HR Related Forms and Documents
Note: i=interactive
| Title | Description | Category |
|---|---|---|
| Injury Report Form, Statei |
State employees should use this form to report an injury sustained on the job. | Worker's Compensation |
| Express Scripts Pharmacy Services | Worker's Compensation Prescription Carrier Information | Worker's Compensation |
| Injury Report Form, Research Foundationi |
Research Foundation employees should use this form to report an injury sustained on the job. | Worker's Compensation |
| Nursing Student Mentoring Requesti
|
If you are a current nursing student enrolled in either a BS or MS nursing program and would like to work with a Nurse Clinical Educator as a mentoring experience, please complete and return this form. | Training and Development |
| New Employee Parking Guide
|
New Employee Parking Guide | Training and Development |
| Temporary Agency Placements, Student and Volunteer Guide |
Upstate Medical University orientation handbook for temporary agency placements, students, and volunteers | Training and Development |
| Protecting Patient Confidentiality and Security |
In this booklet, we will explain the HIPAA Privacy Rule, the HIPAA Security Rule, and SUNY Upstate Medical University's privacy and security practices. | Training and Development |
| Nursing Orientation Agenda: University Hospital at Community Campus (CGH)
|
Nursing Orientation Agenda: University Hospital at Community General | Training and Development |
| 2013-2014 Professional Development Programs For PEF-Represented New York State Employees
|
2013-2014 Professional Development Programs For PEF-Represented New York State Employees | Training and Development |
| 2013 Clinical Hands On Provider (CHOP) Orientation Agenda
|
2013 Clinical Hands On Provider (CHOP) Orientation Agenda | Training and Development |
| 2013 New Employee Master Orientation Schedule
|
2013 New Employee Master Orientation Schedule | Training and Development |
| 2013 New Employee Orientation (NEO) Agenda
|
2013 New Employee Orientation Agenda | Training and Development |
| Tips for Effective E-Mail Communication
|
Tips for Effective E-Mail Communication | Training and Development |
| Nursing Services Orientation (NSO) - Class Description
|
describes course content of NSO for new nursing staff. | Training and Development |
| Patients First Philosophy
|
Patients First poster | Training and Development |
| People First Philosophy
|
People First flyer | Training and Development |
| Students First Philosophy
|
Students First Philosophy | Training and Development |
| Non-Employee Orientation Guide: Community Campus
|
Non-Employee Orientation Guide: Community General Campus | Training and Development |
| Population Specific Self Study: Clinical Staff
|
Clinical employees such as Nurses, Physical Therapists, and other care providers need to complete this self study. | Training and Development |
| Population Specific Clinical Exam
|
Population Specific Clinical Exam | Training and Development |
| Population Specific Clinical Answer Sheeti
|
Population Specific Clinical Answer Sheet | Training and Development |
| 2013 Travel Nurses Orientation Agenda - Days 2 & 3
|
Travel Nurses (TNs) for Both Campuses | Training and Development |
| Confidentiality Agreement
|
New staff and individuals participating in Job Shadowing or Intership programs at SUNY Upstate must fill out this form | Training and Development |
| Non-Employee ID Request Form
|
In order for a Non-Employee to have access to various SUNY Upstate Medical University information systems, this form must be completed and submitted to Payroll Services Department | Training and Development |
| HIPAA Privacy Rule Education Certificate
|
Form to record completion of HIPAA privacy education | Training and Development |
| Risk Release Form
|
Individuals participating in Job Shadowing or Intership programs at SUNY Upstate must fill out this form | Training and Development |
| SAW - Introduction, Part I
|
Part one of this mandatory, annual education for staff. | Training and Development |
| SAW - All Staff Section
|
All University Hospital staff should read this section of the Safety at Work education. | Training and Development |
| SAW - Licensed Patient Care Staff Section
|
Staff who provide direct patient care should also read this section of the Safety at Work education | Training and Development |
| SAW Post-Test
|
Post-test to supplement the yearly Safety at Work self-study | Training and Development |
| CITI IRB Course Instructions
|
The CITI IRB course is to be completed by all clinical staff within 12-months of hire date unless notified by the IRB Office as a name listed on the IRB Protocol. | Training and Development |
| Right to Know (RTK) Hazard Communications Training
|
Right to Know (RTK) Hazard Communications Training | Training and Development |
| Orientation - Job Titles of Employees Required to Attend Clinical and Non-Clinical Orientation
|
Orientation - Job Titles of Employees Required to Attend Clinical and Non-Clinical Orientation | Training and Development |
| Safety at Work Fairs - Flyer
|
Please post and make available to staff to complete mandatory SAW education. | Training and Development |
| Accreditation Tips Sheet - March 23, 2012
|
Accreditation Tips Sheet - March 23, 2012 | Training and Development |
| Non-Employee Orientation Booklet: Downtown Campus
|
Non-Employee Orientation Booklet: Downtown Campus | Training and Development |
| Nursing Services Orientation (NSO) Agenda
|
Nursing Services Orientation (NSO) is for Nursing and Nursing Support staff. | Training and Development |
| CPR Presentation - American Heart Association
|
This presentation should be viewed before attending CPR class. | Training and Development |
| SAW Post-Test Answer Sheeti
|
This answer sheet accompanies the SAW self study and post test - annual mandatory education for University Hospital staff. | Training and Development |
| President's Employee Recognition Awards: Example of Nomination #2
|
President's Employee Recognition Awards: Example of Nomination #2 | Training and Development |
| Non-Employee Orientation Booklet - Completion Certificate (Downtown Campus)
|
Non-Employee Orientation Booklet - Completion Certificate (Downtown Campus) | Training and Development |
| Resident Orientation Agenda
|
schedule of activities conducted at new resident orientation (OTD & GME office) | Training and Development |
| GOER Course Catalog
|
GOER Course Catalog | Training and Development |
| Traveling Nurse Orientation Agenda
|
Traveling Nurse Orientation Agenda - BOTH Campuses | Training and Development |
| Tuition Reimbursement for NYSCOPBA - Applicant Information
|
Tuition Reimbursement for NYSCOPBA - Applicant Information | Training and Development |
| President's Employee Recognition Awards: Example of Nomination #1
|
President's Employee Recognition Awards: Example of Recommendation #1 | Training and Development |
| RIGHT TO KNOW Education Completion Certificate
|
RIGHT TO KNOW Education Completion Certificate - Mandatory Education for all staff | Training and Development |
| SAW for Community Campus Staff - Table of Contents
|
SAW for Community Campus Staff - Table of Contents | Training and Development |
| SAW for Community Campus Staff - Introduction
|
SAW for Community Campus Staff - Introduction | Training and Development |
| SAW for Community Campus Staff - Part 3 - Patient Care Staff
|
SAW for Community Campus Staff - Part 3 - Patient Care Staff | Training and Development |
| Instructions: Departmental Internshipsi
|
For managers hosting a student intern - list of required forms and instructions. | Training and Development |
| Infection Prevention Presentation
|
Used for traveling clinical staff orientation | Training and Development |
| Infection Prevention Exam
|
Infection Prevention Exam | Training and Development |
| Public Service Workshops Program: Medical-Surgical Certification Test Preparation Workshop for SUNY Upstate Medical Center
|
Public Service Workshops Program: Medical-Surgical Certification Test Preparation Workshop for SUNY Upstate Medical Center | Training and Development |
| Compliance Education for Traveling Nurses
|
Compliance Education for Traveling Nurses | Training and Development |
| Upstate Leadership Academy 2013 Curriculum calendar - Emergent Leader Course
|
Upstate Leadership Academy 2013 Curriculum calendar - Emergent Leader Course | Training and Development |
| Revisions to 2012 New Employee Orientation (NEO)
|
Revisions to 2012 New Employee Orientation (NEO) | Training and Development |
| Instructions for Registering for GOER courses using the Statewide Learning Management System (SLMS)
|
Instructions for Registering for GOER courses using the Statewide Learning Management System (SLMS) | Training and Development |
| Medication Administration Exam
|
Medication Administration Exam | Training and Development |
| Instructions: Job Shadowing Paperworki
|
A guide to completing required job shadowing forms. | Training and Development |
| Safety Companion Education for Traveling Nurses - Completion Certificate
|
Companion Education for Traveling Nurses - Completion Certificate | Training and Development |
| SAW for Community Campus Staff - Part 2 - All Staff Section
|
SAW for Community Campus Staff - Part 2 - All Staff Section | Training and Development |
| UUP Tuition Waiveri | UUP Tuition Waiver | Training and Development |
| Medication Exam Answer Sheet
|
Medication Exam Answer Sheet | Training and Development |
| DNV Accreditation Tips Sheet - August 24, 2012
|
DNV Accreditation Tips Sheet - August 24, 2012 | Training and Development |
| DNV Accreditation Tips Sheet - August 31, 2012
|
DNV Accreditation Tips Sheet - August 31, 2012 | Training and Development |
| Nursing Modules (Basic) Agenda
|
training for new nursing staff | Training and Development |
| Safety Companion Training for Traveling Nurses
|
Safety Companion Training for Traveling Nurses | Training and Development |
| Research Foundation Employee Handbook (Orientation)
|
Research Foundation Employee Handbook (Orientation) | Training and Development |
| Non-Employee Orientation Booklet (Community Campus): Completion Certificate
|
Non-Employee Orientation Booklet (Community General): Completion Certificate | Training and Development |
| SAW Table of Contents
|
SAW Table of Contents | Training and Development |
| SAW for Community Campus Staff Post Test
|
SAW for Community Campus Staff Post Test | Training and Development |
| SAW for Community Campus Staff - Answer Sheeti
|
SAW for Community Campus Staff - Answer Sheet | Training and Development |
| Compliance for Traveling Nurses - Completion Certificate
|
Compliance for Traveling Nurses - Completion Certificate | Training and Development |
| Tuition Reimbursement for NYSCOPBA - Eligibility Information
|
Tuition Reimbursement for NYSCOPBA - Eligibility Information | Training and Development |
| Nursing Modules (Advanced) Agenda
|
training for new nursing staff. | Training and Development |
| Instructions for Completing Safety-at-Work (SAW) on Blackboard
|
Instructions for Completing Safety-at-Work on Blackboard | Training and Development |
| Management Confidential, Professional Services Salary Schedule
|
Management Confidential, Professional Services Salary Schedule | Salaries and Wages |
| Retirement:TIAA-CREF Investment Guide
|
Booklet describing TIAA-CREF retirement fund investment options. | Retirement |
| SUNY Optional Retirement Program: Enhance Benefits
|
Illustrates changes in employee and employer contribution rates to the SUNY Optional Retirement Program (ORP), specifically as related to tier 3,4, and 4A members | Retirement |
| SUNY Optional Retirement Program Form (UUP or M/C)i
|
Used by UUP and Management Confidential employees to specify their choice of state retirement program | Retirement |
| Retirement Program Election Form i
|
Used by UUP and Management Confidential employees to specify their choice of retirement program | Retirement |
| Retirement Program History Sheeti
|
Used by new employees to communicate prior participation in a retirement system. | Retirement |
| Survivor's Benefit Program
|
This form is used if part time and declining to enroll in NYS Employees' Retirement System | Retirement |
| TIAA-CREF Retirement Enrollment Formi
|
Used to collect information on UUP employees enrolling in TIAA-CREF retirement program | Retirement |
| Retirement: TIAA-CREF Discipline Investment Management | The purpose of this guide is to provide an overview of TIAA-CREF's investment options. | Retirement |
| NYS Retiree Health Insurance FAQs
|
The information provided will assist NYS employees who are planning on retiring in the near future to better understand their health insurance benefits as a retiree | Retirement |
| New York State Employees Retirement System (ERS)-Overview Information (For Tiers 1-5 only)
|
New York State Employees Retirement System (ERS)-Overview Information (For Tiers 1-5 only) | Retirement |
| Research Foundation-Retirement Plan Overview
|
Research Foundation-Retirement Plan Overview | Retirement |
| New York State and Local Employees Retirement System (ERS) Update
|
New York State and Local Employees Retirement System (ERS) Update | Retirement |
| ERS-ORP Retirement Comparison Chart
|
ERS-ORP Retirement Comparison Chart | Retirement |
| RF FAQs for New Fund Lineup for Basis & Optional Retirement Plans
|
RF FAQs for New Fund Lineup for Basis & Optional Retirement Plans | Retirement |
| NYSDCP Roth Contributions
|
Effective July 8, 2011, the NYSDCP (Plan) will allow after-tax Roth contributions with the opportunity of withdrawals being tax-free. | Retirement |
| Archived NYSHIP Retirement Tips
|
Archived NYSHIP Retirement Tips | Retirement |
| Research Foundation Retiree Health Insurance - What's New
|
Research Foundation Retiree Health Insurance - What's New | Retirement |
| SUNY Retirement Programs for New Faculty and Staff (Unclassified Service)
|
SUNY Retirement Programs for New Faculty and Staff (Unclassified Service) | Retirement |
| Archived ERS Retirement Tips
|
Archived ERS Retirement Tips | Retirement |
| Retirement Planning (State Employees) - December 2011
|
Retirement Planning (State Employees) - December 2011 | Retirement |
| Comparison of Retirement Plan Options - ERS Tier VI and SUNY ORP
|
Comparison of Retirement Plan Options - ERS Tier VI and SUNY ORP | Retirement |
| Research Foundation Optional Retirement Plan Information
|
As an RF employee, you are eligible to participate in the RF's Optional Retirement plan (403b). This supplemental program provides a way for you to save extra money for retirement through payroll deduction; there is no employer contribution. | Retirement |
| Pre-retirement Information
|
Pre-retirement Information | Retirement |
| Licensed Practical Nurse (LPN) - Evaluation
|
Licensed Practical Nurse - Evaluation | Performance Management |
| State Tax Form/IT-2104i |
State tax withholding form | Payroll |
| State Tax Form/IT-2104-Ei |
Used to claim exemption from New York State tax | Payroll |
| Oath of Office Formi |
Certifies that a State employee has read and understands the NYS Public Officer’s Law | Payroll |
| State Direct Deposit Formi |
Used to request that bi-weekly paychecks be deposited into the account or accounts of choice | Payroll |
| Veteran Status Formi |
Used by employees to declare veteran status | Payroll |
| Federal Tax Form/W-4i |
Federal tax withholding form | Payroll |
| Holiday Calendar |
Upstate Holiday Calendar | Payroll |
| Check Diversion Request Formi |
Used by employees to change or specify options for the distribution of their paycheck. | Payroll |
| Oath of Office Form - Native Americani |
Certifies that a State employee has read and understands the NYS Public Officer’s Law (Alternative form for use by Native Americans) | Payroll |
| Trauma Kids Program Agenda
|
Trauma Kids Program Agenda | Miscellaneous |
| Seminar - Charting Your Course: A Financial Guide for Women
|
Seminar - Charting Your Course: A Financial Guide for Women | Miscellaneous |
| PACWI Survey (Women's Issues)
|
PACWI Survey (Women's Issues) | Miscellaneous |
| 2011 Upstate Stars Yearbook
|
2011 Upstate Stars Yearbook | Miscellaneous |
| Guide to Using the Human Resources Website
|
Helps familiarize you with how to find what you need on the HR website. | Miscellaneous |
| Certificate of Health Statement instructions
|
This document accompanies the Certificate of Health Statement for visitors to Upstate for 30 days or more. | Miscellaneous |
| President's Summer Internship / Mentoring Program
|
The President's Summer Internship / Mentoring Program is a strategic initiative sponsored by the Presidents Office and the Office of Diversity and Affirmative Action in collaboration with the urban community. | Miscellaneous |
| Federal Trafficking Penalties
|
Narcotics Penalties and Enforcement Act of 1965 | Miscellaneous |
| Drugs of Abuse
|
Illegal drug information | Miscellaneous |
| Photo Consent Form
|
used by visitors to authorize use of images | Miscellaneous |
| Trauma Kids Program - Short Term Health Statement
|
Trauma Kids Program - Short Term Health Statement | Miscellaneous |
| Trauma Kids Program Registration Form
|
Trauma Kids Program Registration Form | Miscellaneous |
| Upstate Mission, Vision, and Values
|
Upstate Mission, Vision, and Values | Miscellaneous |
| Smoke Free Upstate and Surrounding Area
|
Q & A about this ordinance, effective November 1, 2009. | Miscellaneous |
| NYS Notice of Compliance, Workers Compensation
|
Notification about employer compliance with the law and procedures for employees to follow if they become ill or are injured through employment. | Miscellaneous |
| Upstate "Wall of Fame"
|
Upstate "Wall of Fame" | Miscellaneous |
| Caring Bridge Presentation
|
Caring Bridge Presentation | Miscellaneous |
| Olympic Experience
|
Olympic Experience | Miscellaneous |
| Family Leave - NYS Balance Resources
|
Family Leave - NYS Balance Resources | Leave of Absence/Disability Leave (including FMLA Leave) |
| Certification for Serious Injury or U.S. Department of Labor Illness of a Current Wage and Hour Division Servicemember -for Military Family Leave FMLAi | State/Research Foundation Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| Certification for Serious Injury U.S. Department of Labor or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave (FMLA)i | Certification for Serious Injury U.S. Department of Labor or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave (FMLA) | Leave of Absence/Disability Leave (including FMLA Leave) |
| Certification of Health Care Provider for U.S. Department of Labor Employee’s Serious Health Condition (Family and Medical Leave Act):i | State/Research Foundation Employee Certification of Health Care Provider for Employee's Serious Health Condition - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| Certification of Qualifying Exigency U.S. Department of Labor For Military Family Leave Wage and Hour Division (Family and Medical Leave Act)i | State/Research FMLA State Certification of Qualifying Exigency For Military Family Leave - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| FMLA Medical Leave Fact Sheet | FMLA Medical Leave Fact Sheet | Leave of Absence/Disability Leave (including FMLA Leave) |
| Certification of Health Care Provider for U.S. Department of Labor Family Member’s Serious Health Condition (Family and Medical Leave Act)i | State/Research employees can use this form to request a leave due to serious illness of a family member - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| Internal Transfer Request (Online Tutorial)
|
*For current Upstate staff ONLY. How to submit an internal transfer request online via the hiring system. | Hiring and Recruitment |
| SUNY Upstate Medical University On-Line Employment System Frequently Asked Questions
|
FAQ for online applicants | Hiring and Recruitment |
| Certificate of Health Statementi
|
Certificate of Health Statement | Hiring and Recruitment |
| IT Career Expo
|
IT Career Expo | Hiring and Recruitment |
| Short Term Health Statementi
|
Short Term Health Statement For Non-Employee Medical Clearance | Hiring and Recruitment |
| Detailed Health Statementi
|
Detailed Health Statement For Non-Employee Medical Clearance | Hiring and Recruitment |
| Nursing Job Fair
|
Nursing Job Fair | Hiring and Recruitment |
| Candidate Selection Justification - Office of Diversity and Affirmative Action
|
Candidate Selection Justification - Office of Diversity and Affirmative Action | Hiring and Recruitment |
| Professional Reference Check Form
|
Professional Reference Check Form | Hiring and Recruitment |
| Hring System Document Types
|
Intended for hiring managers using the Online Hiring System | Hiring and Recruitment |
| Hiring System Tutorial - Changing Applicant Status
|
For hiring managers using the online hiring system | Hiring and Recruitment |
| Upstate Pledge
|
The Upstate Pledge is our organization's code of conduct and mutual respect. | Hiring and Recruitment |
| Map of Jacobsen Hall, parking, and Medical Staffing Office
|
Map for new hires. | Hiring and Recruitment |
| Campus Map - Jacobsen Hall and parking
|
Campus map for new hires | Hiring and Recruitment |
| Applicant Information - SUNY Upstate Medical University
|
General information on applying for a job at SUNY Upstate. | Hiring and Recruitment |
| New Employee Orientation - Checklist of Items Needed for Your First Day
|
Checklist of items that new staff will need to bring on Day 1 of New Employee Orientation. | Hiring and Recruitment |
| New Employee Orientation - Directions to Parking Garage, map of Upstate |
Map for new employees on where to park on their first day of orientation. | Hiring and Recruitment |
| UUP Benefit Trust Fund Enrollment Cardi
|
For UUP employees to enroll in UUP Benefit Trust Fund that provides coverage for dental, vision and tuition scholarship | Hiring and Recruitment |
| Security Information Form i
|
Used to collect security data for new employees at Upstate. | Hiring and Recruitment |
| Employment Eligibility Verification Form (I-9)i | Used to verify an employees eligibility to work in the United States | Hiring and Recruitment |
| Employee Information Sheeti |
Used to collect personnel data of new employees at Upstate. | Hiring and Recruitment |
| Allergy Screening Formi |
Used to record allergy history of new staff and students at Upstate. | Hiring and Recruitment |
| Medical History - Student/Employee Healthi |
Used to record medical history of new staff and students at Upstate. | Hiring and Recruitment |
| 2013 RF Summary of Benefits Coverage Empire BlueCross and Blue Shield - Research Foundation of SUNY
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage: HMOBlue
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| Research Foundation Benefits Outline
|
Research Foundation Benefits Outline | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage Empire Plan for Groups in Non-Grandfathered Plans
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2013 Research Foundation Bi-Weekly Health Insurance Rates
|
Lists the bi-weekly employee cost for the various health insurance plans while in a paid or leave without paid status | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage HMO Blue - UUP and PBA
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2013 RF Summary of Benefits Coverage - Excellus
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage Empire Plan: MVP
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage for Student Employees
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| NYS 2013 Flexible Spending Account Online Enrollment Guide
|
NYS 2013 Flexible Spending Account Online Enrollment Guide | Health Insurance, Dental and Vision |
| 2013 NYS Health Insurance Rates
|
NYS Health Insurance Rates - NYS Health Insurance Rates | Health Insurance, Dental and Vision |
| Research Foundation Delta Dental Fact Sheet
|
Research Foundation Delta Dental Fact Sheet | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage: Empire Plan Grandfathered Plans - UUP and PBA
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| Research Foundation Benefits Bulletin
|
Research Foundation October 2012 Edition of the Benefits Bulletin | Health Insurance, Dental and Vision |
| 2013 NYS Summary of Benefits Coverage: MVP - UUP and PBA
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| 2013 On the Road with the Empire Plan
|
NYSHIP Empire Plan Medical Insurance information for services provided when traveling or outside of regular residency | Health Insurance, Dental and Vision |
| Dental Claim form-GHI-PEF and M/C employees
|
Used by PEF-represented and M/C employees to be reimbursed for out-of-network dentists for GHI Dental | Health Insurance, Dental and Vision |
| Medco Mail Order Form (NYS Empire Plan) | Order form for mail service prescriptions | Health Insurance, Dental and Vision |
| 2013 Opt-Out Information including FAQs
|
This information will provide guidelines regarding the 2013 Opt Out Health Insurance Process | Health Insurance, Dental and Vision |
| NYS Productivity Enhancement Program Information (PEP) PEF, CSEA represented, classified M/C and unclassified M/C Employees
|
NYS Productivity Enhancement Program Information (PEP) PEF, CSEA represented, classified M/C and unclassified M/C Employees | Health Insurance, Dental and Vision |
| Health Insurance Frequently Asked Questions (FAQs)
|
General health insurance information for employees. | Health Insurance, Dental and Vision |
| NYSHIP Waiting Periods
|
Health, Dental and Vision coverage waiting periods for newly eligible employees | Health Insurance, Dental and Vision |
| Vision FAQ-Davis Vision
|
FAQ New York State Vision Plan | Health Insurance, Dental and Vision |
| Choices 2013 for CSEA and PEF represented and M/C affiliated employees (settled groups)
|
Choices 2013 for CSEA and PEF represented and M/C affiliated employees (settled groups) | Health Insurance, Dental and Vision |
| Dental Claim Form - Delta - UUP
|
Effective 04/01/2008 UUP employees can use this form to make a dental claim. | Health Insurance, Dental and Vision |
| Research Foundation MVP Enrollment Formi
|
Used by Research Foundation employees to enroll in or make changes to their MVP health plan | Health Insurance, Dental and Vision |
| Research Foundation HMO Enrollment Form
|
Used by Research Foundation employees to enroll in or make changes to their HMO. | Health Insurance, Dental and Vision |
| Research Foundation Benefits Enrollment Form
|
Used by Research Foundation employees to enroll in or make changes to benefits | Health Insurance, Dental and Vision |
| Health Insurance - Proof of Eligibility
|
Explains proof of eligibility a New York State employee must provide in order to in enroll NYSHIP. | Health Insurance, Dental and Vision |
| Health Insurance Pre-Tax Contribution Programi
|
Information on pre-tax health insurance premium contributions | Health Insurance, Dental and Vision |
| Health Insurance Ineligibility Formi
|
Employees who are ineligible for New York State health insurance are required to sign this form. | Health Insurance, Dental and Vision |
| UUP Laser Vision Correction Direct Reimbursement Claim Form | UUP employees can use this form to request reimbursement for Laser Vision Correction services received. | Health Insurance, Dental and Vision |
| Benefits FAQ - Research Foundation
|
Benefits FAQ - Research Foundation | Health Insurance, Dental and Vision |
| Benefits FAQ - State Employees
|
Benefits FAQ - State Employees | Health Insurance, Dental and Vision |
| 2013 RF Summary of Benefits Coverage - MVP
|
Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) | Health Insurance, Dental and Vision |
| Non-Discrimination Policy |
Upstate’s policy of non-discrimination based on age, race, creed, religion, color, national origin, sexual orientation, military status, sex, disability, or marital status of any person. | Employee/Labor Issues |
| Benefits Summary - PEF
|
Summary of benefits for new employees represented by PEF. | Benefits (General) |
| Frontline (EAP Newsletter)
|
Frontline (EAP Newsletter) | Benefits (General) |
| Benefits At A Glance for NYS Police Benevolent Association of NYS
|
Benefits at a Glance Police and Security Employees | Benefits (General) |
| Benefits Summary Booklet - Management Confidential (M/C
|
Benefits Summary Booklet - Management Confidential (M/C | Benefits (General) |
| Benefits Pamphlet - CSEA
|
Benefits Pamphlet - CSEA | Benefits (General) |
| Benefits Pamphlet - PEF
|
Benefits Pamphlet - PEF | Benefits (General) |
| Benefits Summary - Research Foundation
|
Summary of benefits for new Research Foundation employees. | Benefits (General) |
| Benefits Pamphlet - UUP
|
Benefits Pamphlet - UUP | Benefits (General) |
| Tuition Assistance Form - Part II
|
Supplement to B140R and B140W tuition assistance form | Benefits (General) |
| Benefit Fund Enrollment Form, CSEA Employeesi
|
CSEA employees use this form to enroll in benefits | Benefits (General) |
| Retirement: New York State Public Employee and Retireee Long Term Insurance Care Plan formi
|
Information on the NYSPERL program | Benefits (General) |
| Research Foundation Short Term Disability Form
|
Used by Research Foundation employees to enroll in First Reliance Standard Voluntary Short Term Disability Income Protection | Benefits (General) |
| Research Foundation Life Insurance Enrollment Form
|
Used by Research Foundation employees to enroll in Prudential optional Term Life Insurance | Benefits (General) |
| Tuition Assistance Form (B-140R)
|
Apply for employee tuition assistance for classes taken at institutions other than SUNY | Benefits (General) |
| Tuition Waiver Form (B-140W)i
|
Apply for employee tuition assistance for classes taken at any SUNY campus | Benefits (General) |
| UUP Group Life Insurance Beneficiary Card Application
|
Used by UUP employees to apply for UUP Group Life Insurance | Benefits (General) |
| State Long Term Disability Form
|
Used by UUP and Management Confidential employees to establish elegibility for SUNY’s Group Long Term Disability Insurance Program | Benefits (General) |
| Quick Reference Guide for Graduate Students
|
Quick Reference Guide for Graduate Students | Benefits (General) |
| Benefits Summary, CSEA Employees
|
Summary of benefits for new CSEA represented staff. | Benefits (General) |
| Benefits Summary - UUP
|
Benefits summary for new employees represented by UUP. | Benefits (General) |
| State Benefits Frequently Asked Questions
|
Information on Benefits for new Upstate staff. | Benefits (General) |
| Research Foundation Benefits Frequently Asked Questions
|
Information on Benefits for new Upstate staff. | Benefits (General) |
| Child Care Center Enrollment Application
|
For enrolling your child into Upstate Child Care Center | Benefits (General) |
| NYS Balance Presentation: Maintaining Respect and Civility in the Workplace
|
NYS Balance Presentation: Maintaining Respect and Civility in the Workplace | Benefits (General) |
| Research Foundation Benefits Reference Guide
|
Provides a brief summary of benefits offered to regular, benefits-eligible employees | Benefits (General) |
| CSEA Benefits - Important Contact Numbers
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List of Benefits contacts for CSEA represented staff. | Benefits (General) |
| PEF Benefits - Important Contact Numbers
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PEF Benefits - Important Contact Numbers | Benefits (General) |
| Research Foundation Benefits - Important Contact Numbers
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Research Foundation Benefits - Important Contact Numbers | Benefits (General) |
| NYS Worksite Child Care Centers
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A network of child care centers supported by NYS and the public employee unions. | Benefits (General) |
| PEF Benefits At a Glance
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Benefits summary for PEF employees | Benefits (General) |
| UUP Benefits At a Glance
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Benefits summary for UUP employees | Benefits (General) |
| Research Foundation Benefits Information | Information on benefits for RF employees | Benefits (General) |
| Research Foundation Benefits - At a Glance
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Summary of RF benefits | Benefits (General) |
| CSEA Benefits At a Glance
|
Summary of benefits for CSEA employees. | Benefits (General) |
| Management Confidential (M/C) Benefits At a Glance
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Summary of benefits for M/C employees | Benefits (General) |
| NYS Balance - Work Life Balance Program
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NYS Balance is designed to help NYS employees and their families save time, and help you better balance work and life. This program offers fast, confidential services 24 hours a day, seven days a week, and provides information on a wide variety of issues & subject matters. | Benefits (General) |
| PEF Part-Time Employees: Benefits At a Glance
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PEF Part-Time Employees: Benefits At a Glance | Benefits (General) |
| Benefits Pamphlet - Management Confidential (M/C)
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Benefits Pamphlet - Management Confidential (M/C) | Benefits (General) |
| RF Flex Spending Quick Start Guide
|
RF Flex Spending Quick Start Guide | Benefits (General) |
| Research Foundation Benefits Outline | Research Foundation Benefits Handbook | Benefits (General) |
| Family Benefits Program - NYS Balance
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Family Benefits Program - NYS Balance | Benefits (General) |
| Research Foundation Benefits: Medco Prescription Drug Benefit
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Research Foundation Benefits: Medco Prescription Drug Benefit | Benefits (General) |
| Research Foundation (RF) Benefits Handbook
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Research Foundation (RF) Benefits Handbook | Benefits (General) |
| SUNY "Perks" Employee Discount Program Flyer
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Informational flyer on this state employee discount program | Benefits (General) |
