Binghamton University
Human Resources – Employee Benefits
To:
Management Confidential (NU 13) Employees
From:
Kim Avery, Human Resources-Employee Benefits
Date:
October 27, 2014
Re:
Productivity Enhancement Program (PEP) for 2015
MEMO
PEP allows eligible Management Confidential (NU 13) employees to exchange vacation leave in return for a
monetary credit to be applied toward the reduction of their health insurance premiums. The 2015 PEP enrollment
period will be October 27, 2014 through November 28, 2014.
Full-time employees in a position earning an annual salary of or below $60,498 who enroll and qualify for the
2015 benefit have the option to forfeit either 3 days for a bi-weekly credit of $19.23 ($500 divided by 26 paychecks) OR
6 days for a credit of $38.46 ($1000 divided by 26 paychecks).
Full-time employees in a position earning an annual salary of mover than $60,498 and up to $79,003 who
enroll and qualify for the 2015 benefit have the option to forfeit either 2 days for a bi-weekly credit of $19.23 ($500
divided by 26 paychecks) OR 4 days for a bi-weekly credit of $38.46 ($1000 divided by 26 paychecks).
All eligible part-time employees who enroll and qualify will forfeit leave on a pro-rated basis in accordance with
their payroll/employment percentage in return for a pro-rated credit.
These credits will then be applied against the cost of your health insurance premium for paychecks from
December 31, 2014 through December 16, 2015.
The credit established upon enrollment in the program will be adjusted only if you move between family and
individual coverage during the plan year. The vacation leave credits are forfeited at the time of enrollment and cannot
be returned to you if you leave service. You will be notified by the Human Resources of when the leave credits are
deducted from your time record. Interested employees should submit the enrollment form (on the reverse side) to the
Human Resources Office, AD Room 244 by close of business November 28, 2014.
In order to be eligible, you must:

Be employed on a calendar year or college year basis;

Be a full-time employee with an annual salary no greater than $79,003 at the time of enrollment or a parttime employee whose annual salary rate does not exceed the full time equivalent salary of $79,003;

Be a SUNY M/C employee (bargaining unit 13);

Be a NYSHIP enrollee (contract holder) in either the Empire Plan or an HMO; and

Have a sufficient vacation leave balance to make the full leave forfeiture without bringing their vacation leave
balance below 8 days for full-time employees or a pro-rated balance for part-time employees.
If you have any questions, please call HR/Employee Benefits at Ext. 76950; 74850; or 76953.
Productivity Enhancement Program for 2015
Management Confidential Employees
Enrollment Form
Name_____________________________________________ Annual Salary: ___________ Last 4 digits of SS#: _______
Health Insurance Plan________________________________ Email: _________________________________________
Individual [ ] or Family Coverage [ ] (check one)
By signing this document, I elect to participate in the 2015 portion of the Productivity Enhancement Program (PEP) and
agree to the provisions contained in the Productivity Enhancement Program Description (hereafter, Program Description) that is
available in my campus Human Resources Office. I understand that I must meet all the eligibility criteria explained in the Program
Description in order to participate.
I understand that, in accordance with the Program Description, I will surrender Annual leave accruals as a result of
participation in this program and that ALL of these leave credits will be deducted from my leave balances at the time my enrollment
is processed. And, if I am a part-time employee I will forfeit Annual leave on a prorated basis in accordance with my
payroll/employment percentage for a prorated credit. Furthermore, I understand that no portion of this leave will be returned to
me under any circumstances. I wish to apportion this leave forfeiture as follows:
Annual salary of $60,498 or below
______ 3 vacation days
______ 6 vacation days
Annual salary of more than $60,498
and up to $79,003
______ 2 vacation days
______ 4 vacation days
In exchange for forfeiting this accrued leave I will receive a credit as set forth in the program description to be applied
against the employee share cost of 2015 plan year NYSHIP health insurance. Pursuant to the program description, the amount of
this credit will be established at the time of enrollment and will be adjusted only upon movement between individual and family
coverage. I will not receive any amount of credit that exceeds the cost of the employee share of my NYSHIP health insurance
premiums paid during that period.
I understand that this enrollment form is for the 2015 program year only.
I understand that in order to participate this completed election form must be filed with my agency personnel office by the
close of business on November 28, 2014.
Signature________________________________________________ Date____________
PERSONAL PRIVACY PROTECTION LAW NOTIFICATION
This information is being requested pursuant to New York State Civil Service Law section 161-a for the principal purpose of determining eligibility for the Productivity
Enhancement Program for 2014. This information will be used in accordance with Public Officers Law section 96(1). Failure to provide this information may result in a
denial of eligibility to participate in the Productivity Enhancement Program for 2014. This information will be maintained by the employee’s Agency Personnel Office.
For further information relating only to the Personal Privacy Protection Law, call (518) 457-9375.
For Agency Personnel Office Only:
Full-Time______
Part Time ______
Days of Annual leave deducted from employee’s balance: ________
Verification of eligibility. I certify that this applicant meets the eligibility criteria necessary for participation in this program.
Name___________________________________ Title___________________________
Signature________________________________ Date___________________________
For Health Benefits Administrators Only:
Date Processed____________________
Biweekly Health Insurance Premium Contribution Credit___________________
Name __________________________________ Date___________________________
Signature________________________________ Date___________________________