Human Resources


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	Human Resources Homepage

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

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

Tara Creagh , Sr. Benefits Specialist for Benefit Systems & Accounting
Contact Tara at extension 4959 with questions on all benefits-related matters.

Carol A. Laverpool, Sr. Benefits Specialist, extension 4949
Contact the Benefit Specialist with questions on Tuition Benefits, faculty and staff benefits, COBRA and disability.

Links to Benefit Plan Vendors

Health Net: Health Care Plans
www.healthnet.com

Delta Dental: Dental Care Plans
www.midatlanticdeltadental.com

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

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

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

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

Benefit Forms

TIAA-CREF:Tax-Deferred Annuity (TDA) Plan

Salary Reduction Agreement

EBPA: Flexible Spending Account

Enrollment Form

Direct Deposit Form

Dependent Care Claim Form

Health Care Claim Form

Guidelines for Over-The-Counter (OTC) Drugs

Health Care Expenses Worksheet

Depedent Care Expenses Worksheet

The Standard: Life Insurance Plan

Enrollment/Changes, Beneficiary Designation, and Optional/Additional Life Election

Delta Dental: Dental Care Plan

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

Part-Time Faculty ONLY

Enrollment/Change Form

Health Net: Health Care Plan

The New School Charter $500 POS Plan Summary of Benefits

The New School Charter $1000 POS Plan Summary of Benefits

Express Scripts Prescription Mail Order Form

Medical Enrollment Form

Change/Cancellation Form

Out of Network Claim Questionnaire

Instructions on how to complete Mental Health Claim Form

Out of Network Mental Health Claim Form HCFA-1500

Coordination of Benefits Questionnaire

Request for Predetermination of Fees Form

Authorization for Disclosure of Health Information Form

Revocation of Authorization for Disclosure of Health Information Form

EBPA: Qualified Transportation Expense (QTE) Plan

Enrollment/Change Form

Direct Deposit Form

QTE Reimbursement Claim Form

Liberty Mutual

How will you spend your savings?

Long-Term Care Benefits

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