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Joint Retirement Board (JRB)
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JRB Salary Reduction Form (.pdf, 35K, Downloaded: 145 times)
Voluntary Short Term Disability
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Voluntary (Semi-Monthly) Short Term Disability Enrollment Form (.pdf, 38K, Downloaded: 103 times)
Voluntary (Weekly) Short Term Disability Enrollment Form (.pdf, 31K, Downloaded: 102 times)
Beneficiary Designation
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The Jewish Theological Seminary offers life insurance for benefits eligible employees through UNUM.  Please take the time to update your beneficiary designation.  JTS will keep this form on file on your behalf.  If you want to make any changes in the future, make sure to complete a new form and submit it to the Office of Human Resources.

Beneficiary Designation Form (.pdf, 85K, Downloaded: 122 times)
Staff Short Term Disability Policy
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Staff Short Term Disability Policy (.pdf, 89K, Downloaded: 114 times)
Columbia University's Dodge Fitness Center
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Columbia University's Dodge Fitness Center (.pdf, 84K, Downloaded: 252 times)
Long Term Disability Plan Summary
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Long Term Disability Plan Summary (.pdf, 42K, Downloaded: 123 times)
NYS COBRA (Dependent Age 29) Coverage
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NYS COBRA (Dependent Age 29) Coverage (.pdf, 102K, Downloaded: 372 times)
HIP Health Insurance
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You can now find guide about the company setup in Oman.

HIP Enrollment Form (.pdf, 349K, Downloaded: 140 times)
HIP Plan (.pdf, 143K, Downloaded: 113 times)
HIP Termination-Change Form (.pdf, 67K, Downloaded: 122 times)
2019 HIP (.pdf, 85K, Downloaded: 91 times)

Benefit Summary

Principal Dental
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Principal Dental Benefit Summary (.pdf, 63K, Downloaded: 298 times)
Principal Dental - Employee Change Summary (.pdf, 288K, Downloaded: 104 times)
Health Advocate - A Free New Resource for JTS Employees
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Health Advocate - A Free New Resource for JTS Employees (.pdf, 30K, Downloaded: 116 times)
Health Advocate Flyer (.pdf, 528K, Downloaded: 108 times)
DC 1707 Health & Benefit Fund
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DC 1707 Health & Benefit Fund Summary of Benefits (.pdf, 72K, Downloaded: 124 times)
NY Paid Family Leave
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JTS Parental Leave Policy Letter (.docx, 13K, Downloaded: 109 times)
NY Paid Family Leave Description to Employees (.pdf, 263K, Downloaded: 131 times)
JTS Enrollment Booklet 2019
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JTS Enrollment Booklet 2019

JTS Enrollment Booklet 2019 (.pdf, 2296K, Downloaded: 363 times)

JTS Enrollment Booklet 2019

Oxford
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2019 Oxford Plans

2019 Oxford Platinum EPO Plan (.pdf, 126K, Downloaded: 153 times)

Summary of Coverage

2019 Oxford Gold POS Plan (.pdf, 134K, Downloaded: 101 times)

Summary of Coverage

Metlife Dental
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2019 Benefit Summary

2019 Metlife Dental (.pdf, 871K, Downloaded: 124 times)

Benefit Summary

Delta Dental
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Delta Dental Website Flyer (.pdf, 1844K, Downloaded: 3140 times)
Orthodontic Coverage Information (.pdf, 53K, Downloaded: 122 times)
Inactive
Delta Dental Enrollment Form (.pdf, 75K, Downloaded: 141 times)
Delta Dental Claim Form (.pdf, 56K, Downloaded: 104 times)
Delta Dental Your Two Plan Options (.pdf, 813K, Downloaded: 141 times)
Delta Dental PPO Plus Primer Plan Summary (.pdf, 619K, Downloaded: 113 times)
Delta Dental PPO Plus Primer - Getting the Most out of your Plan (.pdf, 1061K, Downloaded: 124 times)
DeltaCare USA (DMO) Plan Summary (.pdf, 619K, Downloaded: 96 times)
DeltaCare USA (DMO) - Getting the Most form your Plan (.pdf, 1061K, Downloaded: 105 times)
Flexible Dual Choice Program (.pdf, 808K, Downloaded: 130 times)
CIGNA
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Cigna HSA Plan 2018 (.pdf, 495K, Downloaded: 108 times)
Inactive
JTS 2018 Open Enrollment Letter (.docx, 44K, Downloaded: 107 times)
CIGNA Open Enrollment Form (.pdf, 162K, Downloaded: 97 times)
CIGNA Open Enrollment Booklet (.pdf, 1037K, Downloaded: 155 times)
Cigna Gold POS Plan 2018 (.pdf, 495K, Downloaded: 120 times)
Cigna Platinum EPO Plan 2018 (.pdf, 481K, Downloaded: 110 times)
2018 Preventive Care Guide (.pdf, 81K, Downloaded: 84 times)
2017 No Cost Share Preventive Meds (.pdf, 74K, Downloaded: 536 times)
CIGNA Mobile App (.pdf, 915K, Downloaded: 236 times)
Printing a Temporary ID Card on MyCIGNA (.pdf, 127K, Downloaded: 134 times)
Flexible Spending Account
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Flexible Spending Plan Year

The Flexible Spending Plan Year is from January 1st - March 15th of the following year (e.g. January 1st, 2013 - March 15th, 2014).  Employees then have an additional three months, until June 15th, to submit claims for any expenses incurred during the plan year (e.g. June 15th, 2014).

To submit a claim complete the Flexible Spending Account Claim Form, and return it, along with your receipts, to Benefit Analysis Inc., P.O. Box 527, Nutley, NJ  07110-052

Benefit Analysis's Website

Contact Benefit Analysis at 1-800-224-5110 for your log-in and password.

 

Flexible Spending Account Claim Form (.pdf, 21K, Downloaded: 168 times)
Over the Counter Drugs - Health Flexible Spending Accounts (.docx, 17K, Downloaded: 102 times)
IRS Qualified Medical Expenses for FSA (.pdf, 28K, Downloaded: 115 times)
Flexible Spending Account General Information (.pdf, 86K, Downloaded: 155 times)
2019 Flexible Spending Enrollment (.pdf, 68K, Downloaded: 94 times)

Form

Inactive
Flexible Spending Account Enrollment Form 2018 (.pdf, 45K, Downloaded: 120 times)
Medical Coverage Waiver
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If you are opting to waive the Jewish Theological Seminary medical coverage please provide the name of your carrier and policy number along with a copy of the front and back of your insurance card. 

JTS 2019 Medical Coverage Waiver (.pdf, 47K, Downloaded: 78 times)

Form

Inactive
Medical Coverage Waiver 2018 (.pdf, 11K, Downloaded: 101 times)
Parsonage Allowance
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Parsonage Allowance Application Form (.docx, 336K, Downloaded: 85 times)
Parsonage Allowance - Housing Expenses Worksheet (.docx, 16K, Downloaded: 88 times)
Inactive
Parsonage memo 2018 (.docx, 336K, Downloaded: 120 times)
TIAA-CREF
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TIAA-CREF Useful Links and Phone Numbers

TIAA-CREF JTS Website: www.tiaa-cref.org/jtsa

General National Contact Center: 1-800-842-2776

Financial Center/Advice Service: 212-490-9000 ext. 232803

TIAA-CREF Fact Sheet (.pdf, 149K, Downloaded: 765 times)
TIAA-CREF Contract Comparison RA and GSRA (.pdf, 7K, Downloaded: 162 times)
Group Supplement Annuities (.pdf, 86K, Downloaded: 117 times)
Inactive
TIAA-CREF Salary Reduction Form 2018 (.doc, 32K, Downloaded: 118 times)
Vision Service Plan (VSP)
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Vision Service Plan (VSP) Flyer (.pdf, 151K, Downloaded: 124 times)
VSP Enrollment Form (.pdf, 56K, Downloaded: 110 times)
2019 VSP Vision Benefit (.pdf, 96K, Downloaded: 99 times)

Summary

Inactive
2017 VSP Benefit Summary (.pdf, 741K, Downloaded: 108 times)
Voluntary Life Insurance
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Voluntary Life Information Sheet (.pdf, 23K, Downloaded: 95 times)
Inactive
Voluntary Life Insurance Enrollment Form 2018 (.pdf, 101K, Downloaded: 97 times)
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