Benefits & Forms

Leaves

• Sick leave
  • Medical Documentation for Sick Time
  • Medical Emergency Assistance Benefit
• Holiday leave
  • Holiday Comp Time
  • Comp Time

Retirement Systems

• TIAA-CREF
• Aetna
• Metropolitan
• VALIC
• TRS
• ERS

Health Insurance Plans (Empire Plan or HMO)

• State Health Insurance Application
• NYS Health Insurance Transaction Form
• Health Insurance Opt Out

DependentCare/HealthCare

• Flex Spending Account

Sick Leave Exchange Program (SLEP)

• Sick Leave Donation Pool Information
• Vacation Donation Form

Group Long-Term Disability Insurance Program

• Group Long Term Disability Insurance Program Form
• Other resources

Professional Liability Insurance

• Public Officers Law

Survivor’s Benefit Program

• Survivor Benefit Program

Staff Relocation Expenses

• Moving Expense Reimbursement State
• Reimbursement Advanced Payment Form

Employee Assistance Program (EAP)

• Statewide Employee Assistance Program

Employees Federated Appeal (SEFA)

• State Employees Federated Appeal

Direct Deposit

• State Direct Deposit Form
• Credit Union

Tuition Waiver/Reimbursement Program

• Tuition Waiver Application
• Grants and Scholarships

Use of Campus Facilities

• Use of Athletics Facilities

Forms

• Membership Application
• Benefit Trust Fund Enrollment Card
• Change of Address Form
• Change of Marital or Dependent Status Form
• Employee Organization Leave Form
• Group Long Term Disability Insurance Program Form
• HIPAA Form
• Moving Expense Reimbursement State
• NYS Health Insurance Transaction Form
• Reimbursement Advanced Payment Form
• State Direct Deposit Form
• State Health Insurance Application
• Survivor Benefit Program Application
• TIAA Enrollment Application
• UUP Group Life Insurance Beneficiary Card
• Vacation Donation Form