Clerical Employees

Click on the Links below to view and download pertinent Health Benefits Information

IMPORTANT NOTICE
It is the employee’s responsibility to notify the Insurance Office within 30-days of any changes in coverage to avoid penalties and late enrollment.

Please click here for letter with more information

Helpful Links: New York State Local and Retirement System (ERS) Social Security Medicare

Click here for Important information about Medicare enrollment and NYSHIP, and how they work together to deliver the most complete coverage for retirees or those about to retire who are eligible for Medicare.

Eligibility for Health Coverage

New Clerical Memo

Proofs Required for Enrollment

A- Empire Application Form

B-NYSHIP General Information Book

B-1: Empire Plan at a Glance

C- 2021- Transaction Form Group Account Fillable Emblem Health

D- Uniondale UFSD Prime HMO Emblem Health HIP Summary of Benefits

E-Uniondale UFSD Low Cost Option Prime HMO Emblem Health HIP Summary of Benefits

F- Uniondale UFSD Emblem Health Making the Most of your Health Plan Brochure

G-Uniondale UUFSD Vision Enrollment Form

H- Uniondale UFSD Secretaries and Clerical Davis Packet

I- Uniondale UFSD Dental Enrollment Form

J- Uniondale UFSD Dental Booklet

K- Uniondale UFSD LTD Enrollment Form

L- Uniondale UFSD Non-Teacher LTD Booklet

M- Uniondale UFSD Life Enrollment Form

N-Uniondale UFSD Group Life and Accidental Death and Dismemberment Insurance Program Booklet

O - Supplemental Health & Vision Plan Form

P - Supplemental Health & Vision Plan Brochure

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