Employee Benefits

2013 Benefit Plan Information

• Open Enrollment Presentation
• Usage Illustration Excel
• 2013 Paul Smith's College Benefit Guide
• Mobile Apps Flyer
• Mobile Solutions
• Comparison of Benefits
• Contact Information for Insurance Companies
• Excellus ID Card Sample
• Generic Drug Trial Program

Health & Dental Coverage Forms

• 2013 Universal Enrollment Form
• Benefits Payroll Deduction Form
• Benefits Waiver Form
• Insurance Direct Deposit Authorization Form
• How to File a Claim for Reimbursement Online
• High Deductible Health Plan Reimbursement Instructions
• High Deductible Health Plan Reimbursement Form
• Excellus Claim Form
• Guardian Dental Claim Form
• Domestic Partnership Affidavit
• HIPAA Authorization Form

Flexible Spending Account

• Flexible Spending Account Guide
• Flexible Spending Instructions for Reimbursement
• Flexible Spending Reimbursement Forms

Voluntary Supplemental Insurances

• Voluntary Term Life Insurance
• Evidence of Insurability Life NY
• Voluntary Long-Term Disability Insurance
• Voluntary Short-Term Disability Insurance

Family & Medical Leave Act (FMLA) Forms

• Medical Certification: Family Member - Employee
• Request for Family or Medical Leave

Disability & Workers' Compensation Forms

• DB-450 Claim Form
• Disability Statement of Rights
• Incident Report
• Workers' Compensation Claimant Information Packet
• Workers Compensation Pharmacy Form

Other Benefits Information

• Leave Request Form
• Vacation Carry Over Request Form
• Sick Bank Criteria Form
• Sick Bank Donation Form
• Sick Bank Request Form
• Family Financial Planning Information
• Tuition Remission: Dependent - Employee
• Emergency Sick Time Bank Policy
• Tuition Exchange Policy
• Business Council Summary Annual Report

Retirement Planning

• Summary Plan Description for TIAA-CREF RA
• Summary Plan Description for TIAA-CREF TDA
• Agreement for Salary Reduction