Info & Forms

FORMS:

Vacation Buy-Back Form:

View/Download – Submit to Stacy Campos ✉, Health/Retirement Benefits Coordinator, no later than May 1st.

Dental Insurance Guardian Application & PLAN INFORMATION:

View/Download – Submit to Mari Huber ✉, Dental Benefits Coordinator.

INFORMATION:

2021-2022 DCBSSA Dues Schedule (NYSUT/NEAFT/LOCAL 6253)

NYSUT Code 1 1 & 2 7 2 5 8
Local Membership
Category
Full Dues $48,347 and higher Split Dues $34,000 to $48,346 3/4 Dues $25,500 to $33,999 1/2 Dues $17,000 to $25,499 1/4 Dues $8,500 to $16,999 1/8 Dues Under $8,499
Full Time $642.76 $522.88 $428.38 $333.88 $179.44 $101.62
$/20 pays $32.14 $26.14 $21.42 $16.69 $8.97 $5.11
Part Time $627.76 $507.88 $413.38 $318.88 $164.44 $87.22
$/20 pays $31.39 $25.39 $20.67 $15.94 $8.22 $4.36

As agreed with payroll, partial checks will not have dues deductions on either incoming or outgoing employees.