Benefits Forms

Benefits Forms

Direct Deposit

Employment Verification

Health Insurance


    Health Insurance Choices for 2021 - Supplement

    This flyer is a companion document to the Health Insurance Choices for 2021 booklet. It explains your benefits as a NYSHIP enrollee in a negotiating unit that does not have an agreement/award with New York State as of the date this document was printed.



M/C Life Insurance

Military Leave

Oath of Office

Personal Data Change Form


Tax Withholdings

Union Membership

Veterans Identification

Workers' Compensation