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Health Benefits & Program Forms

 

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Forms

Health Benefits

Benefit Trust Fund Benefits Guide

Dental & Vision Student Verification

Change of Address Form

Benefit Trust Change in Status Form

NYSHIP Eligible Scholarship Form

Non-NYSHIP Scholarship Form

Leave Without Pay Membership Application

Maintenance of Membership While Temporarily Off Payroll

Sustaining Membership Application

Benefits Inquiries

Programs

BJ’s Form

 Defesive Driving Program

Fine, Olin & Anderman, LLP

Liberty Mutual

NYSUT Member Benefits

Phone Carrier Offers (register with your @stonybrook.edu email address)
AT&T     20% off cellular service
Sprint    19% of Nextel and Sprint plans
Verizon  19% off plans

Union Direct Mortage

Unum Term Life Insurance

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Main Campus Contact

Main Campus Office:
S-5415 Melville Library
Stony Brook, NY 11794-3388
Tel: 631.632.6570
westchapter@uupmail.org

The Chapter office is open M-F,
9:00 am to 3:00 pm

Southampton Campus Contact

Southampton Campus Office
Southampton, NY
Tel: 631-632-6570
westchapter@uupsbu.org

The Chapter office is open Fridays.  Call for appointment.

Benefits Information Contact

UUP Benefit Fund
Benefits Inquiries: 1-800-UUP-FUND (1-800-887-3863) 

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