City Employee Forms & Resources

The following are forms, resources, and links for City of Laconia employees.

Health Insurance

  1. Change in Address form (PDF)
  2. HRA Claims Process and FAQ (PDF)
  3. HRA Summary of Benefits and Coverage (PDF)
  4. HRA Summary Plan Description (PDF)
  5. Harvard Pilgrim HMO Super and Elevate Health Plan Comparison of of Benefits
  6. Wellness Platform Information - NHIT
  7. OptumRx Information Sheet
  8. OptumRx Home Delivery Order Form
  9. Elevate Health Options Plan Summary
  10. Harvard Pilgrim HMO Super Plan - Summary of Benefits
  11. summary of benefits HMO
  12. summary of benefits EHO

Flexible Benefit Plan 

  1. Dependent Care Flexible Spending Account (DCA) Information (PDF)
  2. Health Care Flexible Spending Account (HCA) Information and Eligible Expense List (PDF)

Safety

  1. Employee Accident Form (PDF)
  2. Safety Manual (PDF)
  3. Supervisor Accident Form (PDF)

Employment Documents

  1. Classification and Compensation Plan (PDF)
  2. Code of Ethics (PDF)
  3. Daily Time Sheet (PDF)
  4. EEO Policy (PDF)
  5. Personnel Rules and Regulations (PDF)
  6. AFSCME Collective Bargaining Agreement (PDF)
  7. Firefighters' Collective Bargaining Agreement (PDF)
  8. Police Officers' Collective Bargaining Agreement (PDF)
  9. SEA Collective Bargaining Agreement (PDF)
  10. Wage and Compensation Plan - July 4, 2022 to July 2, 2023
  11. City Manager Employment Agreement