contact information for fairfield memorial hospital
 
 

e-PRTL

 

Welcome to Fairfield Memorial Hospital’s employee portal.  The information contained on this portal is NOT privacy protected; however, links contained herein may be secure and require registration to protect your privacy.  The intent of this portal is to provide FMH employees with easy access to information and forms needed to obtain work/life balance.  If you have questions or cannot find the information you desire, please contact the FMH Human Resources department at 618-847-8270.

Federal and State Tax Forms

If you experience a life event, such as marriage, divorce, birth, adoption, or change of income, you may wish to change your withholding allowance on your federal and/or state taxes.  Simply click on the link below, print the form you need, and return the completed forms to the HR Department.

Federal W-4:  http://www.irs.gov/pub/irs-pdf/fw4.pdf

State W-4:  http://tax.illinois.gov/taxforms./Withholding/IL-W-4.pdf

Health Insurance

Fairfield Memorial Hospital’s health plan is administered by Consociate and utilizes the Healthlink Open Access III participating provider network (PPO).  To find a network provider, go to the Healthlink website and conduct a search:  https://www.healthlink.com/ipf.asp

To find out the status of a claim, inquire about your health benefits, change your address, request a new card, print a form, or to view other services, log-in to Consociate’s secure website by creating a user sign-in at:  http://www.consociate.com/my-consociate/

Retirement Planning

AUL /One America has been the administrator of the Fairfield Memorial Hospital employer sponsored pension program since the 90’s.  This program offers all employees participation in a 403(b) plan, with choice of pre-tax or post-tax (Roth) contributions.  In addition, many investment options are available, including self-balancing target funds based on an individual’s anticipated retirement date and fixed rate investments.  To enroll in the pension plan, contact the FMH Human Resources department at 618-847-8270.  To manage your pension account, create a secure log-in at:

https://www.accountservices.aul.com/public/login.faces?filterSource=appInit

Short-term Disability / Vision Insurance

These products are made available upon employment and on an annual basis to full and part-time employees at FMH.  The carrier for these voluntary products is currently Lincoln Financial Group.  If you have opted for these benefits, you can log-in to their secure website to update your address, view benefits, and follow claim status.  Their web address is:

https://www.lfg.com/LincolnPageServer?LFGPage=/lfg/lfgclient/index.html

Equal Opportunity Is the Law! 

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf



 

 
 
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  Fairfield Memorial Hospital   |   303 N. W. 11th St.   |   Fairfield, IL 62837