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2024 Health and Dental Rates
(2025 Health and Dental Rates are not available yet. More information will be sent out once they become available.)
2025 Benefits Newsletter
Electronic W-2 Enrollment Instructions
2025 Payroll Calendar
2025 Holiday Calendar
Health Insurance
Health Insurance Enrollment Form - PS404
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NYSHIP Online
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Formulary Documents
Retiree Health- Voluntary Salary Deduction Agreement
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Dental Mobile App
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Metlife Dental Benefits Link
- Use this link to find a provider near you
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Vision Enrollment Form
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MetLife Vision Benefits Link
- Use this link to find a provider near you
Vision Video Links
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Legal Enrollment Form
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Flexible Benefit Programs
RFMH offers Flexible Benefit Programs with the
Diversified Group
.
The benefit plans include
Health Flex Spending, Dependent Care and Transportation and Parking.
The Health Flex Spending and Dependent Care programs require re-enrollment each year.
Diversified General Information
The below information and links regarding Online Account access and the Mobile App are applicable for all benefit plans.
Diversified Group Online Instructions
Diversified Mobile App Instructions
Health Flex Spending Program
Health Flex Spending Enrollment Form
Health Flex Spending FAQ
Dependent Care
Dependent Care Enrollment Form
Dependent Care FAQ
Transportation and Parking
Transportation and Parking Enrollment Form
Transportation and Parking Enrollment FAQ
Transportation and Parking Mobile Payment Options
Health Buy Out
2025 Health Buy-Out Enrollment Form
Health Buy-Out Program Summary
Life Insurance
Life Insurance Enrollment Form
Life Insurance Beneficiary Change Form
Statement of Health
Optional Life Rate Chart
TIAA Retirement
TIAA Managing Contribution Changes
TIAA Online Enrollment Instructions
Contact your
RFMH Human Resources/Payroll Team
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