ICHR Documents

HR Document Listing
All HR Documents can be found by visiting our Human Resources Documents SharePoint Site. Folders have been established for certain types of documents for ease of searching. If you cannot find the document you are looking for please email humanresources@ithaca.edu.
Please understand that the HR Documents SharePoint site is only accessible by those with an active NetPass. Additional documents can be found below.
Recording - Discrimination Complaint Review Board Introduction
Recording - Discrimination Complaint Review Board Introduction
Additional HR Documents
DependentContactDesignationForm.pdf -
DependentContactDesignationForm.pdf (53.44 KB)
MedicalPreventiveList.pdf -
MedicalPreventiveList.pdf (390.88 KB)
ACAPublicExchangeNotice.pdf -
ACAPublicExchangeNotice.pdf (218.68 KB)
Medical_POSIISummary.pdf -
Medical_POSIISummary.pdf (147.53 KB)
Medical_HDHPSummary.pdf -
Medical_HDHPSummary.pdf (148.04 KB)
Influenza Vaccine Form 2020 -
2020fluvaccineform.pdf (223.72 KB)
Paid Time Away Policy FAQs -
paidtimeawayfaq-_10.2020updates.pdf (100.79 KB)
Document Requirements for Benefit Dependents -
supporting-documentation.pdf (21.76 KB)
Add Dependent or Contact Instructions -
add-dependent-contact-instructions_.pdf (92.54 KB)
2021 Benefits Rate Sheet -
rate-sheet-handout-2021-final.pdf (165.62 KB)
Benefit Documents
High Deductible Health Plan - Highlight Summary -
hdhp-highlight-summary-sheet.pdf (172.06 KB)
Summary of Benefit Coverage for HDHP -
summary-of-benefit-coverage-hdhp.pdf (1.49 MB)
Point of Service II - Highlight Summary -
posii-highlight-summary-sheet.pdf (171.22 KB)
Summary of Benefit Coverage for POS II -
summary-of-benefit-coverage-posii.pdf (1.5 MB)
2019 Summary Annual Report Retirement Plan -
2019-sar-403b-retirement-plan.pdf (26.25 KB)
2019 Summary Annual Report Emeriti Plan -
2019-sar-emeriti-plan.pdf (10.81 KB)
2019 Summary Annual Report Group Life and Medical Plans -
2019-sar-group-life-and-medical-plans.pdf (13.62 KB)
2019 Summary Annual Report Long Term Disability Plan -
2019-sar-long-term-disability-plan.pdf (13.23 KB)
2021 Changes to IC 403b Plan -
2021-403b-changes.pdf (205.72 KB)
TIAA Road to Retirement Guide -
road-to-retirement.pdf (7.54 MB)
TIAA November 2021 Updates Presentation Slides -
ithaca-college-2021-nov-3-tiaa.pdf (724.87 KB)
TIAA Model Profiles -
tiaa-model-profiles.pdf (245.56 KB)
IC 403b Plan: Summary Description Plan -
SPD_403b Plan 101560 403b ERISA_07122022.pdf (241.96 KB)
Important Updates to the Ithaca College (403)b Retirement Plan June 2022 -
Important Updates to the Ithaca College 403(b) Retirement Plan June 2022_0.pdf (161.69 KB)
New Hire Flyer TIAA 403(b) Retirement Plan -
New Hire Flyer TIAA 403(b) 06-2022.pdf (881.61 KB)
Flu Shot Vaccine Providers -
flu_shot_vaccine_providers 20220929_0.pdf (337.26 KB)
SUMMARY ANNUAL REPORT FOR EMERITI RETIREE HEALTH PLAN FOR ITHACA COLLEGE 2021 -
2021 PY SAR for Emeriti.pdf (14.7 KB)
Summary of Benefits Aetna Choice® POS II -
2023 POSIISBC.pdf (929.71 KB)
Summary of Benefits Aetna Choice® POS II - Qualified High Deductible -
2023 HSASBC.pdf (926.66 KB)
Machine Readable Files
Machine Readable Files
Labor Law Notices
Correctional Records Notice -
correctional-records-notice.pdf (11.53 KB)
Equal Employment Opportunity Notice -
eeo.pdf (116.43 KB)
Employee Polygraph Protection Act Notice -
eppa.pdf (92.11 KB)
Families First Coronavirus Response Act Notice -
ffcra.pdf (177.72 KB)
Family Medical Leave Act Notice -
fmla.pdf (490.33 KB)
Federal Minimum Wage -
minimum-wage-flsa.pdf (128.53 KB)
Division of Human Rights Discrimination Notice -
nys-division-of-human-rights-bilingual.pdf (154.24 KB)
NYS Minimum Wage -
nys-minimum-wage.pdf (677.27 KB)
Occupational Safety and Health Administration -
osha.pdf (940 KB)
NYS Working Hours for Minors Notice -
permitted-working-hours-for-minors-under-18-child-labor.pdf (122.86 KB)
NYS Time Off to Vote Notice -
time-off-to-vote.pdf (125.96 KB)
USERRA Notice -
userra.pdf (310.23 KB)
Ithaca College's Airborne Infectious Disease Exposure Prevention Plan -
2021-0803-nys-hero-act-model-exposure-prevention-plan.pdf (188.97 KB)
Prior Notice of Electronic Monitoring Pursuant to NY Civil Rights Law -
PRIOR NOTICE OF ELECTRONIC MONITORING PURSUANT TO NY CIVIL RIGHTS LAW.pdf (28.75 KB)
Payroll Documents
New W-2 Service through ADP -
new-adp-w2-services.pdf (89.64 KB)
2021 BiWeekly Payroll Schedule -
biweekly-timeline-periods-2021.pdf (407.12 KB)
2021 SemiMonthly Payroll Schedule -
semimonthly-time-periods-2021.pdf (388.24 KB)
Digital Workplace Notices
Digital Workplace Notices
TBD