Human Resources/ Open Enrollment Forms
 
 
2021 Benefits Newsletter
2021 Health & Dental Rates
Benefits Chart
Online W2 Enrollment
2021 Payroll Calendar
2021 Holiday Calendar
 
Health Insurance    
NYSHIP
2021 Choices
2020 Empire Plan Formulary
PS 404 Health Insurance Enrollment & Change Form
Voluntary Salary Deduction Agreement for Retiree Health
 
Dental Insurance    
Metlife
Enrollment and Change Form
Metlife Dental Plan Booklet
 
Vision and Legal    
Metlife Vision Benefits Overview
Metlife Vision Enrollment Form
Vision Claim Form
Eye Exam - What is Covered?
Legal Plan General Introduction
MetLaw Summary of Benefits
MetLaw Enrollment Form
Legal Fee Schedule
Legal Facts and Stats
Legal Fact Sheet
Legal Certificate of Coverage
Family Matters Brochure
Digital Estate Planning
LifeStages Identity Management Services Brochure
Vision and Legal Presentation
Frequently Asked Questions
 
Flexible Benefit Programs    
DAC online
Employee User Guide for the Wealthcare Admin Portal
Instructions for Online Account Access
Mobile App Information
W-10 for Dependent Care Enrollment
2021 Transportation & Parking Enrollment Form
2021 Health Flex & Dependent Care Enrollment Form
2021 Healthflex Reimbursement Form
2021 Dependent Care Reimbursement Form
Parking Reimbursement Form
2021 Health & Dependent Care Qualifying Event Change Form
 
Over the Counter Health Flex Updates Due to Covid
Flexible Spending Accounts FAQ's
Dependent Care FAQ's
Commuter Benefit FAQ's
Commuter Ride Share Information
 
Health Buy Out    
2021 Health Buy Out Enrollment Form
Health Buy Out Summary of Provisions
 
Life Insurance    
Life Insurance Beneficiary Form
Optional Life Enrollment Form
Statement of Health
Optional Life Rate Chart
 
TIAA    
Retirement Health Information
Roth Contribution Option
Salary Reduction Form
 
Contact your RFMH Human Resources/Payroll Team    
 


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