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OPEN ENROLLMENT FOR FULL TIME FACULTY AND STAFF
Open Enrollment starts November 2 through November 20
 
Use links below for the benefit plan that applies to you and
to see a list of benefit forms

>>Full-time Faculty, Full-time and Regular Part-time Administrative Staff

>>Part-time Faculty

>>Benefit Forms


Benefits Staff
Tel: 212-229-5671, Fax: 212-229-5884
Benefits: Extension 4942

Becky Rosario, Benefits Associate

Contact Becky at extension 4953 with questions on full-time administrative staff and faculty, part-time administrative staff, and, union clerical staff in the following areas: health care and dental care plans, flexible spending accounts, qualifiied transportation expense plan, life insurance plan, retirement plans, and COBRA.

Jenny Vuong, Benefits Associate

Contact Jenny at extension 3848 with benefits questions on part-time faculty.

Melecia Munroe, HR Generalist/Customer Service Associate

Contact Melecia at extension 4939 on questions regarding tuition waivers.

Monica Lemkowitz, Senior Benefits Specialist

Contact Monica at extension 4949 with questions on full-time administrative staff and faculty, part-time administrative staff, and, union clerical staff in the following areas: short-term/long-term disability leaves, FMLA leaves, health care and dental care plans, flexible spending plan, qualified transportation expense plan, life insurance plan, and retirement plans.

Tara Creagh , HR Systems Manager
Contact Tara at extension 4959 with questions on benefits billing issues.

Michele F. Davis, Director of Benefits
Contact Michele at extension 4937, with questions on all benefit related matters.


Links to Benefit Plan Vendors

Dental Care Plans (Delta Dental)
www.midatlanticdeltadental.com

Flexible Spending Account Plan (EBPA)
http://select.ebpabenefits.com/thenewschool

Health Care Plans (Health Net)
www.healthnet.com

Home Owners and Auto Insurance (Liberty Mutual)
www.libertymutual.com/lm/tns

Qualified Transportation Expense (QTE) Plan (EBPA)
http://select.ebpabenefits.com/qtep/qtep.asp

Retirement Plans (TIAA-CREF)
www.tiaa-cref.org/newschool

 


Benefit Forms
 

Dental Care Plans (Delta Dental)

Full-Time Faculty, Full-Time and Regular Part-Time Administrative Staff

Part-Time Faculty ONLY


Flexible Spending Account (EBPA)
Enrollment Form
Direct Deposit Form
IRS Eligible Expenses
Guidelines for Over-The-Counter (OTC) Drugs
Dependent Care Claim Form
Depedent Care Expenses Worksheet
Health Care Claim Form
Health Care Expenses Worksheet

Health Care Plan (Health Net)
Summary of Benefits - Charter $500 POS Plan
Summary of Benefits - Charter $1000 POS Plan
Enrollment Form
Change/Cancellation Form
Out-of-Network Claim Questionnaire
Mental Health Claim Form HCFA-1500 (Out of Network)
Instructions on how to complete Mental Health Claim Form
CVS CareMark Prescription Mail Order Form
Instructions on how to complete CVS CareMark Prescription Mail Order Form
Request for Predetermination of Fees Form
Revocation of Authorization for Disclosure of Health Information Form
Coordination of Benefits Questionnaire
Authorization for Disclosure of Health Information Form
 
Liberty Mutual
How will you spend your savings?
 
Life Insurance Plan (The Standard)
Enrollment/Changes, Beneficiary Designation, and Optional/Additional Life Election

Long-Term Care Benefits
Insurance Plan
 
Qualified Transportation Expense (QTE) Plan (EBPA)
Enrollment/Change Form
Direct Deposit Form
Reimbursement Claim Form
Plan Summary
Tax-Deferred Annuity (TDA) Plan (TIAA-CREF)
Salary Reduction Agreement
 

 

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