Benefit Forms and Plan Descriptions
Claim Forms
Life Insurance
Medical and Dental Plans
- ARBCBS Benefit Summary – HDHP Plan.pdf
- ARBCBS Benefit Summary – PPO Plan.pdf
- 2025 Medical Plans Summary – FT AR Employees.pdf
- 2025 Dental Plan Chart.pdf
- 2025 HSA Contributions – FT AAUP & NYITCOM Faculty.pdf
- 2025 HSA Contributions – FT Staff & Visiting Faculty.pdf
- 2025 Medical Plans Summary – Adjunct Faculty.pdf
- 2025 Medical Plans Summary – FT NY Employees.pdf
- Level2 Specialty Care.pdf
- One Pass Select – 2025.pdf
- 2024 United Health Care Vision Plan Summary and Description
- Vision Discount Program – MetLife.pdf
- FSA New_Member_Welcome_Brochure.pdf
- 2025 United Health Care Flexible Spending Account Summary Plan Description.pdf
- 2025 – United Health Care High Deductible Plan with HRA Summary Plan Description.pdf
- 2024 United Health Care Vision Plan Summary Description.pdf
- 2025 United Health Care Out of Network Plan Summary Description.pdf
- United Health Care High Deductible Plan with HSA Summary Description.pdf
- Creditable Coverage Disclosure Notice.pdf
- MYUHC-member-flier.pdf
- MYUHC-benefit-plan-info-online-on-the-go-flier.pdf
- Pharmacy Welcome Flier.pdf
- Behavioral-health-virtual-visit-member-flier.pdf
- Unitedhealthcare-app-member-flier.pdf
- Sanvello-behavioral-health-app-member-flier.pdf
- Free Behavioral Health App (Sanvello).pdf
- Talkspace-member-flier.pdf
- Virtual-visits-flier.pdf
- Employee Assistance Program – UnitedHealthcare.pdf
- Dental Plan Summary Plan Description.pdf
Retirement Plans
Tuition Remission
Other Benefit Forms
Plan Summaries
- 2025 NYIT AR Adjunct Faculty Benefits Summary.pdf
- 2025 NYIT FT AR Faculty Benefits Summary.pdf
- 2025 NYIT FT AR Staff Benefits Summary.pdf
- 2025 NYIT FT Local 32BJ Benefits Summary.pdf
- 2025 NYIT FT Local 282 Benefits Summary.pdf
- 2025 NYIT FT NY Faculty Benefits Summary.pdf
- 2025 NYIT FT NY Staff Benefits Summary.pdf
- 2025 NYIT FT Visiting Faculty Benefits Summary.pdf
- 2025 NYIT NY Adjunct Faculty Benefits Summary.pdf
- 2025 SBC – High Deductible Plan_HRA.pdf
- SBC – High Deductible Plan_HRA.pdf
- 2025 SBC – High Deductible Plan_HSA.pdf
- 2025 SBC – Premier Plan.pdf
- 2025 United Premier Plan Summary Description.pdf
- Long term Disability Certificate (Summary Plan Description) – FT Staff. Local 282.pdf
- Long term Disability Certificate (Summary Plan Description) – FT AAUP.COM Faculty.pdf