New Employee Benefits Checklist

The following is a checklist of items you need to be mindful of as you start your employment at Rutgers-Newark. This list includes items for faculty and staff. Depending upon your employment type, some items may not pertain to you.

Please submit benefit forms to Rutgers-Newark Human Resources. You are responsible for retuning these documentations to the Rutgers Newark-Human Resources Office within the time frames listed below from your date of hire or benefits orientation date. If you need assistance, please call a Benefits Specialist at (973)353-5500.

	10 days	15 days	30 days	90 days	Anytime
Health Plans:
New Jersey State Health Benefits Program Application	X
Copy of marriage certificate for SHBP Application (if applicable)	X
Affidavit of Dependency for SHBP Application (if applicable)	X
Copy of Affidavit of Domestic Partnership for SHBP Application (if applicable)	X
Tax Savings Programs:
Unreimbursed Medical/Dependent Care Flexible Spending Account			X
Declination of Premium Option Plan	X
Public Employees’ Retirement System (PERS):
Public Employees’ Retirement System (PERS) Enrollment Application	X
Additional Contributions Tax-Sheltered Program (ACTS) Salary Reduction Agreement and Carrier Allocation Form					X
Enrollment form from your carrier (copy)					X
Supplemental Annuity Collective Trust (SACT) Enrollment Request					X
SACT Salary Reduction Agreement					X
NJ State Employees’ Deferred Compensation Plan Enrollment Request					X
NJ State Employees’ Deferred Compensation Beneficiary Designation					X
Long Term Disability for PERS (for certain administrative employees)			X*
Alternate Benefit Program (ABP):
Alternate Benefits Program (ABP) Enrollment Application		X
Enrollment form(s) from your carrier		X
ABP Salary Reduction Agreement and Carrier Allocation Form					X
NJ State Employees’ Deferred Compensation Plan Enrollment Request					X
NJ State Employees’ Deferred Compensation Beneficiary Designation					X
Long Term Care Insurance Plan:
Enrollment form (Prudential)				X*
Parking:
Contact University Parking to obtain parking registration packet to register your vehicle(s) in Blumenthal Hall Rm 209	X
Direct Deposit:
Direct Deposit Authorization Form (Return to: Payroll Services, ASB Room 317, Busch Campus)					X
Photo ID Card:
Visit the ID card office in Blumenthal Hall 3^rd Floor. Present documentation of employment, and receive a photo ID card	X
NetID/Email
Request a NetID and email address online. Your PDR must be submitted	X
Self-Identification for Individuals with Disabilities and Covered Veterans
View the memo on affirmative action for people with disabilities and covered veterans View the list of federal government definitions Complete the self-identification form for individuals with disabilities and covered veterans					X

* If submitted after the indicated time frame, additional documentation will be required.

Resources To Help You
Benefits Specialist	(973) 353-5500

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