Find your needed forms here!
For Employees
The district provides employees and retirees with a brief summary of all health insurance benefits along with plan rate sheets. These documents are available for download as a PDF. Hard copies of these documents are available in the district office.
Please remember that MVP operates on a calendar year (January 1 to December 31), while PPOB and CDPHP operate on a fiscal year (July 1 to June 30). Applications must be submitted prior to open enrollment.
If you have any questions or concerns, please contact Sarah Jones at (518) 843-3180 ext. 7403 or [email protected]
For Retirees
Retired employees who have questions about health insurance or are looking for a specific document can contact Sarah Jones at [email protected] or 518-843-3180 x. 7403.
The district provides employees and retirees with a brief summary of all health insurance benefits along with plan rate sheets. These documents are available for download as a PDF. Hard copies of these documents are available in the district office.
Please remember that MVP operates on a calendar year (January 1 to December 31), while PPOB and CDPHP operate on a fiscal year (July 1 to June 30). Applications must be submitted prior to open enrollment.
If you have any questions or concerns, please contact Sarah Jones at (518) 843-3180 ext. 7403 or [email protected]
For Retirees
Retired employees who have questions about health insurance or are looking for a specific document can contact Sarah Jones at [email protected] or 518-843-3180 x. 7403.
2022-2023 Payroll
| 2022 Federal Withholding Certificate |
| 2022 New York State Withholding Certificate |
| PR-06 Direct Deposit |
403b Information
| Benetech Starting Guide |
| Benetech 403b Provider List |
| Benetech Salary Reduction Agreement |
| Universal Availability Mailer 2022 |
Health Insurance Forms
| Declination Form |
Health Reimbursement Forms
| BT HRA Expense Recovery Form Revised- March 2022 |
Flexible Spending 2023
| 2022 Participant Direct Deposit Authorization Form |
| 2022 FSA Eligible |
| 2022 5 New Eligible Expenses Cares Act |
| App Scanner |
|
| ||
| BT FSA Medical Expense Claim Form Revised- March 2022 |
| Direct Deposit Form |
| FSA HRA Eligible List |
| HRA Enrollment Form |
| HRA Mobile App Overview |
APPR forms
| Final Pre-Observation Form |
| Final Post Observation Form |
| Class Profile Form |