Rutgers: Payroll Services

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	Payroll Services Manual
	Payroll Processing Schedules
	Important Payroll Notes
	Schedule of Payroll Workshops

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Division of Payroll Services

Financial Data Control
Benefit Enrollment Processing

		Page
CONTACTS

MISSING FORMS		1
COMMON PROCESSING PROBLEMS		2 & 2 A
Health, HMO, Drug and Dental		3
PERS		4
ABP		5
Common Problems with Benefit Plans		6

FREQUENTLY REQUIRED DOCUMENTS		7
Affidavit of Dependency, Divorce Papers,
Court Order, Adoption, & Passport
or Immigration Papers

SAMPLE FORMS
Affidavit of Dependency	Exhibit	8
Affidavit of Dependency Instructions	Exhibit	9 & 9 A
Health Benefits Application	Exhibit	10
Health Benefits Application	Completed Samples	10 A-F
Health Benefits Application Instructions		10 G-H
Health Plan Rates		10 I
Time Table for Enrollment		10 J
Dental Benefits Application	Exhibit	11 A
Dental Benefits Application	Completed Samples	11 B-D
Dental Benefits Instruction		11 E
PERS Enrollment Application	Exhibit	12
PERS Enrollment Application Parts I, II, III, IV	Completed Samples	12 A
PERS Enrollment Application Instructions		12 B-C
PERS Report of Transfer	Exhibit	13
PERS Report of Transfer	Completed Sample	13 A
PERS Application for Retirement Allowance	Exhibit	14
PERS Application for Retirement Allowance	Completed Sample	14 A
Alternate Benefit Enrollment Application	Exhibit	15
Alternate Benefit Enrollment Application	Completed Samples	15 A-B
Alternate Benefit Enrollment Application	Instructions	15 C
Alternate Benefit Application for Transfer	Exhibit	16
Alternate Benefit Application for Transfer	Completed Sample	16 A
TIAA/CREF Application	Exhibit	17
TIAA/CREF Application	Completed Sample	17 A
TIAA/CREF Application Delay Vest	Exhibit	18
TIAA/CREF Application Delay Vest	Completed Sample	18 A
Other Forms Needed		19
ABP Investment Carrier Allocation Form	Exhibit	20
ABP Investment Carrier Allocation Form	Completed Sample	20 A-D
ABP Salary Reduction Agreement	Exhibit	21
ABP Salary Reduction Agreement	Completed Sample	21 A
TIAA/CREF Application L - Supplement Retirement	Exhibit	22
TIAA/CREF Application L - Supplement Retirement	Completed Samples	22 A
Tax Deferred Annuity	Completed Sample	22 B
Deferred Compensation	Exhibit	23
Deferred Compensation Application for Enrollment	Completed Samples	23 A
Deferred Compensation Criteria		24
Memorandum to Visiting Part-Time Lecturer	Exhibit	25
ACTS Eligibility Criteria		26
ACTS Salary Reduction Agreement	Exhibit	26 A
ACTS Salary Reduction Agreement	Completed Sample	26 B
ACTS Carrier Election & Allocation Form	Exhibit	27
ACTS Carrier Election & Allocation Form	Completed Sample	27 A
ACTS Applications	Exhibit	27 B
PERS Transfer to ABP	Packet	28
Please note that you can contact Payroll Services (telephone number: 445-3007) for a copy of the payroll manual rather than print out the entire website.