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Welcome to the University Benefits Office! Our team administers all employee benefits programs available to CUNY employees and retirees.  The goal of the City University of New York is to offer a comprehensive benefits package that will meet both the present and future needs of our employees and their families.  The types of benefits managed through CUNY’s University Benefits Office include health, welfare, retirement and other programs.  Depending upon your role at CUNY, you are eligible for a specific benefit program.

This website will allow you to obtain a summary of the benefits available to you, as well as to research your benefit plans in more detail.  Should you have any questions, please do not hesitate to contact your Campus Benefits Officer.

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Catastrophic Sick Leave Bank Program Information

Catastrophic Sick Leave Bank Program – Application to Donate Sick Leave

Catastrophic Sick Leave Bank Program – Application to Receive Sick Leave

Catastrophic Sick Leave Bank Program – Application to Change Donation or Withdraw

DC 37 Age 26 Young Adult Dependent

DC 37 Dental Claim

DC 37 Enrollment

Dedicated Sick Leave – Application to Donate

Dedicated Sick Leave – Application to Receive

Domestic Partner, Same Sex Marriage or Civil Union – Information Packet

Family Medical Leave Act (FMLA) Policy and Information

Family Medical Leave Act (FMLA) Policy

Notice of Eligibility and Rights and Responsibilities

FMLA Request Form

Designation Notice

Fitness for Duty Certification

Certification of Family Relationship Form

Certification of Health Care Provider (HCP) for Employee’s Serious Health Condition

Certification of Health Care Provider (HCP) for Family Member’s Serious Health Condition

Certification for Serious Injury or Illness of a Current Service Member – Military Family Leave

Certification for Serious Injury or Illness of a Veteran – Military Caregiver Leave

Certification of Qualifying Exigency for Military Family Leave

Non-FMLA Medical Leave Forms

Application for Non-FMLA Medical Leave

Non-FMLA Medical Leave Designation Form

Non-FMLA Fitness for Duty Certification

Additional Benefits Forms

Application for Leave for Special Purposes: Instructional Staff (Teaching and Non-Teaching) Only

Child Care Leave of Absence Application (Unpaid) – Classified Staff Only

Child Care Leave of Absence Application (Unpaid) – Instructional Staff Only

Flexible Spending Account – Direct Deposit Enrollment, Change or Cancellation

Flexible Spending Account – Plan Year 2015 Enrollment/Change

Flexible Spending Account – Plan Year 2016 Enrollment/Change

GHI Claim Form

Health Benefits Application

Health Benefits Buy-Out Waiver Application (2015)

Health Benefits Buy-Out Waiver Application (2016)

New York’s College Savings Program 529

NYSHIP Application to Add Domestic Partner to Coverage

NYSHIP Change of Address

NYSHIP Enrollment

NYSHIP Termination

NYSHIP Termination of Domestic Partnership

NYSHIP Transfer

NYSUT Payroll Deduction Card

Paid Parental Leave Application

PSC/CUNY Death Benefit Designation

PSC/CUNY Application for Welfare Fund Benefits for Domestic Parnter/Same Sex Spouse

PSC/CUNY Delta Dental Enrollment

PSC/CUNY Direct Optical Claim

PSC/CUNY Enrollment

PSC/CUNY Extended Medical Benefit Claim Form – For Employees with GHI

PSC/CUNY Guardian Non-Participating Dental Claim

PSC/CUNY Hearing Aid Reimbursement

PSC/CUNY Medco Prescription Drug – Mail Order

PSC/CUNY Medco Prescription Drug – Direct Claim

PSC/CUNY Professional Development Fund

PSC/CUNY Weight Watchers Participation

2016 Salary Reduction Agreement -TIAA-CREF, MetLife and HRC

Transit Benefit Enrollment Form

Transit Benefit Park-N-Ride Enrollment Form

Travia Leave Form

Tuition Fee Waiver

Instructional Staff ONLY – Unpaid Child Care Leave Form

US Savings Bonds – Treasury Direct

Worker’s Compensation Claim Forms

Retirement

2016 Salary Reduction Agreement – TIAA-CREF, MetLife and HRC

New York City Deferred Compensation 401(k) Retirement Plan – Community Colleges Only

New York City Employees’ Retirement System Designation of Beneficiary

New York City Employees’ Retirement System Enrollment

New York City Teachers’ Retirement System Enrollment

New York City Teachers’ Retirement System Designation of QPP Beneficiary

New York State Deferred Compensation 457 Plan

PSC/CUNY Retiree Enrollment

Retiree Change of Address

Retiree Email Request Form

Retirement Leave of Absence Request (TRAVIA)

Terminal Leave Form

TIAA-CREF Medicare Part B Premiuim Reimbursement

TIAA-CREF Multiple Positions

TIAA-CREF Supplemental Retirement Annuity – Online Enrollment TIAA-CREF Optional Retirement Program – Online Enrollment

Travia Leave Form

Benefits & Wellness Events Across CUNY

Employee Benefits Package

Juggling your personal & professional life? The CUNY Work/Life Program can help and it’s FREE to employees and their families. Use “CUNY” for username and password.

The CUNY eMall is a virtual shopping plaza where merchants offer a variety of discounts and other promotional programs on goods and services to CUNY faculty and staff. To access the eMall you must log into the CUNY portal.

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