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WebDOL-FMR (rev. 12/21) CTFMLA – CT Department of Labor Employee Name: _____ Page 1 of 4 Notice of Eligibility & Rights and Responsibilities DO NOT SEND TO THE DEPARTMENT OF LABOR. PROVIDE TO EMPLOYEE. In general, to be eligible to take leave under the Connecticut Family and Medical Leave Act (CTFMLA), an employee … WebContact information for most of the Medical Center Benefits Providers, as well as available online resources are listed below. Insurance Companion Benefit Alternatives (Behavioral Health) Companion website or 800-868-2520 or 803-736-1576 Denta l BCBS website or 888-214-6230 Health BCBS website or 800-868-2520 PEBA website WebConveniently access your Fidelity workplace benefits such as 401k, savings plans, stock options, health savings accounts, and health insurance. Learn more at 401k.com. ... or a recommendation for any security by any Fidelity entity or any third-party. FICS is owned by FMR LLC and is an affiliate of Fidelity Brokerage Services LLC. Fidelity ... sharepoint form configure layout