Benefits Providers and Summaries
Dental Plan Forms:
| Carrier | Group of Employees |
|---|---|
| UUP Benefit Fund/Delta Dental | UUP |
| CSEA Benefit Fund* | CSEA |
| GHI Dental* | M/C, NYSCOPBA, PBANYS, PEF, GSEU |
Vision Plan Information:
| CSEA Benefit Fund | CSEA | 800-323-2732 |
| Davis Vision | UUP | 800-887-3863 |
| NYS Vision Plan (Davis Vision) | M/C, NYSCOPBA, PBANYS, PEF, GSEU | 888-588-4823 |
Retirement System Forms:
| NYS Employees' Retirement System* | ALL |
Membership application |
| NYS Teachers' Retirement System | UUP, M/C | |
| SUNY Optional Retirement System investment providers: ING, MetLife, Valic, TIAA-CREF | UUP, M/C | Contact Human Resources for various forms |
| Tuition Assistance | Contact Human Resources for various forms |
Other Benefits Forms:
Confidential Medical Statement - April2023
Retirement and Social Security Law Information & Acknowledgement Form*
