Employee Benefits

• Bswift
• Zipcar
• 529 College Savings Plan
• Aetna
• Cigna
• ARAG Legal Center
• One Exchange 
• Fidelity
• Liberty Mutual
• Employee Assistance Program - Corporate Counseling Associates (log in with code: STJOHNS)
• Oxford
• The P&A Group
• TIAA/CREF
• Tuition Exchange Program
• VPI Pet Insurance
• The Standard Life Insurance

Summary Descriptions

• Oxford Member Handbook (PDF)
• Oxford Freedom Premier (PDF)
• Oxford Freedom Core (PDF)
• Health Reimbursement Account (HRA) Information (PDF)
• Health Reimbursement Account (HRA) Summary Plan Description (PDF)
• 403(b) Retirement Plan (PDF)
• Aetna DMO (PDF)
• ARAG GROUP LEGAL PROGRAM – UltimateAdvisor® (PDF)
• Cigna Dental (PDF)
• Fidelity Fund Change Transition Brochure (PDF)
• Flexible Spending Account (PDF)
• Travel Accident Plan (PDF)
• St. John’s University Health and Welfare Summary Plan Description (PDF)
• St. John’s University Health and Welfare Plan Document
• St. John's University Life Insurance - Administrators, Contract Faculty and Law School Faculty (PDF)
• St. John's University Life Insurance - Staff (PDF)
• St. John's University Long Term Disability- Administrators, Contract Faculty and Law School Faculty (PDF)
• St. John's University Long Term Disability- Staff (PDF)

Oxford
United Healthcare Health 4Me puts your Oxford plan in your hands, 24 hours a day, seven days a week. It’s your go-to health resource when you’re on the go.
App Store
Google Play

Cigna
Life can be busy and complicated. Here is a simple-to-use tool that can help make life easier (and healthier) while you’re on the go.
App Store
Google Play

Aetna
It’s great to know you can use your cell phone with web access to view your dental plan information – whenever you want, wherever you are.
App Store
Google Play

P&A Group
The P&A Group mobile website is designed to meet your on-the-go needs! Access your available account balances, track claims, and order replacement benefits cards.
View their P&A Group website.

Fidelity
NetBenefits Mobile App helps you make the most of your retirement benefits; from monitoring account balances to reviewing and changing benefits, it can be done on-the-go.
App Store
Google Play

TIAA
See account details at a glance, monitor contributions and ensure asset allocations are on track any time of the day.
App Store
Google Play

Medical Forms

• Oxford Medical Claim Form (PDF)
  This is the HCFA claim form for all out -of -network medical claims. Please make sure that all Oxford claims are mailed to:
  
  Attn: Claims Department
  P.O. Box 29130
  Hot Springs, AR 71903
   
• Exercise Facility Reimbursement Form (PDF)
  Members should use this form each time they visit the gym facility. A facility representative must sign and date this form after each visit. This form should be submitted directly to Oxford at the address listed on the form.
   
• Oxford Enrollment Form (PDF)
  This form should only be completed if you are NOT currently enrolled in Oxford and would like to enroll in individual or family coverage. If you are currently enrolled in the Oxford medial plan, you do NOT have to complete this form. This form must be submitted to the Employee Benefits Department, Queens campus, University Center Building. Do NOT mail this form to Oxford.
   
• Oxford Addition/Termination/Change Form (PDF)
  This form should be completed if you are adding, terminating, or changing subscribers, spouses, or dependent information.  For example: If you wish to add dependents to your plan and/or change from single to family coverage, please complete this form. This form must be submitted to the Employee Benefits Department, Queens campus, University Center Building. Do NOT mail this form to Oxford.
   
• Coordination of Benefits Form (PDF)
  This form is required for subscribers, spouses or dependents who have additional healthcare coverage. This form should be submitted directly to Oxford at the address listed on the form.
   
• Student Verification Form (PDF)
  This form is required for subscribers who are enrolling student dependents. This form should be submitted directly to Oxford at the address listed on the form.
   
• Optum Rx Prescription Drug Brochure and Reimbursement Form (PDF)
   
• Health Insurance Marketplace Coverage (PDF)

Dental Forms

• Cigna Dental Claim Form (PDF)
  This is the HCFA claim form for all dental claims.  Please make sure that all Cigna claims are mailed to:
  Cigna
  PO Box 188037
  Chattanooga, TN 37422-8037
   
• Aetna DMO Enrollment Application (Full Application) (PDF)
  This form should be completed if you wish to enroll or add eligible subscribers, spouses, or dependents for Aetna DMO dental coverage. If you are currently enrolled in the Aetna DMO plan, you do NOT have to complete this form.  This form must be submitted to the Employee Benefits Department, Queens campus, University Center Building. Do not mail this form to Aetna.

Supplemental Life Insurance

• Evidence of Insurability Forms (PDF)

         This form should be completed if you elect supplemental life insurance coverage.

• Portability Form (PDF)
• Conversion Packet (PDF)

         You may convert the amount of Group Life Insurance you have in force (or a lesser amount) to an individual Life Insurance policy and/or convert

         the Group Long Term  Disability to an individual policy without evidence of insurability. You must elect this conversion within 31 days of your termination.

• Beneficiary Designation Form (Word)
  This form should be completed if you would like to change your life insurance beneficiary designation.

Long Term Disability Buy Up

• Evidence of Insurability Form (PDF)
  This form should be completed if you elect optional long term disability coverage. Please contact the Employee Benefits Office at ext. 2363 for an Evidence of Insurability form.

Retirement Plan Forms

• 2020 Salary Reduction Agreement (PDF)
  This form should be completed if you would like to make changes to your pre-tax contribution for 2020.
• 2019 Salary Reduction Agreement (PDF)
  This form should be completed if you would like to make changes to your pre-tax contribution for 2019.
• TIAA-CREF Online Enrollment Instructions (PDF)

Use this form to enroll online in the St. John’s University Defined Contribution Retirement Plan with TIAA-CREF                                                                                              

• St. John’s 403(b) Loan and Withdrawal (PDF)
• FAQs (PDF)  Frequently Asked Questions regarding the St. John’s University 403(b) Plan’s provisions on Loans and Withdrawals

Flexible Spending Plan Forms

• To view these forms, click here.

Qualified Transportation Expense Plan

• Transportation Expense Plan Information (PDF)
• Online Account Access (PDF)
  Instructions from The P&A Group on how to access and manage your online account.

Employee Assistance Program

• Corporate Counseling Associates

Legal Assistance Plan

• Legal Assistance Plan Information (PDF)

Adoption Assistance Forms

• For information on Adoption Assistance, see Policy #625 and contact:
  Benefits Department
  718-990-2363
  [email protected]
• Adoption Reimbursement Request Form (PDF)

Bswift

Instructions (PDF)

Medical

Oxford Health Plans
www.oxfordhealth.com

Oxford Preventative Care
https://www.oxhp.com/ 

Group # SJ003-01
Claims Address:
Oxford
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903

• 1(888) 201-3080; 1(888) 200-9234; 1(800) 444-6222 Oxford Member Services
• 1(800) 201-4911 Oxford On-Call (24 hour Registered Nurse) 
• 1(800) 201-6991 Behavioral Health Line
• 1(888) 201-4254 Disease Management

One Exchange 
https://medicare.oneexchange.com/SJU
1-877-233-7452

Prescriptions

Optum RX
www.oxfordhealth.com
1-800-201-4875

Dental

Aetna DMO
www.aetna.com
Group # GP-724306
Claims Address
PO Box 14094
Lexington, KY 40512
1(877) 238-6200

Cigna Dental
www.mycigna.com
Group # 3338382
Claims Address
PO Box 188037
Chattanooga, TN 37422-8037
1(800) CIGNA24

Employee Assistance Program

Corporate Counseling Associates
www.myccaonline.com
(log in with company code: STJOHNS)
1(800) 833-8707

Flexible Spending Accounts (Health and Dependent)

P&A Group
www.padmin.com
Claims Address
17 Court Street, Ste. 500
Buffalo, NY 14202-3294
1(800) 688-2611

Basic and Supplemental Life Insurance

The Standard

https://www.standard.com/

1(800)378-4668

Basic and Supplemental Long Term Disability

The Standard

https://www.standard.com/

1(800)378-4668

Employee Retirement Plans

TIAA-CREF
www.tiaa-cref.org/stjohns
1(800) 842-2888

Fidelity
http://www.netbenefits.com/stjohns
1(800) 343-0860

Auto and Homeowners Insurance

Liberty Mutual
www.libertymutual.com
1(800) 524-9400

Legal Assistance Plan

ARAG Legal Plan
www.ARAGLegalCenter.com
enter Access Code 17846stu
1(800) 247-4184

Pet Insurance

VPI Pet Insurance
www.petinsurance.com
1(800) 872-7387

Tuition Exchange Program

The Tuition Exchange
www.tuitionexchange.org

New York’s 529 College Savings Program

Upromise Investments
www.ny529atwork.com
1(800) 420-8580

Qualified Transportation Expense (QTE) Plan

The P&A Group
www.padmin.com
1(800) 688-2611

Zipcar

www.zipcar.com/stjohns
1-866-494-7227
Benefits Department at 1 (718) 990-2363

Flexible Spending Information

• FSA Brochure (PDF)
  Information directly from The P&A Group on FSA basics, eligible expenses and how to estimate your annual election.
• Update on your health FSA benefits card from The P&A Group (PDF)
  The Internal Revenue Service (IRS) has identified which merchants would be qualified to accept health FSA and HRA benefits cards.  Please read the above to find out whether your favorite store or local pharmacy has adopted the IIAS in order to accept your benefit card. 
• Online Account Information (PDF)
  Instructions for managing your FSA account, for first-time users and returning users of the P&A Website
• DrugSource Discount Announcement (PDF)
  Information regarding P&A Group's Online Pharmacy for Over the Counter Medications

Flexible Spending Forms

• Flexible Spending Claim Form (PDF)
  This form should be completed to receive reimbursement for HealthCare and Dependent Care Flexible Spending expenses.  This form may be faxed or mailed to P&A Group at the number and address listed at the bottom of the form.
• Direct Deposit Form (Flexible Spending) (PDF)
  This form should be completed if you would like your Flexible Spending reimbursement to be directly deposited into a bank account.  This form should be submitted directly to P&A Group at the address listed on the bottom of the form.
• Request for Additional Debit Card (PDF)
  This form should be completed if you would like an additional debit card for other family members, or if you have lost your Flex debit card.  This form should be submitted directly to P&A Group at the address listed on the bottom of the form.

St. John's University is a member of The Tuition Exchange, a consortium of over 570 colleges and universities that offer competitive scholarships between member schools. Membership in The Tuition exchange comprises St. John's Tuition Exchange Program (TEP).

The TEP allows eligible full-time St. John's employees to apply for their dependent children and "legal dependents" to attend other member schools, and in exchange, dependent children of employees of other schools may attend St. John's. Consortium member institutions agree to remit tuition for participants from other member schools. Tuition Exchange is for undergraduate study only. A current list of all participating institutions can be found at the following website: http://www.tuitionexchange.org/.

The TEP expands the current tuition remission program to provide enhanced educational benefit opportunities for employees, but scholarships are not guaranteed for any employee. Scholarships are awarded competitively and vary annually, depending on availability of scholarship money to St. John's employees and their dependents. Furthermore, applicants must meet all of the admission requirements and be accepted at the receiving school.

Recipients are chosen according to the employee's length of full-time service as indicated on the Human Resources portion of Banner. If minimum academic requirements are maintained, students chosen for the TEP in the current academic year will have their scholarship renewed next year. A waiting list is established in the event that a recipient is unable to use the scholarship. Please note that the waiting list does not roll over from year to year.  Please see the guidelines for more details.

TEP Guidelines (PDF)

TEP Application (PDF)

The Application/Certification Form must be completed and returned to the Office of Human Resources no later than November 1, 2018 for consideration for the 2019-2020 academic year.   Eligibility to apply for a Tuition Exchange Program (TEP) scholarship is determined by St. John’s University policy (see above for current TEP Guidelines).  Certification of eligibility for a TEP scholarship does not guarantee certification or receipt of the scholarship.  The number of available slots will be determined by the current number of St. John’s University “imports” and “exports” and may vary from year to year.  Additionally, export applicants must be accepted at another institution as a TEP candidate.  Member institutions generally are able to offer only a limited number of tuition exchange scholarships.  Note: A TEP scholarship will be awarded to an eligible employee or two children of an eligible employee at a time. 

Contact Information

Soraya Casanova
718-990-2020
[email protected]

St. John’s University brings you an integrated wellness program that leverages campus resources (Pharmacy Care Service, Campus Recreation) and University partners (Chartwells, Oxford and Employee Assistance Program). The mission of the Wellness Program is to contribute to a healthier work environment by providing St. John’s Faculty, Administrators and Staff with the programs, services and educational opportunities that effectively promote and support healthy lifestyle choices.

Queens Walking Club
The Queens Walking Club meets Tuesdays at 12:15 p.m. and Wednesdays at 1 p.m. by the Great Lawn outside Newman Hall.

Employee Assistance Program
Corporate Counseling Associates
Login with company code: STJOHNS
(800) 833-8707

Wellness News
June Wellness News (English) (PDF)
June Wellness News (Spanish) (PDF)

For more information on any of our programs please call 718-990-2363.