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Forms

Option Transfer Month begins October 1, 2011

October is Option Transfer Month. All benefit eligible employees may change their Health, Dental, Vision and Flexible Spending enrollments during the entire month of October. All changes must be received by close of business Monday, October 31, 2011.

**Important** - if you are currently enrolled in the Flexible Spending Account, you MUST RE-ENROLL during this period for your participation to continue in the the next calendar year.

Please read the information contained in the Option Transfer Memo and complete the necessary forms below:

Employment forms:

Health Insurance

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Dental/Vision Insurance

Retirement

Section 125

Tuition Remission

Other:

If you have any problems accessing these forms, please contact Human Resources.

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Human Resources Information:

Phone: (845) 341-4660
Fax: (845) 341-4670
Located in Orange Hall,
115 South Street Middletown, NY 10940
occchr@sunyorange.edu