Sachem Central School District:Business and Payroll Office and Benefit Information |
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Change In Personnel Records-This form should be used with changes associated with the following forms:
Dental Information
Dental Insurance Rates
Dental Plan Explanation
Self Insured Dental Providers
Self Insured Dental Plan - Non Teachers
Dental Plan Fee Schedule
J.J. Stanis Claim Form
Self Insured Dental Plan - Teachers
Self Insured Orthodontic Allowance
Self Insured Orthodontic
DentCare Plan and Providers
TSA Information
TSA Salary
Reduction Agreement
TSA
Worksheet
TSA
Bulletin
TSA Company
List
AFLAC
Cancer Insurance Document
Flex ONE
Request for Reimbursement
AFLAC Brochure (3Mb)
Benefits Rider (1Mb)
Health Insurance
Group Excess Major Medical Form
Health Insurance Claim Form
Blue Choice (HMO)
Civil Service and Health Insurance (Empire)
Student Status Information Request
Vision
Davis Vision
Vision Claim Form
Other Important Links
Internal Revenue Service
Social Security Administration
NYS Tax & Finance
Suffolk County Government
New York State Office of Real Property Services “ORPS”
Life Insurance
Sachem Life Insurance
New York Life Insurance Certificate
District Life Insurance Rates-All Employees
SCTA Life Insurance Rates-Teachers Only
Late Enrollees/Increase Insurance-Call Payroll
Administrator Life Insurance
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Mr. Bruce Singer Mr. Ronald Sacks Kathleen Dufort Sachem Central School District 245 Union Avenue Holbrook, NY 11741 Please click the link below for specific contact information. |
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