Go to Benefit Forms
2024 Retiree Health Insurance and Medicare Info Session
LINK: https://youtu.be/MfiRtdOPoVk
Open Enrollment Info Session Resources
Tompkins County All Benefits Overview
LINK: https://www.youtube.com/watch?v=JlT-Y08MOEM
Excellus BCBS Health Insurance:
LINK: Excellus BCBS Health and Rx Info Session Passcode: D9YA$^#?
CanaRx:
LINK: Pending
www.CanaRx.com (CanaRx) Login: GTCMHIC
CSEA Dental and Vision:
LINK: https://youtu.be/wixH3hD6xIc
Benetech FSA and HRA:
LINK: https://youtu.be/80xUbwcJYic
https://Benetech.lh1ondemand.com
ESI EAP (Employee Assistance Program)
Traditional EAP Info Session
LINK: https://www.youtube.com/watch?v=4pVbvoa5Hvs
Public Safety EAP Info Session
LINK: https://youtu.be/OTBLb_8RC9Q
New York State Deferred Compensation
NYS 529 College Savings Program
Schedule a 1:1 meeting with our Account Manager, Melissa Kapsiak, HERE.
Benefit Forms
- Bereavement Form
- Bereavement Policy
- EAP (Employee Assistance Program) Information
- Excused Leave
- Fitness Program and Weight Management Reimbursement Form
- Flexible Spending Account/Health Reimbursement Account (VEBA)
- Health Insurance Waiver
- IT2104 Form (NYS Tax withholding form) - Please send completed form to Payroll
- Medical Leave
- Medical/Prescription Insurance
- Military Leave Policy
- Military Leave of Absence Form
- NYS Deferred Compensation Plan
- NYS Retirement
- Retiree Health Insurance Information
- Reasonable Accomodation Policy
- Reasonable Accommodation Request Form - ADA Accommodation
- Reasonable Accommodation Request Form - Religious Accommodation
- Reasonable Accommodation Request Form - Domestic Violence Accommodation
- Student Loan Forgiveness
- W-4 Form (Federal Tax withholding form) - Please send completed form to Payroll
FLEXIBLE WORK SCHEDULE INFORMATION
Appendix A - Request for Flexible Work Schedule Form
Appendix B - Flexible Work Schedule Agreement
TELEWORK AGREEMENT INFORMATION
Appendix A - Request for Telework Arrangements
Appendix B - Telework Agreement
Appendix C - Telework Weekly Log