教职员工新聘指南
A comprehensive benefits reference guide for newly hired faculty and staff in 2024
雇员福利Summaries及表格
Get comprehensive plan details and specific forms relevant to your benefits.
表格、文档和Summaries
Need to make changes, complete paperwork, or simply want more information about your plan? 参考表格及 Summaries 下面是更多的指导.
雇员福利表格
如果您不确定是否需要提交表格, 或者你需要填写哪张表格, 请 联系人力资源部. Most of these links drive to PDF documents for you to download and print when appropriate.
Please use one of the forms below if you are electing or changing (through a qualifying event) your 治愈th and/or dental benefits for 2023. Once you have completed and signed the form, 请 send in all pages of the form to Totalrewards@罗彻斯特.edu. If you are a new hire (not newly eligible) you are encouraged to enroll in your benefits online through ,8经.
优秀的年轻成人抚养到29岁证明表格
通过Excellus注册特殊扩展医疗保险, the employee and/or employee’s child must complete this enrollment form.
卓越的BCBS残疾依赖形式
Complete this form if you are requesting continuation of medical coverage for a disabled dependent
卓越的BCBS医疗福利索赔表
Complete this form if you have a medical claim that was not completed by your provider.
牙科索偿表格
Complete this form if you have a dental claim that was not completed by your provider.
处方药索赔表格
填写此表格以提交您的处方药索赔.
终身福利解决方案直接存款授权书
Complete this form if you are setting up a direct deposit account for your 金融服务管理局 account
终身福利解决方案金融服务管理局报销申请表
Complete this form if you are filing a claim for your eligible expense for your 卫生保健 金融服务管理局 or Limited Purpose 金融服务管理局
终身福利解决方案家属护理金融服务管理局报销表
Complete this form if you are filing a claim for your eligible expense for your Dependent Care 金融服务管理局
保险公司供款表格
如果你正在参加你的保险公司，请填写此表格, 更新你的保险公司年度供款, 或证明你的保险公司资格.
保险公司银行供款表格
Complete this form if you would like to contribute to 保险公司 Bank outside of the contributions that are deducted from your 澳门威尼斯人网上赌场 paycheck.
保险公司银行死亡受益人表格
Complete this form if you would like to add or update a Beneficiary(ies) to your 保险公司 Bank account .
保险公司银行直接转账申请表
Complete this form to authorize 保险公司 Bank to receive a transfer of assets directly from a 健康储蓄帐户(保险公司) into your 保险公司 at 保险公司 Bank.
保险公司银行展期申请表
请填写此表格，以获得涉及支票的保险公司滚转.
保险公司银行名称变更申请表
如要求更改名称，请填妥并寄回此表格. Required: Please attach supporting documentation of the name change such as a copy of a 婚姻 certificate, 离婚法令, 或者是法院要求改名的命令.
您将需要提供一个 同居伴侣身份证明表格 with a copy of your Certificate of Domestic Partnership granted by the 澳门威尼斯人网上赌场市 或者你当地的市政当局.
If your Domestic Partner is considered a taxable dependent, you will also need to provide the 税务誓章表格.
供应商实验室价值表
Eligible individuals that would like to receive their biometric screening numbers, but would prefer to obtain these numbers from their own doctor can provide this form to their doctor to fill out in place of attending a biometric screening clinic (Note: must be completed during current calendar year).
部门申请表格
Fill out this form if you’d like to request a Well-U presentation or workshop for your department.
团体万能人寿(GUL)申请
在申请GUL保险时填写此申请表.
人寿保险变更申请
Complete this form to change your existing life insurance coverage (You may not cancel your coverage online).
保险证明表格 (健康证明)
A 治愈th history questionnaire to be completed if proof of good 治愈th is required.
受益人指定表格
填写此表格以增加/更改受益人.
服务信用表
在澳门威尼斯人网上赌场, the service requirement for the tuition benefits plan may be met by service at another college, 大学或澳门威尼斯人网上赌场附属教学医院, as well as service at a member of the controlled group of the University that offered a tuition benefit plan for which the faculty or staff member was eligible. 如欲获得上述预先服务的积分，请填写此表格.
员工学费减免
完成在线员工学费减免申请. 通过登录到网上申请 ,8经 using your NetId and follow the path “Self Service->好处->Tuition->Apply Employee Tuition Waiver”. 请联系 Tuition好处@UR.罗彻斯特.edu 对您的申请有任何疑问或疑虑.
员工学费报销表
填妥此表格后，交回总奖励处(Tuition好处@UR.罗彻斯特.edu)，如果你正在外面的学院/大学学习课程.
Employee reimbursement of professional certification/recertification exams
Complete this form and return it to the Office of Total Rewards to apply for Reimbursement of Professional Certification/Recertification Exams.
NOTE: All forms must be completed no later than 30 days from the start of the course.
退休人员资格活动/更改表格
Complete this form if you are enrolling or changing your benefit elections due to a qualifying life event, 比如退休, 婚姻, 保险损失, 等.
5R预先服务信用表
Service requirements may be met or enhanced with the consideration of previous UR employment or employment at another higher education facility.
个人资料更改表格
填写此表格以更新您的婚姻状况、教育程度或姓名.
相关信息更改请求表单
如果您需要更新受抚养人的信息，请填写此表格.
福利计划资格事件变更表
If you would like to enroll or change your benefit elections due to a qualifying life event, 比如婚姻, 孩子的出生, 保险损失, 等.，请填妥并交回此表格.
参观 休假管理页面 查找与您的特殊休假情况相关的表格.
找到你的计划Summaries
Download full PDF overviews of the benefits available to you based on your role at the 澳门威尼斯人网上赌场. 请参阅与这些福利相关的法律通知 在这里.
好处术语表
获取术语定义
See in-depth explanations for terms frequently used within the details of your benefits package. 理解定义并查看示例.