Human Resources Documentation
New full-time employees should complete all documents and/or read all information under the PRCC Forms, Governmental and Tax, Insurance, Retirement, and Other sections.
Note: Some forms below will be completed through Dynamic Forms. If you do not already have PRCC login credentials, you will need to create an account with Dynamic Forms to complete the form. Those with PRCC login credentials will be automatically logged in through OneLogin.
New PRCC Hires
Insurance
- American Fidelity – Plan for Tomorrow, Today
- BCBS Plan Document
- BCBS Login Page
- State and School Employees Health Insurance Plan Monthly Premium Rates
- BCBS Summary of Benefits and Coverage 2025 (Base & Select)
- HIPAA Notice
- Health Insurance Marketplace Cover Form (expires: 12/31/2026)
- Notice of Enrollment Rights
- COBRA Notice
- State and School Employees’ Health Insurance Plan Application for Coverage
- UNUM Dental Summary of Benefits (2025-2026 rates)
- UNUM Vision Summer of Benefits (2025-2026 rates)
- UNUM Vision and Dental Enrollment Form (2025-2026 rates)
- Unum Enrollment Form for Group Insurance
- UNUM Mississippi Schools – Active Employee & Dependents Life Insurance