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Human Resources

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Joint Retirement Board (JRB)

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JRB Salary Reduction Form

(.pdf, 35K | Downloaded 172 times)

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Voluntary Short Term Disability

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Voluntary (Semi-Monthly) Short Term Disability Enrollment Form

(.pdf, 38K | Downloaded 126 times)

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Voluntary (Weekly) Short Term Disability Enrollment Form

(.pdf, 31K | Downloaded 134 times)

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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 149 times)

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Staff Short Term Disability Policy

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Staff Short Term Disability Policy

(.pdf, 89K | Downloaded 143 times)

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Columbia University's Dodge Fitness Center

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Columbia University's Dodge Fitness Center

(.pdf, 84K | Downloaded 316 times)

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Long Term Disability Plan Summary

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Long Term Disability Plan Summary

(.pdf, 42K | Downloaded 143 times)

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NYS COBRA (Dependent Age 29) Coverage

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NYS COBRA (Dependent Age 29) Coverage

(.pdf, 102K | Downloaded 454 times)

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HIP Health Insurance

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You can now find guide about the company setup in Oman.

HIP Enrollment Form

(.pdf, 349K | Downloaded 161 times)

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HIP Plan

(.pdf, 143K | Downloaded 132 times)

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HIP Termination-Change Form

(.pdf, 67K | Downloaded 151 times)

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2019 HIP

Benefit Summary

(.pdf, 85K | Downloaded 107 times)

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Principal Dental

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Principal Dental Benefit Summary

(.pdf, 63K | Downloaded 497 times)

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Principal Dental - Employee Change Summary

(.pdf, 288K | Downloaded 125 times)

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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 137 times)

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Health Advocate Flyer

(.pdf, 528K | Downloaded 133 times)

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DC 1707 Health & Benefit Fund

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DC 1707 Health & Benefit Fund Summary of Benefits

(.pdf, 72K | Downloaded 152 times)

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NY Paid Family Leave

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JTS Parental Leave Policy Letter

(.docx, 13K | Downloaded 132 times)

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NY Paid Family Leave Description to Employees

(.pdf, 263K | Downloaded 158 times)

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JTS Enrollment Booklet 2019

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JTS Enrollment Booklet 2019

(.pdf, 2296K | Downloaded 419 times)

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Oxford

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2019 Oxford Plans

2019 Oxford Platinum EPO Plan

Summary of Coverage

(.pdf, 126K | Downloaded 188 times)

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2019 Oxford Gold POS Plan

Summary of Coverage

(.pdf, 134K | Downloaded 131 times)

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Metlife Dental

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2019 Benefit Summary

2019 Metlife Dental

Benefit Summary

(.pdf, 871K | Downloaded 148 times)

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Delta Dental

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Delta Dental Enrollment Form

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(.pdf, 75K | Downloaded 165 times)

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Delta Dental Claim Form

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(.pdf, 56K | Downloaded 119 times)

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Delta Dental Your Two Plan Options

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(.pdf, 813K | Downloaded 163 times)

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Delta Dental PPO Plus Primer Plan Summary

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(.pdf, 619K | Downloaded 137 times)

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Delta Dental PPO Plus Primer - Getting the Most out of your Plan

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(.pdf, 1061K | Downloaded 143 times)

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DeltaCare USA (DMO) Plan Summary

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(.pdf, 619K | Downloaded 116 times)

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DeltaCare USA (DMO) - Getting the Most form your Plan

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(.pdf, 1061K | Downloaded 121 times)

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Flexible Dual Choice Program

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(.pdf, 808K | Downloaded 160 times)

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Delta Dental Website Flyer

(.pdf, 1844K | Downloaded 3424 times)

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Orthodontic Coverage Information

(.pdf, 53K | Downloaded 140 times)

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CIGNA

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JTS 2018 Open Enrollment Letter

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(.docx, 44K | Downloaded 128 times)

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CIGNA Open Enrollment Form

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(.pdf, 162K | Downloaded 116 times)

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CIGNA Open Enrollment Booklet

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(.pdf, 1037K | Downloaded 177 times)

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Cigna HSA Plan 2018

(.pdf, 495K | Downloaded 133 times)

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Cigna Gold POS Plan 2018

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(.pdf, 495K | Downloaded 147 times)

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Cigna Platinum EPO Plan 2018

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(.pdf, 481K | Downloaded 132 times)

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2018 Preventive Care Guide

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(.pdf, 81K | Downloaded 100 times)

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2017 No Cost Share Preventive Meds

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(.pdf, 74K | Downloaded 563 times)

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CIGNA Mobile App

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(.pdf, 915K | Downloaded 281 times)

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Printing a Temporary ID Card on MyCIGNA

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(.pdf, 127K | Downloaded 162 times)

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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 Enrollment Form 2018

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(.pdf, 45K | Downloaded 139 times)

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Flexible Spending Account Claim Form

(.pdf, 21K | Downloaded 187 times)

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Over the Counter Drugs - Health Flexible Spending Accounts

(.docx, 17K | Downloaded 119 times)

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IRS Qualified Medical Expenses for FSA

(.pdf, 28K | Downloaded 135 times)

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Flexible Spending Account General Information

(.pdf, 86K | Downloaded 180 times)

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2019 Flexible Spending Enrollment

Form

(.pdf, 68K | Downloaded 122 times)

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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.

Medical Coverage Waiver 2018

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(.pdf, 11K | Downloaded 117 times)

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JTS 2019 Medical Coverage Waiver

Form

(.pdf, 47K | Downloaded 94 times)

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