Upstate Leadership Academy
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Document(s) in the category of Health Insurance, Dental and Vision. Number of document(s) found: 45
Note: i=interactive
Titleasc descDescriptionCategoryasc desc
Vision FAQ-Davis Vision PDF document FAQ New York State Vision Plan Health Insurance, Dental and Vision
Research Foundation Delta Dental Fact Sheet PDF document Research Foundation Delta Dental Fact Sheet Health Insurance, Dental and Vision
Research Foundation Benefits Outline PDF document Research Foundation Benefits Outline Health Insurance, Dental and Vision
Research Foundation Benefits Enrollment Form PDF document Used by Research Foundation employees to enroll in or make changes to benefits Health Insurance, Dental and Vision
RF Empire PPO Exercise Rewards-Gym Reimbursement - Exercise Log PDF document Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually Health Insurance, Dental and Vision
RF Empire PPO Exercise Rewards-Gym Reimbursement PDF document RF Empire PPO Exercise Rewards-Gym Reimbursement Health Insurance, Dental and Vision
RF Empire PPO Exercise Rewards - Gym Reimbursement Form PDF document Gym Membership. Up to $300 annual reimbursement; 50 visits required semi-annually Health Insurance, Dental and Vision
RF 2014 New Health Insurance Marketplace Coverage Options and Your Health Insurance PDF document 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
Overview of Benefits For New York State Employees PDF document Employee Benefits For State Employees Health Insurance, Dental and Vision
New York Health Insurance Marketplace Coverage Options and Your Health Insurance PDF document 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
NYSHIP Waiting Periods PDF document Health, Dental and Vision coverage waiting periods for newly eligible employees Health Insurance, Dental and Vision
NYSHIP Health, Dental, and Vision Waiting Periods PDF document New Staff Overview to the NYSHIP Health, Dental, and Vision Waiting Periods Health Insurance, Dental and Vision
NYSHIP 2016 Rates for Retirees PDF document NYSHIP 2016 Rates for Retirees Health Insurance, Dental and Vision
NYSHIP 2014 General Information Booklet PDF document Provides information about eligibility, enrollment and other NYSHIP rules and provisions 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
Medicare and NYSHIP PDF document Medicare and NYSHIP Health Insurance, Dental and Vision
Health Insurance Transaction Form - PS404 PDF document Used by State employees to enroll in or change status with a health insurance plan Health Insurance, Dental and Vision
Health Insurance Pre-Tax Contribution Programi PDF document Information on pre-tax health insurance premium contributions Health Insurance, Dental and Vision
Health Insurance Ineligibility Formi PDF document Employees who are ineligible for New York State health insurance are required to sign this form. Health Insurance, Dental and Vision
Health Insurance FAQ - State Employees PDF document Benefits FAQ - State Employees Health Insurance, Dental and Vision
Health Insurance FAQ - Research Foundation PDF document Benefits FAQ - Research Foundation Health Insurance, Dental and Vision
Dental Enrollment/Change form-For DeltaCare USA ONLY-UUP PDF document Enrollment form for dental HMO-type program Health Insurance, Dental and Vision
Dental Claim form-GHI-PEF and M/C employees PDF document 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 Claim Form - Delta - UUP PDF document UUP employees can use this form to make a dental claim. Health Insurance, Dental and Vision
Davis Vision - Laser Vision Correction Form (UUP) PDF document Davis Vision - Laser Vision Correction (UUP) Health Insurance, Dental and Vision
Davis Vision (PEF) PDF document Davis Vision (PEF) Health Insurance, Dental and Vision
Davis Vision (Management Confidential - M/C) PDF document Davis Vision (Management Confidential - M/C) Health Insurance, Dental and Vision
Conexis Flex Card (Research Foundation) PDF document Conexis Flex Card (Research Foundation) Health Insurance, Dental and Vision
Conexis FAQ (Research Foundation) PDF document Conexis FAQ (Research Foundation) Health Insurance, Dental and Vision
Conexis Expense Guide (Research Foundation) PDF document Conexis Expense Guide (Research Foundation) Health Insurance, Dental and Vision
CVS Caremark Mail Order Form (Empire Plan) PDF document CVS Caremark Mail Order Form (Empire Plan) Health Insurance, Dental and Vision
2016 Research Foundation Bi-Weekly Health Insurance Rates PDF document 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
2016 RF Summary of Benefits Coverage Empire BlueCross and Blue Shield Traditional PPO - Research Foundation of SUNY PDF document Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) Health Insurance, Dental and Vision
2016 RF Summary of Benefits Coverage - MVP PDF document Simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA) Health Insurance, Dental and Vision
2016 RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO PDF document RF Summary Benefits of Coverage Empire Blue Cross Deductible PPO Health Insurance, Dental and Vision
2016 RF COBRA Insurance Rates PDF document 2016 RF COBRA Insurance Rates Health Insurance, Dental and Vision
2016 Opt-out Attestation Form (PS-409) PDF document 2016 Opt-out Attestation Form (PS-409) Health Insurance, Dental and Vision
2016 NYSHP Rates and Deadlines PDF document 2016 NYSHP Rates and Deadlines Health Insurance, Dental and Vision
2016 NYSHIP Health Insurance Choices Booklet (NYS benefits eligible employees only) PDF document 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
2016 NYS Health Insurance Rates PDF document NYS Health Insurance Rates - NYS Health Insurance Rates Health Insurance, Dental and Vision
2016 NYS COBRA Health Insurance Rates PDF document 2016 NYS COBRA Health Insurance Rates Health Insurance, Dental and Vision
2016 NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program PDF document 2016 NY State Health Insurance Program (NYSHIP) Pre-Tax Contribution Program Health Insurance, Dental and Vision
2016 Health Option Transfer Period for New York State Employees PDF document 2016 Health Option Transfer Period for New York State Employees Health Insurance, Dental and Vision
2015 Research Foundation Benefits Bulletin PDF document Research Foundation October 2015 Edition of the Benefits Bulletin Health Insurance, Dental and Vision
2015 On the Road with the Empire Plan 2015 On the Road with the Empire Plan Health Insurance, Dental and Vision