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Document(s) in the category of Health Insurance, Dental and Vision. Number of document(s) found: 66
Note: i=interactive
Titleasc descDescriptionCategoryasc desc
2019 Opt-out Attestation Form (PS-409) 2019 Opt-out Attestation Form (PS-409) Health Insurance, Dental and Vision
2021 NYSHIP Retiree General Information Book 2021 NYSHIP General Information Book for NY Retirees (Empire Plan and NYSHIP HMO) Health Insurance, Dental and Vision
2021 On the Road with the Empire Plan 2021 On the Road with the Empire Plan Health Insurance, Dental and Vision
2022 Medicare Part B Monthly Premiums 2022 Medicare Part B Monthly Premiums Health Insurance, Dental and Vision
2022 Medicare Part D Costs for Those with Higher Income You pay your Part D IRMAA directly to Medicare, not to your plan or employer. You're required to pay the Part D IRMAA, even if your employer or a third party (like a teacher's union or a retirement system) pays for your Part D plan premiums. Health Insurance, Dental and Vision
2022 RF COBRA Insurance Rates 2022 RF COBRA Insurance Rates Health Insurance, Dental and Vision
2022 RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO Health Insurance, Dental and Vision
2022 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
2022 RF Summary of Benefits Coverage Empire BlueCross and Blue Shield Traditional PPO - Research Foundation of SUNY Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) Health Insurance, Dental and Vision
2022 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
2023 NYS COBRA Health Insurance Rates 2023 NYS COBRA Health Insurance Rates Health Insurance, Dental and Vision
2023 NYS Health Insurance Rates NYS Health Insurance Rates - NYS Health Insurance Rates Health Insurance, Dental and Vision
2023 Research Foundation Benefits Bulletin--Open Enrollment Information Research Foundation October 2023 Edition of the Benefits Bulletin including Open Enrollment Information Health Insurance, Dental and Vision
2023 Upstate (NYS) active and LWOP health insurance rates 2023 NYS Health insurance active and leave without pay biweekly rates Health Insurance, Dental and Vision
2024 CSEA Empire Plan At-A-Glance 2024 CSEA Empire Plan At-A-Glance Health Insurance, Dental and Vision
2024 M/C Empire Plan At-A-Glance 2024 M/C Empire Plan At-A-Glance Health Insurance, Dental and Vision
2024 NYSCOPBA Empire Plan At-A-Glance 2024 NYSCOPBA Empire Plan At-A-Glance Health Insurance, Dental and Vision
2024 NYSHIP Health Insurance Choices Booklet This booklet explains the options available to you under the New York State Health Insurance Program (NYSHIP) for your health insurance and other elections. You may choose coverage under either The Empire Plan or one of the NYSHIP-approved Health Maintenance Organizations (HMOs) in your area. Health Insurance, Dental and Vision
2024 PBANYS Empire Plan At-A-Glance 2024 PBANYS Empire Plan At-A-Glance Health Insurance, Dental and Vision
2024 PEF Empire Plan At-A-Glance 2024 PEF Empire Plan At-A-Glance Health Insurance, Dental and Vision
2024 PEF Productivity Enhancement Program Enrollment (PEP) Form 2024 PEF Productivity Enhancement Program Enrollment (PEP) Form Health Insurance, Dental and Vision
2024 Planning for Option Transfer 2024 Planning For Option Transfer for NYS Employees Health Insurance, Dental and Vision
2024 Productivity Enhancement Program (PEP) Enrollment Form - UUP 2024 Productivity Enhancement Program Enrollment(PEP) Form - UUP Health Insurance, Dental and Vision
2024 UUP Empire Plan At-A-Glance 2024 UUP Empire Plan At-A-Glance Health Insurance, Dental and Vision
CSEA Employee Benefit Fund Summary This document contains important information concerning CSEA EBF Dental, Vision and Rx Co-pay plans. Health Insurance, Dental and Vision
CVS Caremark Mail Order Form (Empire Plan) CVS Caremark Mail Order Form (Empire Plan) Health Insurance, Dental and Vision
Davis Vision (Management Confidential - M/C) Davis Vision (Management Confidential - M/C) Health Insurance, Dental and Vision
Davis Vision (PEF) Davis Vision (PEF) Health Insurance, Dental and Vision
Davis Vision - Laser Vision Correction Form (UUP) Davis Vision - Laser Vision Correction (UUP) Health Insurance, Dental and Vision
Dental Claim Form - Delta - UUP UUP employees can use this form to make a dental claim. 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
Dental Enrollment/Change form-For DeltaCare USA ONLY-UUP Enrollment form for dental HMO-type program Health Insurance, Dental and Vision
Empire Plan Rx Drug Program (Medicare Primary ONLY) Empire Plan information about Medicare prescription drug coverage only, Certificate of creditable coverage Health Insurance, Dental and Vision
Health Insurance FAQ - Research Foundation Benefits FAQ - Research Foundation Health Insurance, Dental and Vision
Health Insurance FAQ - State Employees Benefits FAQ - State Employees 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
Health Insurance Transaction Form PS404 Used by State employees to enroll in or change status with a health insurance plan Health Insurance, Dental and Vision
Life Changes and Your Benefits-Research Foundation The following HR document is a quick overview that explains some of the steps Research Foundation employees must follow subsequent to life changing events, such as marriage, the birth of a new baby, adoption or retirement. Health Insurance, Dental and Vision
Life Changes and Your Benefits-State The following HR document is a quick overview that explains some of the steps NYS employees must follow subsequent to life changing events, such as marriage, the birth of a new baby, adoption or retirement. Health Insurance, Dental and Vision
Medicare and NYSHIP Medicare and NYSHIP Health Insurance, Dental and Vision
NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program Health Insurance, Dental and Vision
NYS Employee Waiting Periods Health, Dental and Vision coverage waiting periods for newly eligible employees Health Insurance, Dental and Vision
NYS Health Insurance Proofs The proofs required for enrollment in the NYS Health Insurance Program (NYSHIP) Health Insurance, Dental and Vision
NYS Planning for Retirement -- April 2021 Important Information for Employees of New York State Health Insurance Coverage and Related Benefits in Retirement. Health Insurance, Dental and Vision
NYSHIP Summary of Benefits and Coverage (SBC) Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) Health Insurance, Dental and Vision
NYSHIP 2021 General Information Booklet Provides information about eligibility, enrollment and other NYSHIP rules and provisions Health Insurance, Dental and Vision
NYSHIP 2023 Rates for Retirees NYSHIP 2023 Rates for Retirees Health Insurance, Dental and Vision
NYSHIP 2024 Rates & Deadlines NYSHIP 2024 Rates for Active Employees Health Insurance, Dental and Vision
Name and Address Change Form Should be completed and sent to HR Benefits to update health insurance records whenever an employee moves. Health Insurance, Dental and Vision
New York Health Insurance Marketplace Coverage Options and Your Health Insurance This is a required notice that provides information to all NYS employees about the availability of the health plan marketplace. Health Insurance, Dental and Vision
PayFlex Expense Guide (Research Foundation) PayFlex Expense Guide (Research Foundation) Health Insurance, Dental and Vision
Productivity Enhancement Program (PEP) CSEA Enrollment Form 2024 Productivity Enhancement Program (PEP) Form - CSEA Health Insurance, Dental and Vision
Productivity Enhancement Program (PEP) Summary - CSEA 2021 Productivity Enhancement Program (PEP) Summary - CSEA Health Insurance, Dental and Vision
RF 2014 New Health Insurance Marketplace Coverage Options and Your Health Insurance This is a required notice that provides information to all RF employees about the availability of the health plan marketplace. Health Insurance, Dental and Vision
RF Empire PPO Exercise Rewards - Gym Reimbursement Form Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually Health Insurance, Dental and Vision
RF Empire PPO Exercise Rewards-Gym Reimbursement RF Empire PPO Exercise Rewards-Gym Reimbursement Health Insurance, Dental and Vision
RF Empire PPO Exercise Rewards-Gym Reimbursement - Exercise Log Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually Health Insurance, Dental and Vision
RF Young Adult Health Insurance Option Information and Form Unmarried children of SUNY Research Foundation (RF) Health Insurance enrollees who are under the age of 30 and not eligible for health insurance through their own employer will be eligible to enroll in the same coverage as their parents beginning January 1, 2010. 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
Research Foundation Benefits Outline Research Foundation Benefits Outline Health Insurance, Dental and Vision
Research Foundation Benefits Welcome Notice Research Foundation Benefits Welcome Notice Health Insurance, Dental and Vision
Research Foundation Payflex Enrollment Form Research Foundation Payflex Enrollment Form Health Insurance, Dental and Vision
Research Foundation Vision Plan Comparisoni Research Foundation Vision Plan Comparison Health Insurance, Dental and Vision
UUP Benefit Trust Fund (BTF) Dental and Vison Dependant Information UUP Benefit Trust Fund (BTF) Dental and Vison Dependant Information Health Insurance, Dental and Vision
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 Health Insurance, Dental and Vision
Vision FAQ-Davis Vision FAQ New York State Vision Plan Health Insurance, Dental and Vision
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