Dental School Contacts

• Employment Questions

John Brigada
Director of Finance & Administration
Office: 860-679-4065
E-mail: jbrigada@uchc.edu

• Program Questions

Steven Lepowsky, DDS
Senior Associate Dean for Education & Patient Care
Office: 860-679-4885
E-mail: lepowsky@uchc.edu

Overview

Tax Forms

• W-4 Instructions
• W-4 Form
• CT W-4 Instructions
• CT-W4 Form

Medical and Dental

• Medical Overview
• Pharmacy Overview
• Specialty Pharmacy/Drugs
• Home Delivery Order Form
• Dental Overview
• Wrap Summary Plan Description
• Anthem Certificate of Coverage
• Medical / Dental Benefit Booklet and Summary of Benefits and Coverage
• 2018 Benefits Notices Booklet
• Section 125 Premium Conversion Plan
• Enrollment Application
• Medical/Dental Waiver Form
• Find an In Network Provider
• Out of Network Claim Form

Vision

• Overview
• Application
• Blue View Waiver Form

Life Insurance

• Life Insurance Change of Beneficiary Form
• Anthem Certificate

Insurance Benefits While Traveling

• Anthem International Travel.pdf
• Blue Card Claim Form.pdf
• Travel Assistance.pdf

Disability Insurance

• Disability Insurance
• Disability Conversion Information

Work Related Injury - Workers' Compensation

• Work Related Injury - Workers' Compensation.pdf
• Purple Card Procedures
• Safety Committee Rosters

Malpractice

Banking Information

• Berkshire Bank
  • Exclusive Offer For New Residents
  • The Doctor’s Advantage Home Loan
• Citizens Bank
  • Student Loan Refinance & New Loans
  • Doctors Mortgage Program
• Farmington Bank
  • Farmington Bank Home Loan
• Hartford Federal Credit Union
• Webster Bank
  • Exclusive Offer For New Residents

Financial Information

• Direct Deposit Authorization Form
• Instructions to View your Direct Deposit Paystub/W-2 Online
• Investment Resources
• Tax Sheltered Investment Program (403b)
  • Salary Deferral Agreement 403(b)
• Dependent Care Reimbursement Account (pre-tax childcare expense)

Student Loan Debt Information

• AAMC Debt Management Resource
• Public Service Loan Forgiveness Form
• Debt Consolidation Information - Citizens Bank

Counseling Programs

• Grief Counseling

Discounts

• Go Here to view Discounts available to employees

Social Group

• Resident/Fellow Spouses and Significant Others (male and female) Social Group

Exiting Residents

• Exiting Instructions
• Sign Out Sheet
• Payroll Forwarding Address

COBRA

• COBRA Election Notice
• COBRA Coverage Rights

COBRA ALTERNATIVES

• Health Insurance Exchanges

DISABILITY/LIFE AGENTS

• The Guardian/Berkshire Life

PHYSICIAN MORTGAGE PROGRAMS

• Farmington Bank Doctor's Mortgage Program
• Berkshire Bank Home Loan

Disability/Life Agents

• Guaranteed Standard Issue Program