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EMPLOYEE BENEFITS DIVISIONNYSHIP Sick Leave Credit Option Election Form PS405 (6/2020 L)YOU MUST MAKE THIS ONETIME CHOICE PRIOR TO RETIREMENT NO LATER THAN YOUR LAST DAY WORKED If you do not make

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How to fill out nyship sick leave credit

01

Obtain the necessary form from your HR department or online.

02

Fill out your personal information including name, address, and employee ID.

03

Specify the dates and duration of the sick leave taken.

04

Provide any supporting documentation such as a doctor's note if required.

05

Submit the completed form to the appropriate department for processing.

Who needs nyship sick leave credit?

01

Employees who are covered under the New York State Health Insurance Program (NYSHIP) and are eligible for sick leave benefits.

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What is nyship sick leave credit?

NYSHIP sick leave credit is a benefit provided to NYSHIP members allowing them to convert unused sick leave into credits towards their health insurance premiums upon retirement.

Who is required to file nyship sick leave credit?

NYSHIP members who are eligible for retirement and have unused sick leave credits are required to file for NYSHIP sick leave credit.

How to fill out nyship sick leave credit?

To fill out NYSHIP sick leave credit, members need to submit a completed application form along with supporting documentation of unused sick leave.

What is the purpose of nyship sick leave credit?

The purpose of NYSHIP sick leave credit is to provide financial assistance to retired members by reducing their health insurance premiums.

What information must be reported on nyship sick leave credit?

Members are required to report their unused sick leave balance, retirement date, and any other requested information on NYSHIP sick leave credit.

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