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716-483-2344

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    Open Enrollment Forms 2020

    You must have a PDF reader to open and complete these files online.  The download Adobe Reader, please click the icon below.

    DayForce Instructions

    DayForce Open Enrollment Instructions

    Forms

    Note:  Some of the below forms are PDF forms that can be completed online.  When completing an online PDF form, please make sure to print the form after you complete it.  You may also want to save the form to your computer desktop for your records. 

    First Reliance Standard Life Insurance Company (form can be completed online)


    Health Savings Account (HSA) Account Information Form (this form cannot be completed online – you must print and then complete by hand) – Updated 11/12/19


    Lake Shore Savings Bank HSA Enrollment Form (form can be completed online)


    BPAS 403B Change of Beneficiary Form (form can be completed online)


    Pharmacy Benefit Dimensions Mail-Order Pharmacy Form (this form cannot be completed online – you must print and then complete by hand)


    2019 Open Enrollment Employee Worksheet (form can be completed online)

    Informational Sheets

    Pro-Flex FSA Expenses


    Health Plan Comparison


    TRC Full Plan Comparison Page


    TRC Summary of Dental Benefits


    EyeMed Vision Care Benefits


    New York State Disability/Paid Family Leave


    Independent Health MyIH App


    Independent Health Find a Doctor


    Independent Health Telemedicine Benefit


    Independent Health Medical Help Line


    Independent Health $0 Preventative Care Services


    Vendor Contact List 2020

    What people say

    “We are extremely grateful for The Resource Center or any group that donates or volunteers, because we serve a lot of people in need in the community.”

    Patricia Sharp, Community Helping Hands Office Manager

    “Southern Tier Brewing Company is happy to bring jobs back to the local economy. Our relationship is important with The Resource Center because it gives us an opportunity to provide meaningful work to people with disabilities. Additionally, they are providing a wonderful service for us.”

    Jim Maione, Director of Distribution, Southern Tier Brewing Company

    “The Resource Center’s Primary Care Staff have been helpful and responsive to my health concerns. I am able to see my provider the same day I contact the office with a need.”

    Amanda S. – Patient

    “I’ve used the clients at The Resource Center in the past and their quality is excellent and their work ethic is very good. The clients knew what the expected quality level was and where it needed to be.”

    Mike Richner, Manufacturing Manager, Dahlstrom Roll Form