Pet Insurance Flyer Tuition Reimbursement Policy Milk Stork Brochure Associate Discount Policy

Pay and Rewards
AIP Overview Corporate Associate (Target Annual Performance) Store Associate (Above Target Annual Performance) FY20 Payroll Schedule Benefits Information Upon Termination

Supplemental Health
Accident Insurance Overview & Schedule of Benefits (Unum) Accident Insurance Certificate of Coverage (Unum) Critical Illness (Specified Disease) Insurance Overview (Unum) Critical Illness (Specified Disease) Insurance Certificate of Coverage (Unum) Hospital Insurance Overview (Unum) Hospital Insurance Certificate of Coverage (Unum) How to File a Claim

Tax-Advantaged Accounts
How the 2020 Health Savings Account Works 2019 ConnectYourCare HSA Handbook 2019 Dependent Care FSA Overview 2019 HSA Save-It Infographic An Introduction to the Health Savings Account HSAs for Dummies Guide (English) HSAs for Dummies Guide (Spanish) HSA Myth Busters

Time Away from Work
Company Leave Policy Holidays (Distribution and Fulfillment Centers) Holidays (Stores) Family Medical Leave Act Policy Maryland Earned Sick and Safe Leave Notice Leave of Absence Guide Military Leave Policy Paid Time Off Policy Parental Leave Policy South Carolina Employment Discrimination Notice Unpaid Time Off Policy

Vision
2019 Vision Benefit Summary Vision Plan Certificate of Coverage

Domestic Partner Affidavit and Benefits Enrollment Kit

Critical Illness Insurance Claim Form (Unum)

Be Well Benefit Claim Form (Unum)

Accident Insurance Claim Form (Unum)

Biometric Screening Form

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