Benefit Forms and Plan Descriptions
Claim Forms
Life Insurance
Medical and Dental Plans
- 2026 HSA Contributions – FT AAUP & COM Faculty
- 2026 HSA Contributions – FT Staff & Visiting Faculty
- 2026 Dental Plan Chart
- 2026 Medical Plans Summary – Material Modification
- 2026 Medical Plans Summary – FT NY Employees
- 2026 Medical Plans Summary – FT AR Employees
- ARBCBS Benefit Summary – HDHP Plan
- ARBCBS Benefit Summary – PPO Plan
- ARBCBS HSA Plan Description 2026
- ARBCBS PPO Plan Description 2026
- 2025 Medical Plans Summary – FT AR Employees
- 2025 Dental Plan Chart
- 2025 HSA Contributions – FT AAUP & NYITCOM Faculty
- 2025 HSA Contributions – FT Staff & Visiting Faculty
- 2025 Medical Plans Summary – Adjunct Faculty
- 2025 Medical Plans Summary – FT NY Employees
- Level2 Specialty Care
- One Pass Select – 2025
- Vision Discount Program – MetLife
- FSA Summary – Material Modification
- FSA New Member Welcome Brochure
- HIPAA Privacy Notice
- 2026 ARBCBS Vision Plan Summary Plan Description
- Creditable Coverage Disclosure Notice
- MYUHC Member Flier
- MYUHC Benefit Plan Info Online on the Go Flier
- Pharmacy Welcome Flier
- Behavioral Health Virtual Visit Member Flier
- UnitedHealthcare App Member Flier
- Sanvello Behavioral Health App Member Flier
- Free Behavioral Health App (Sanvello)
- Talkspace Member Flier
- Virtual Visits Flier
- Employee Assistance Program – UnitedHealthcare
- Dental Plan Summary Plan Description
- MetLife Dental Teledentistry
- 2026 UnitedHealthcare Premier Plan Summary Plan Description
- 2026 UnitedHealthcare Flexible Spending Account Summary Plan Description
- 2026 UnitedHealthcare Out of Network Plan Summary Plan Description
- 2026 UnitedHealthcare High Deductible Plan with HSA Summary Plan Description
- 2026 UnitedHealthcare High Deductible Plan with HRA Summary Plan Description
Retirement Plans
Tuition Remission
Benefits Enrollment and Change Event Instructions
Other Benefit Forms
Plan Summaries
- 2027 NYIT FT Adjunct Faculty Benefits Summary
- 2027 NYIT FT AR Faculty Benefits Summary
- 2027 NYIT FT AR Staff Benefits Summary
- 2027 NYIT FT Local 282 Benefits Summary
- 2027 NYIT FT NY Faculty Benefits Summary
- 2027 NYIT FT NY Staff Benefits Summary
- 2027 NYIT FT Visiting Faculty Benefits Summary
- 2027 NYIT PT Staff Benefits Summary
- 2026 NYIT FT NY Faculty Benefits Summary
- 2026 NYIT FT NY Staff Benefits Summary
- 2026 NYIT FT Visiting Faculty Benefits Summary
- 2026 NYIT NY Adjunct Faculty Benefits Summary
- 2026 NYIT FT Local 32BJ Benefits Summary
- 2026 NYIT FT Local 282 Benefits Summary
- 2025 NYIT FT AR Faculty Benefits Summary
- 2025 SBC – High Deductible Plan_HRA
- 2025 SBC – Out of Network Plan
- 2025 SBC – High Deductible Plan_HSA
- 2025 SBC – Premier Plan
- Long term Disability Certificate (Summary Plan Description) – FT Staff. Local 282
- Long term Disability Certificate (Summary Plan Description) – FT AAUP.COM Faculty
- 2024 Health Benefit Plan Summary Annual Report
- 2024 Group life and AD&D Insurance Plan Summary Annual Report
- 2024 Group Long Term Disability Insurance Plan Summary Annual Report
- 2026 SBC – ARBCBS PPO Plan
- 2026 SBC – ARBCBS High Deductible Plan