For STA Employees

Click on the topics below to view that section:

Leave Policy Documents

Leave Forms

Other Downloadable Forms

Summaries of Benefit Coverage

Benefit Booklets

Useful Links

Leave Policy Documents

STA Leave Policy

WA PFML Statement of Rights and Notification Requirements 

FMLA Employee Rights and Responsibilities

Leave Forms

FMLA/WFC Request Form

Certification of Health Care Provider for Employee

Certification of Health Care Provider for Family Member

Certification of Qualifying Exigency for Military Family Leave

Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave

Certification for Serious Injury or Illness of Covered Veteran Caregiver

PFML Rights and Notification Requirements

Other Downloadable Forms

Employee Information Change Form

Parking Decal Form

Employee Recognition Nomination Form

Summaries of Benefit Coverage

Summaries of Benefit Coverage for each of the STA plans are provided in the links below:

Premera 2020

Kaiser Permanente Buy Up Plan 2021

Kaiser Permanente Core Plan 2021

Kaiser Permanente CDHP 2021

Dental Benefit Summary 2021

Medical Plan Comparison 2021

HRA VEBA

Benefit Booklets

If you have any questions about your benefits, please call Human Resources or email [email protected].

Benefit Offerings for employees of ATU 1015 for plan year 2021

Benefit Offerings for employees of AFSCME 3939 for plan year 2021

Benefit Offerings for employees of ATU 1598 for plan year 2021

Benefit Offerings for non-represented employees for plan year 2021

External Resources

Company Code: STA

Can also be contacted directly at 800-999-1077.

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