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STA Salary Letter 2018-19 Information Sheet

CSEA Salary Letter 2018-19 Information Sheet

Human Resources forms and links

403(b) forms & links
CSEA Vision Care Forms
Employee forms (teacher timesheet, mileage, expense, direct deposit, leave req.)
Health Insurance Forms and Links
Federal/State Tax forms
Life Insurance Form
PGP Flex Spending Plan forms & link
Policies & Information (Medicaid, HIPAA, Workers Comp.)

403(b) forms & links

Smart Choice 403(b) www.cpcfs.com
Smart Choice Enrollment Booklet
OMNI www.omni403b.com
403 (b) Retirement Plan Document
403 (b) Salary Reduction Agreement
Universal 403 (b) notice
OMNI 403(b) Why me?
403 (b) Contribution Percentage Change Form
OMNI - 2018 Universal Availability Notice

Tax Forms

IT-2104 - NY State Tax - Employee’s Withholding Allowance Certificate
W-4 - Federal Tax - Employee’s Withholding Allowance Certificate
I-9 - Employment Eligibility Verification

Employee forms

WinCapWEB Employee Self Service
WinCapWEB Leave Request Instructions
Home Teacher Time Sheet
Teacher Timesheet
CSEA Hourly Time Sheet
Mileage Reimbursement Form
Employee Expense Claim Form
Direct Deposit (Adobe pdf fill-in form)
Notice of Employee Leave
Conference Request Form
STA Course Approval Form
Sick Bank Enrollment Form


PGP Flexible Spending Plan forms & link

PGP website www.thepreferredgroup.com
PGP Flexible Spending Plan Description
PGP Eligible and Ineligible Expenses
PGP Blank Flex Plan Enrollment Form
PGP Letter of Medical Necessity Form
"Benny" Card Request Form for Saranac CSD Employees
PGP Reimbursement Voucher
PGP Flex Direct Deposit Form

Health Insurance Forms & Links

Excellus BC/BS website www.excellusbcbs.com
Excellus Application Form
Excellus Claim Form
Platinum Plan 1 Benefit Descriptions
Platinum Plan 2 Benefit Descriptions
Excellus Bronze Plan Benefit Descriptions
CHIP Notice
Dept. of Labor ACA Compliance Notices
Drug Evaluation Request Form
Excellus Plan 1 Insurance Cert
Excellus Plan 2 Insurance Cert

CEWW Plan 1 Classic Traditional Comparison to Classic Blue

CEWW Plan 2 Classic Traditional Comparison to Classic Blue



Life Insurance Form

Life Enrollment Form-Saranac CSD


Medicaid Compliance Policy
Medicaid Compliance Program
Appendix A - Confidential Disclosure Policy
Appendix B - NYS Medicaid Compliance Policy
New Employee Informational Packet
Worker's Compensation Information
HIPAA Notice

CSEA and NYSUT Vision Care Forms

CSEA Vision Employee Benefits Enrollment Form
CSEA Vision Care Benefits Description

Retirement System links

NYS Teachers’ Retirement System www.nystrs.org
NYS Employees’ Retirement System www.osc.state.ny.us/retire