For Employees

Standards of Performance/Behavior
Human Resources Internal Job Application
Job Vacancy List

Health & Vision Benefits

Cigna Employee Plan Summary
Cigna Professional Plan Summary
Cigna RN Plan Summary
Benefits Enrollment/Change Form
Know What's Important To You
Vision Summary
Medical Claim Form
Vision Claim Form
RX Home Delivery Form (90 Day Supply)

Benefit Guides

Benefits Guide - Employee Plan
Benefits Guide - Professional Bargaining Unit Plan
Benefits Guide - Nurse Plan

Misc. Benefit Forms

Account Instructions for Principal Financial Group
Tuition Approval Form
Benefit Vendors Contact Information
New York's 529 College Savings Form
Cancellation Payroll Deduction Form

Dental Benefits

Employee Dental Plan Summary
RN Dental Plan Summary
Getting The Most From Your Plan
Delta Dental Claim Form

Life Insurance Benefits

Life Insurance Beneficiary Form
Life Insurance Fact Sheet

Disability Benefits

LTD Fact Sheet
How To Apply For Disability Benefits And/Or A Leave Of Absence

Flexible Spending Benefits

FSA Claim Form
FSA Enrollment Form

Related Links

Cigna Web site
Delta Dental Web site
Principal Financial Group Web site

Employee Referral Bonus Program

The bonus eligible positions may change monthly and will be posted on the bulletin boards.
The referral form must be completed prior to the individual applying.

Employee Referral Bonus Program Guidelines
Employee Referral Bonus Form

Employee Health Annual Assessment for Current Employees

Annual Assessment

Employee Health for New Hires

Annual Assessment
Medical and Work History
OSHA Medical Evaluation
New Employee Checklist
HIPPA Notice Acknowledgement
HIPPA Privacy Notice

New Employee Paperwork

New Employee Paperwork
Form W-11 New Hire
DSS Form for BHU Employees