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STA Salary Letter 2017-18 Information Sheet

CSEA Salary Letter 2017-18 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


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

Home Teacher Timesheet
Teacher Timesheet
CSEA Hourly Time Sheet
Mileage Reimbursement Form
Employee Expense Claim Form
Direct Deposit (Adobe pdf fill-in form)
Leave Request (Adobe pdf fill-in form)
Notice of Employee Leave
Conference Request Form

STA Course Approval Form


PGP Flexible Spending Plan forms & link

PGP website www.thepreferredgroup.com
PGP Flexible Spending Plan Description
PGP Eligible and Ineligible Expenses
PGP OTC Form
PGP Letter of Medical Necessity Form
PGP "Benny" Prepaid Benefits Card Brochure
"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
PrimeMail
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 Bronze Plan Insurance Cert
Excellus Plan 1 Insurance Cert
Excellus Plan 2 Insurance Cert


Life Insurance Form

Life Enrollment Form-Saranac CSD


Policies

Medicaid Compliance Policy
Medicaid Compliance Program
Appendix A - Confidential Disclosure Policy
Appendix B - NYS Medicaid Compliance Policy
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