Benefit Forms and Plan Descriptions
Claim Forms
Life Insurance
Medical and Dental Plans
- ARBCBS Benefit Summary – HDHP Plan
- ARBCBS Benefit Summary – PPO Plan
- 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 New_Member_Welcome_Brochure
- 2025 United Health Care Flexible Spending Account Summary Plan Description
- 2025 – United Health Care High Deductible Plan with HRA Summary Plan Description
- 2025 United Premier Plan Summary Description
- 2024 United Health Care Vision Plan Summary Description
- 2025 United Health Care Out of Network Plan Summary Description
- 2025 United Health Care High Deductible Plan with HSA Summary 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.pdf
- 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
Retirement Plans
Tuition Remission
Other Benefit Forms
Plan Summaries
- 2025 NYIT AR Adjunct Faculty Benefits Summary
- 2025 NYIT FT AR Faculty Benefits Summary
- 2025 NYIT FT AR Staff Benefits Summary
- 2025 NYIT FT Local 32BJ Benefits Summary
- 2025 NYIT FT Local 282 Benefits Summary
- 2025 NYIT FT NY Faculty Benefits Summary
- 2025 NYIT FT NY Staff Benefits Summary
- 2025 NYIT FT Visiting Faculty Benefits Summary
- 2025 NYIT NY Adjunct 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