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Forms

Empire Plan Insurance

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Dental/Vision Insurance

Effective January 1, 2018 we will be switching to a new claims administrator for our dental and vision claims. There are no changes in benefits, only a new claims administrator The Preferred Group.

Retirement

Section 125

  • To file claims for Flexible Spending plan, apply for direct deposit of reimbursement and to apply for a benefit card, login to the SUNY Orange Portal, employee tab.

Tuition

Employee Change Form:

If you have any problems accessing these forms, please contact Human Resources.


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