Benefits
Forms & Internet Resources
Dental Plan Forms:
| Carrier | Group of Employees | Internet Resource |
|---|---|---|
| UUP Benefit Fund/CIGNA | UUP | www.uupinfo.org/benefits/cignaclaim.pdf |
| CSEA Benefit Fund | CSEA | www.cseaebf.com/library/docs/dentalclaimform.pdf |
| GHI Dental | M/C, C.82, PEF, GSEU |
Vision Plan Information:
| Davis Vision | M/C, C.82, PEF, GSEU | Contact Provider at 1-800-999-5431 |
| Davis Vision | UUP | Contact UUP Benefit Fund 1-800-887-3863 |
Retirement System Forms:
| NYS Employees' Retirement System | ALL | www.osc.state.ny.us/retire/forms/ Membership application |
| NYS Teachers' Retirement System | UUP, M/C | www.osc.state.ny.us/retire/forms/serviceretirement-RS6037.pdf |
| Optional Retirement Systems Carriers: ING, MetLife, Valic, TIAA-CREF | UUP, M/C | Contact Human Resources for various forms |
| Tuition Assistance | Contact Human Resources for various forms |
Research Foundation Benefit/Retirement Forms:
Benefit/Retirement forms can be found on the RF Intranet (Access available only on campus to
employees)
For additional information contact Jodi Papa in Human
Resources at 845-257-3649.

