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Contact Information  Business Office
Ph:   631-730-1520
Fax: 631-286-5518

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Below are links to district forms and websites for various benefits offered by the District.  Please be sure to check with your bargaining unit and the Business Office for eligibility, enrollment periods and deadline dates. For questions and information regarding Vision benefits, please contact Cathy Barone in Human Resources Department at 631-730-1536 cbarone@southcountry.org. 

Payroll Forms	Health Insurance Links
Payroll Schedule 2011-2012	United Health Care Website
Direct Deposit Form	United Health Care Change in Enrollment
W-4 Form	UHC Non-Participating Claim Form
NY State Tax Form	Teacher Health Insurance Opt-Out Form
	CSEA Health Insurance Opt-Out Form
Teacher Retirement System (TRS)
TRS Website	Dental Insurance
New Applicant	Sun Life Dental Insurance (Finding an in-network provider)
Name and Address Change	Dental Change in Enrollment
Loan Application	Dental Claim Form
Request for Prior Service
	COBRA FORMS
NY State Retirement System (ERS)	Dental Insurance
ERS Website
Consultation Site List	Life Insurance
New Applicant	JJ Stanis (information will be posted soon)
Name and Address Change
Loan Application (Tier 3 & 4)
Request for Prior Service	Flex Benefit Plan
Change Beneficiary	JJ Stanis Dependent Care Reimbursement
	JJ Stanis Health Care Reimbursement
Deferred Revenue
Omni 403b	AFLAC
Omni Newsletter 2012	Online Services
	Vision Screening (Contact Human Resources)

 

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