Online Benefits Orientation for Graduate Assistants

 

 Saturday, February 11, 2012
Orientation Links
Orientation Home
Benefits at a Glance
Checklist
Health Care:
Health Insurance
Prescription Drugs
Dental and Vision Care

Retirement & Savings Plans:
Retirement Plan
Tax Deferred Annuities
College Savings Program

Other Benefits:

Flex Spending Accounts
Sick Leave

Insurances:
Long-Term Care Insurance

Miscellaneous:
Payroll Forms and Emergency Contact Information
Campus Information and Policies
HR Home
Email Benefits

Checklist


When you have finished the online orientation and made your benefit elections, please complete this checklist to acknowledge you have reviewed the benefits information and completed necessary forms.  Print, sign, and bring this checklist along with all other forms to the Employee Benefits Office, Cleveland Hall 410, within 45 business days of your appointment.  Contact the Employee Benefits Office if you have any questions at 878-4821.

Name: 

Local Title:  Graduate Assistant

Telephone: 

Campus Appointment Date:  
Health Insurance:
  I do not wish to enroll in health insurance.
I wish to enroll in the Student Employee Health Plan (SEHP)

Health Insurance Enrollment Form (PS-404G) (required if enrolling)
 
Coverage Type:
individual
family

If electing family coverage, attach a copy of the following documentation:
marriage certificate
birth certificate(s) for all dependents
Social Security card(s) for all dependents
Retirement Plans:
I wish to join the NYS Employee's Retirement System (ERS).
    ERS Plan Application
I am presently a member of NYS Teacher's (TRS) or the NYS Employee's Retirement System (ERS).
Membership Date:Select a date     Number:    Tier:
  (enter format:  mm/dd/yyyy)
 
I do not wish to join a retirement plan at this time.
Tax Deferred Annuities and College Savings Program:
I have reviewed the information
Flex Spending Accounts (Dependent Care Advantage and Health Care Spending accounts):
I have reviewed the information
Sick Leave:
I have reviewed the information
Insurances:

Long-Term Care Insurance (optional)
Payroll Forms and Emergency Contact Information:

NYS IT-2104 (state)
W-4 (federal)
Payroll Calendar
Direct Deposit (optional)
Emergency Contact Information Form
Credit Union (optional)
U.S. Savings Bonds (optional)
Campus Information and Policies: 

Campus Map and Directions
Workplace Violence Prevention Training
Safety Awareness
Employee Assistance Program
Child Care Center
Policy on Alcohol and Drug Use in the Workplace
General Policy Against Discrimination and Harassment
 
  

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Telephone: (716) 878-4822, FAX: (716) 878-3068
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