Web125 Broad St, 11th Flr New York, NY 10004-2400 Phone: (212) 298-9100 Fax: (212) 437-9480 Site Use Agreement WebThis form is for active members only. If you are retired and receiving a pension (and have retired under payment option ½, 1, 5-Year Certain or 10-Year Certain), you should use the Pensioner’s Designation of Beneficiary form (RS6439). (RS5127-T, Rev. 4/22) Contact Information Changes

ACCESS HRA - React App

WebCommuter Benefits Pre-Tax Limit Increased to $300/Month. The IRS has announced that for the tax year 2024, the monthly pre-tax limit for commuter benefits has been increased to $300 per month for both transit and parking. The NYC Commuter Prepaid Mastercard may only be used for qualified commuter benefit purchases in accordance with IRS Tax ... WebI understand that the City Program’s benefits will be coordinated with those available through Medicare or any other source. Furthermore, I agree that my periodic health plan deductions, if any, will be made on a pre-tax basis pursuant to … countifs numbers between two values

Forms — UFA Local 94

WebUse this form to enroll in the NYS Employees' Retirement System. Download Designation of Beneficiary with Contingent Beneficiaries (RS-5127) Use this form to add or update beneficiaries for retirement payouts. Download Declination of Membership in the New York State Employees' Retirement System (BSC-B4) WebWith myNYLGBS online portal, employers and employees have 24/7 access to real-time benefit information. Once you log in, you can quickly and easily file a claim, view claim status, upload documents, and more. Employee Login File a claim or family medical leave Upload documents View leave and payment status Employer Login Manage employee … WebBenefits Fund Forms Benefits Fund participants may download PHI Authorization and Physician Nomination forms below then simply fill out and sign your paperwork, take a picture, and e-mail it to [email protected]. Disability forms may be e-mailed to [email protected]. countifs number range