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The SUNY Benefits Web Site | This web site contains benefit summaries for prospective employees and detailed information organized by union, then by benefit type.

SUNY Benefit Summaries | 

SUNY Employee Discounts |  

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Benefits & Forms

Health Insurance Info & Forms

• PS-404 Benefits Enrollment / Change Form
• Domestic Partner Form (must be completed with Health Insurance Enrollment Forms PS-404)
• Tax Affidavit for Domestic Partner Form
• Termination of Domestic Partnership Form
• Young Adult Option Request for Coverage
•  - This document outlines important information on changes to the NYSHIP health insurance premium rates for 2025. Additionally, this document communicates several important deadlines related to making changes to your health insurance plan.
•  - This booklet explains the health insurance options available to plan participants and benefits eligible employees under the New York State Health Insurance Program (NYSHIP).
• PS-409 NYSHIP Opt-Out Program Attestation Form (CSEA only)
• PS-457 - Enrollment or Recertification of an 鈥淥ther鈥� Child as a NYSHIP Dependent Form

 

 

Tax Deferred Annuities

 

Dental & Vision Info & Forms

• UUP
  • UUP Change of Marital Status
  • UUP Beneficiary Card
  • UUP Enrollment Card
  • UUP Change of Address
• CSEA
  • CSEA Name Change
  • CSEA Remove Dependent
  • CSEA Enrollment Form
• Management Confidential
  • Management Confidential Dental Enrollment Form
  • Management Confidential Vision Enrollment Form
• PBA NYS
  • PBA Dental Enrollment Form
  • PBA Vision Enrollment Form

 

Survivors Benefits

 

Paid Student Loan Forgiveness

• Federal Public Service Loan Forgiveness Program
• Public Service Loan Forgiveness Program
  • As a New York State Employee, You May Be Eligible to Have Student Loans Forgiven through this Federal Program
  • CONTACT:  Amanda Reinhart, 518-255-5423, reinhaam@Cobleskill.edu
  • More Info:

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Leaves

Family Medical Leave Act

 

NYS Paid Family Leave (UUP & M/C)

• NYS Paid Family Leave Notice Form
• NYS Paid Family Leave Statement of Right Form

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Retirement Benefits & Forms

SUNY Retirement at Work Portal

The will allow new enrollees to sign up for a retirement option and allow existing users to review their account(s), sign up for a voluntary supplemental annuity, and make changes to existing retirement accounts offered through SUNY. More links:

• SUNY Retirement at Work Quick Reference Guide