
Benefits Forms
Health Benefit Forms
Caremark Mail Order Form
Caremark Prescription Reimbursement Form
CIGNA Claim Form
Vision Care Claim Form
Vision Provider List
Metlife Dental Form
Retiree Health Program Enrollment/Change Form
Financial Forms
Direct Deposit
W-4P – Withholding Certificate for Pension or Annuity Payments
NY State Tax Withholding Explanation and Election Form
Pension Information
Annual Funding Notice – 2019 Plan Year
2019 Summary Annual Report
Retiree Information
Address Change - Contact Employee Benefits at 800-577-9527 or email orbenefitsinbox@oru.com or logon to retiree self service in HR Payroll.
Retiree Self Service
Once enrolled in Retiree Self Service, you can view and print your pension verification letter.