|
|
|
|
|
|
|
|
|
Legal Benefit Plan
"PDF" This Benefit is negotiated negotiated through your collective bargaining agreement for local government groups.
Workplace Security
"PDF" This benefit is for local government employees only.
Prescription Drug
"PDF" |
|
CSEA Eligibility Forms |
|
Disability Form
"PDF" Used to continue coverage for a dependent over 19 with a disability.
Remove Dependent Form
"PDF" Reimburses cost of an annual physical not covered under health insurance.
Student Proof
"PDF" If you use an outside provider you can submit this form for reimbursement.
Proof of Dependency
"PDF"
|
|
Box 325, Round Lake, New York 12151
|