Resource Center
Contact
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Montefiore Medical Center
Corporate Human Resources Division
HR-Benefits OfficeBy U.S. Mail:
111 East 210th Street
Bronx, NY 10467-2490Via interoffice mail or FedEx:
555 South Broadway, Bldg A
Tarrytown, NY 10591T 914.349.8531
F 914.349.8584Albert Einstein College of Medicine
718.430.2547
Benefits Enrollment
888.860.6166
COBRA Administrator
Mail Election forms to P.O. Box 226101, Dallas TX 75222
Mail checks to PO Box 660212, Dallas TX 75266-0212
888.678.4881
mybenefits.wageworks.com Dependent Verification
Winston Benefits
T 866.936.7011
F 732.903.1166Employment/Income Verification
The Work Number
800.367.5690
Retiree Administration
HealthEquity/Wageworks
1155 Reliable Parkway
Chicago, IL 60686888.678.4881
1199SEIU Benefit and Pension Fund
646.473.9200
Local 30 International Union of Operating Engineers
16-16 Whitestone Expressway
Whitestone, NY 11357718.847.8484
New York State Nurses Associates (NYSNA)
NYSNA Pension Plan & Benefits Fund
PO Box 12430
Albany, NY 12212-2430877.RN.BENEFITS
877.762.3633800.342.4324
518.869.9501Special & Superior Officers Benevolent Association 199 North Wellwood Avenue
Lindehurst, NY 11757631.587.9116 ssoba.com Teamsters Local 445 15 Stone Castle Road
Rock Tavern, NY 12575845.564.4076 teamsterslocal445.org
Contact
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Care Guidance Program
855.MMC.WELL (855.662.9355)
Claims Administrator/Medical
MonteCare EPO
MonteCare PPO
MontePrime EPO (House Staff)
Registered Nurses Health PlanEmpire BlueCross BlueShield
866.236.6748
24/7 NurseLine
877.TALK.2RN (877.825.5276)
Empire Getting Better Care
BlueCard Worldwide® Program
Claims Administrator/Dental
Preventive & Diagnostic Care
Cigna DPPO Dental Plan
Cigna DHMO
Registered Nurses Dental BenefitsCigna
800.Cigna24 (800.244.6224)
DHMO Directory
CT – Network – Specialist
NJ – Network – Specialist
NY – Network – SpecialistCOBRA
HealthEquity/Wageworks
PO Box 14053
Lexington, KY 40512888.678.4881
Conifer Value Based Care
855.381.3441
Carebridge EAP
800.225.2527
800.252.4555Montefiore Provider Network
CMO Customer Service Department
914.377.4400
Find a Montefiore or Empire Doctor
MonteCare/MontePrime Mental Health Provider DirectoryPrescription Drug Program
Montefiore Outpatient Pharmacy
718.920.4937
Express Scripts
800.631.7780
Vision
United Healthcare Vision Plan
800.638.3120
www.myuhcvision.com
www.visiondirect.com
Laser Vision Network of America
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Contact
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1199 Benefit and Pension Fund
646.473.9200
Health Services Retirement Plan (HSRP)
212.956.8340
Local 30 International Union of Operating Engineers
718.847.8484
NYSNA Pension
877.RN.BENEFITS
877.762.3633800.342.4324
518.869.9501Special & Superior Officers Benevolent Association 199 North Wellwood Avenue
Lindehurst, NY 11757631.587.9116 ssoba.com Teamsters Local 445 15 Stone Castle Road
Rock Tavern, NY 12575845.564.4076 teamsterslocal445.org Montefiore Medical Center 403(b) Plan
Fidelity
800.343.0860
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Contact
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HealthEquity/Wageworks
877.924.3967
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Contact
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MetLife Legal Plans 800.821.6400 www.legalplans.com
Password:3700010/family coverage
3710010/single coverage
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Contact
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Disability
Central Leave Office
914.349.8528
Life and AD&D Insurance Securian 844.878.2198 LifeBenefits.com STD, LTD and Buy-Up LTD
Principal Life®
800.245.1522
LTD – Contributory
RNs – 1199
For pending claims
Prudential Disability Claims860.842.1718
reference policy number 44416
Pending EOI application
Medical Underwriting Team888.257.0412
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Contact
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Tuition Reimbursement
914.349.8563 [email protected]
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Contact
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Commuter Benefits
HealthEquity/Wageworks
888.678.4881
511NY Rideshare Out-of-state (888.465.1169) 511 www.511ny.org/rideshare Employee Discounts
Corporate Offers
212.203.1818
PerksConnect
877.253.7100
montefiore.perksconnection.com
Group Code: MontefioreMCNationwide Pet Insurance
877.738.7874
Plum Benefits
212.660.1888
Wireless Discounts
T-Mobile
855-570-9947 Verizon
www.verizon.com/verizonconnections Special Promotions Auto/Homeowner Insurance
Farmers
844.296.3581 www.myauto.home.farmers.com Travelers
888.695.4640 www.travelers.com LASIK Surgery 718.920.2020 Municipal Credit Union 212.693.4900 www.nymcu.org Purchasing Power 800.537.3134 www.montefiore.purchasingpower.com Voluntary Insurance Program (VIP) Critical Illness Insurance
Integrated Disability Benefit Income Protection – 1199
Personal Accident Insurance
Universal Life InsuranceWhole Life Insurance
866.936.7011 www.mymmcbenefits.com Individual Disability Income (DI) Insurance
Principal 212.536.6181 [email protected]
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Contact
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www.toyourhealth.montefiore.org
Employee Assistance Program (EAP)
Carebridge
844.300.607
www.carebridgenow.com
Your website access code is C4NKN.
1199 Member Assistance Program 646.473.6900 Healing Arts 718.920.6576 montefiore.org/healingarts Creative Wellness 646.864.7675 [email protected] Nutrition Counseling 347.498.2424 [email protected] Occupational Health Services(OHS) Smoking Cessation 914.349.8531 [email protected] Supportive Wellness 347.418.4729 [email protected] WW at Work 866.882.2226 wellness.weightwatchers.com
Employer ID: 65022
Employer Passcode: WW65022
Contact
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Montefiore Medical Center 403(b) Plan Fidelity 800.343.0860 www.netbenefits.com/atwork Medicare
800.MEDICARE
(800.633.4227)
TTY Users 877.486.2048Retiree Administration
Mail Election Forms to:
HealthEquity/Wageworks
PO Box 226101
Dallas, TX 75222Mail Checks to:
HealthEquity/Wageworks
PO Box 660212
Dallas, TX 75266-0212888.678.4881 Social Security Administration 800.772.1213
TTY Users 800.325.0778www.socialsecurity.gov
Forms
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Montefiore Medical Center
Tuition Reimbursement
V-18 Tuition Reimbursement
Tuition Reimbursement Application Process
Tuition Reimbursement Application
Service Commitment Agreement – RN (NYSNA)
CME PA Application Process
CME PA Reimbursement Application
CME PT Application Process
CME PT Reimbursement ApplicationMontefiore Medical Center
Scholarship Program
V-21 Scholarship Program for Children of Associates
College Scholarship Program for Children of Montefiore Associates
Scholarship Application ProcessMontefiore Medical Center
Scholarship Reimbursement – Doctor, Executive, Scientist
V-20 Tuition Reimbursement
Tuition Reimbursement Application Process
Tuition Reimbursement Application
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Legal
Legal
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Notices Children’s Health Insurance Program (CHIP)
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Family and Medical Leave Act (FMLA)
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Newborns’ and Mothers’ Health Protection
Uniform Services Employment and Re-Employment Rights Act of 1994 (USERRA)
Summary of Benefits & Coverage (SBC) Summary Plan Descriptions (SPD) Montefiore Medical Center 2023 Associate Benefits Program SPD
2023 House Staff Benefits Program SPD
Montefiore Mount Vernon
Montefiore New Rochelle
Schaffer Extended Care Center
2023 Executive Associates and Physicians
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Legal
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Summary Plan Description (SPD)
2023 Associate Benefits Program SPD
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Legal
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Insurance Certificates Montefiore Medical Center STD - Eligible Registered Nurses
Accidental Death & Dismemberment (AD&D) Insurance SPD
LTD Rider and Certificate - Grandfathered Sr Mgrs, Physicians & Appointed Scientists
LTD Rider and Certificate - Mgmt, PTs, Clerical, Security & House Staff
LTD Rider and Certificate - Sr Mgmt, Physicians & Appointed Scientists
Montefiore Mount Vernon Hospital
Montefiore New Rochelle Hospital
Schaffer Extended Care Center
STD - Eligible Registered Nurses
LTD Rider and Certificate - Grandfathered Sr Mgrs, Physicians & Appointed Scientists
LTD Rider and Certificate - Mgmt, PTs, Clerical, Security & House Staff
LTD Rider and Certificate - Sr Mgmt, Physicians & Appointed Scientists
LTD Rider and Certificate - RN
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Legal
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Legal
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Summary Annual Reports (SARs) Summary Plan Descriptions (SPDs)