Newsletter:

• 2025 Management Open Enrollment

 

Rates

• 2025 Management Rate Sheet

• 2025 COBRA Rates Management

• 2024 Management Rate Sheet

• 2024 COBRA Rates Management

 

Summary of Benefits Coverage:

• CDPHP Benefit Summary 2025

• Independent Health Benefit Summary 2025

• UHC PPO Plan Management Active 2025

• UH Choice Plan Management SBC 2025

• CDPHP SBC 2024

• CDPHP HMO Plan Benefit Summary 2024

• Independent Health Benefit Summary 2024

• Independent Health FlexFit Active SBC 2024

• Independent Health FlexFit Family SBC 2024

• UHC Choice Plan Management and UWUA Choice Active SBC 2024

• UHC PPO Plan Management Active SBC 2024

 

Overall Benefits Information:

• Accidental Death & Dismemberment

• Aflac Accident Plan Option 3

• Aflac Accident Plan Option 3 Overview

• Aflac Cancer Classic Benefit Overview

• Aflac Cancer Classic Brochure

• Aflac Direct Payment Information

• Davis Vision Brochure

• Delta Dental Brochure

• Delta Dental Pre-Treatment Estimate

• Delta Dental ToothPic Program Flyer NYPA

• Domestic Partner Guide

• Flexible Spending Accounts at-a-Glance 

• Hearing Aid Benefit 

• Independent Health Telenutrition

• Independent Health Virtual Visits

• Transit and Parking Flex Guidelines

• UHC Fertility Solutions Member Flyer

• UHC Preventive Care Guidelines

• UHC Virtual Visits Flyer

• Women's Pelvic Health Program Flyer

 

*if “Pending” is noted those documents will be updated and new PDFs will be posted when available

• 401(k) Enrollment Brochure

• 457 Enrollment Brochure

• Deferred Compensation Plan Document

• Deferred Compensation Plan Summary

• Employees' Savings Plan Document

• Employees' Savings Plan Summary 

• Management Life Insurance Summary

• MetLife Legal Plan Overview

• MetLife Legal Plan Portability

• NYS 529 College Savings Plan

• NYSLRS Tier 6 at-a-Glance

• Retiree Benefits Guidelines Management

• Schwab Brokerage Fact Sheet 401k 457 Plans

• T. Rowe Price Online Enrollment Flyer

• T. Rowe Price Savings Strategies for Your Retirement Plan 

• VDC Comparison Chart

• VDC New Hire Flyer

• VDC SPD

• 2024 NYPA Holidays

• Family Support

• Leave of Absence Employee Medical Leave

• Leave of Absence Family Medical Leave

• Paid Time Off

• Parking and Transit Poster

• Plum Benefits Discount Program

• Tuition Reimbursement Plan Management

• Aflac Accident Claim Form

• Aflac Cancer Claim Form

• AIG Personal Accident Beneficiary Designation

• Authorization to Release Employment Information

• CDPHP Enrollment Application Change Form

• Change in Status Form

• Commuter Benefit Program Application

• CVS Mail Service Order Form

• Davis Vision Out-of-Network Claim Form

• Delta Dental Claim Form

• Domestic Partner Dissolution Affidavit Form

• Equitable Evidence of Insurability Form

• Equitable Life Insurance Beneficiary Change Form

• Equitable Life Insurance Conversion Form Management

• FSA Dependent Care Claim Form

• FSA Healthcare Claim Form

• Independent Health Enrollment Form

• Leave of Absence Form Management

• NYS Employee Retirement System Membership Application

• NYSLRS Designation of Beneficiary

• Paid Volunteer Time

• Prior Service Leave Accruals Credit

• Retirement Waiver

• Tuition Reimbursement Application

• Tuition Reimbursement Form

• Tuition Taxation Reimbursement Letter 

• Tuition Tax Waiver Management Request

• UHC In-Network Claim Form

• UHC Out-of-Network Claim Form

 

• UnitedHealthcare Transition of Care Application

• Benefits Vendor Contact List

• Guide for Leaving NYPA

• 2025 Creditable Coverage Notice

• Annual Notices to Employees 

• Healthcare Marketplace Management

• HIPAA Notice COBRA

• HIPAA Notice Active

• New Hire 2025 Employee Benefit Guide