2024 Productivity Enhancement Program Enrollment
This file contains the 2024 Productivity Enhancement Program details for CSEA represented employees. It outlines eligibility criteria, application instructions, and benefits involved. Users should refer to this document for guidance on enrolling in the program successfully.
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How do I fill this out?
Filling out this form is a straightforward process. Begin by providing your personal and employment details accurately. Follow the instructions provided in the program description for any specific eligibility requirements.
How to fill out the 2024 Productivity Enhancement Program Enrollment?
1
Read through the full program description carefully.
2
Complete the personal information section including name, Upstate ID#, and contact details.
3
Check the appropriate health insurance plan coverage type.
4
Specify the number of leave hours you wish to forfeit.
5
Submit the completed form before the deadline.
Who needs the 2024 Productivity Enhancement Program Enrollment?
1
CSEA represented employees at Salary Grade 24 or below need this form to participate in the PEP.
2
Employees looking to reduce their health insurance premium costs can benefit from this program.
3
Individuals with unused vacation and personal leave want to convert that leave into a health insurance credit.
4
Part-time employees may wish to explore their eligibility and available credits as well.
5
Human Resources professionals require this form for processing employee benefits efficiently.
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What are the instructions for submitting this form?
To submit this form, send completed documents to the Human Resources Benefits Office via interoffice mail, email a scanned copy to benefits@upstate.edu, or fax to 464-4390. Ensure you file before the December 11, 2023, deadline for the 2024 program year. It is advisable to keep a copy of your submission for your records.
What are the important dates for this form in 2024 and 2025?
The crucial date for this form is December 11, 2023, which is the final date to submit enrollment for the 2024 program year.
What is the purpose of this form?
This form is designed for CSEA represented employees who wish to enroll in the Productivity Enhancement Program for 2024. It serves to document the employee's consent to forfeit accrued leave for health insurance contributions. Completing this form enables individuals to benefit from the program while ensuring compliance with outlined guidelines.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The full name of the employee enrolling.
- 2. Upstate ID#: Unique identification number assigned to the employee.
- 3. Daytime Telephone #: Contact number for the employee during working hours.
- 4. E-Mail Address: Email address for correspondence regarding the application.
- 5. Health Insurance Plan: Type of health insurance coverage the employee holds.
- 6. Coverage Type: Indicates individual or family coverage.
- 7. Leave Forfeiture Hours: Specifies the number of leave hours being surrendered.
What happens if I fail to submit this form?
Failing to submit this form may result in ineligibility for the Productivity Enhancement Program. Employees who do not apply will miss out on potential health insurance credits. Additionally, they may lose the opportunity to manage their leave balances effectively.
- Ineligibility: Not submitting the form will automatically disqualify you from participating.
- Lost Benefits: You may miss the chance to reduce your health insurance premiums.
- Leave Imbalance: Not participating could lead to unused leave remaining in your balance.
How do I know when to use this form?
- 1. For Enrollment: Use this form to enroll in the 2024 Productivity Enhancement Program.
- 2. For Leave Surrender: This form is necessary to consent to the forfeiture of vacation or personal leave.
- 3. For Health Benefits: This serves to apply for health insurance premium credits.
Frequently Asked Questions
What is the Productivity Enhancement Program?
The Productivity Enhancement Program allows eligible CSEA employees to convert leave balances into health insurance premium credits.
Who is eligible to participate in this program?
CSEA represented employees in the Executive branch at Salary Grade 24 or below can participate.
How do I submit the enrollment form?
You can submit the form via email, fax, or interoffice mail to the Human Resources Benefits Office.
What is the deadline for submitting this form?
The deadline to submit your enrollment form is December 11, 2023.
Can I edit this PDF before submission?
Yes, you can edit the PDF using PrintFriendly's editing tools.
How can I ensure my submission is processed correctly?
Double-check that all required fields are filled out accurately before sending the form.
Is there a limit to how much leave I can forfeit?
Yes, credits depend on your salary grade and the number of days you opt to forfeit.
What happens if I miss the submission deadline?
Late submissions may result in the inability to participate in the program for the 2024 enrollment year.
How will I know if my enrollment is accepted?
You will receive a confirmation from the Human Resources Benefits Office after processing your form.
Can I use this form every year?
This form is specifically for the 2024 program year; you will need to submit a new form for future years.
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