Page 19 - Work Force July-August 2018
P. 19

 Membership Has its Benefits!
  Pawling Schools member honored as top school bus driver
          The Accidental Death Benefit has been increased to $10,000!
• This valuable benefit is available to you as a member in good standing at no cost to you!
• Since the program began in 2014, this benefit has already helped 15 families recover from a sudden, tragic loss.
Go to cseany.org/10KAD
to fill out the beneficiary form.
• Be sure to complete the beneficiary form (online or download and print) so this benefit goes to who YOU designate as well as the Membership Verification/Update form to ensure we have your
most current information in the event of a claim.
• Return completed forms to:
CSEA Insurance Department
143 Washington Avenue Albany, NY 12210
PAWLING — Vinny Valentino transports the most precious cargo there is, and he’s been doing so safely for the past 37 years.
Valentino, a CSEA member at the Pawling Central School District Unit, was recently named 2018 School Bus Driver of the Year by the Dutchess County Traffic Safety Board.
Valentino has worked seven years in Pawling, and had previously driven a bus in the Bronx. All of his time behind the wheel has been accident- free.
“Vinny is incredibly deserving of this award,” said Pawling Central School District Unit President Jeff Stevens. “Safe driving is his No. 1 priority, and he’s earned the trust and respect of our students and their parents over the past seven years.”
Also among the attendees at
the presentation were Dutchess Educational Employees Local President Scott Rajczi and Pawling Central School District Unit Executive Vice President Kevin Richard and
Dutchess Educational Employees Local Treasurer and Pawling Schools Unit member Tammy Fielding.
This is the 17th year that the Dutchess County Traffic Safety
Board has presented this award,
with a number of CSEA members
from other school districts among
the previous honorees. It is timed to coincide with Operation Safe Stop, a day when police across the state step up enforcement of drivers illegally passing school buses, especially in areas where school bus drivers have reported a history of drivers passing stopped buses with flashing red lights.
This year’s award presentation was filled with fanfare, with Dutchess County Sheriff Butch Anderson,
high ranking officers from local police departments and many of Valentino’s co-workers gathering in the bus garage as he was presented with a plaque and gift certificate to the Culinary Institute of America restaurants in Hyde Park.
— Jessica Ladlee
                                                        Above, Congratulating CSEA member Vinny Valentino, third from right, on his honor as 2018 Dutchess County School Bus Driver of the Year are, from left, Dutchess County Education Local President Scott Rajczi, Pawling Central School unit District President Jeff Stevens, unit Vice President Kevin Richard and local Treasurer Tammy Fielding.
            New York State Vehicle and Traffic Law states that drivers must stop from both directions any time a school bus is stopped with red lights flashing, even on a divided highway. Drivers ticketed for illegal passing can face fines ranging from $250 to $1,000 and possibly receive points on their driver’s license. Repeat offenders can face up to 180 days in jail.
   Stay up-to-date on buying discounts at
facebook.com/cseabenefits.
For more information on available discounts, visit cseany.org/mb.
  July-August 2018
The Work Force 19
 SECTION III – Signature & Attestation
Accidental Death (AD) Beneficiary Form Customer Number TS 05050044-G SECTION I – Insured Information
Group Policyholder Name: Civil Service Employees Association, Inc.
First Name Address – Street City
M.
Last name Non-Work Email State Zip
Date of Birth Phone Number SSN
SECTION II – Beneficiary Information
Complete the section that pertains to the type beneficiary you are designating.
PRIMARY BENEFICIARY - Your first choice to receive your life insurance proceeds in the event of your accidental death. If any primary beneficiaries predecease you, that person's share will be equally divided among any remaining primary beneficiaries.
First Name Address – Street City
M. Last name
Date of Birth
Relationship to Member
% Share
only be listed once. The sum MUST equal 100%.
Relationship to Member
MUST equal 100%.
State
Zip SSN
CONTINGENT BENEFICIARY - Your second choice to receive your life insurance proceeds if ALL of your primary beneficiary(ies) are not living at the time of your death. If any contingent beneficiaries predecease you, that person's share will be equally divided among any remaining contingent beneficiaries.
First Name Address – Street City
M. Last name
Date of Birth
State
% Share
Zip SSN
If you need more space for additional beneficiaries, living trust, or estate, visit www.cseainsurance.com/Products-Forms/Term-Life to download the full form and submit to CSEA, Inc., ATTN: Insurance Dept., 143 Washington Ave., Albany, NY 12210.g
SECTION III – Signature & Attestation
I hereby authorize the Civil Service Employees Association, Inc. (CSEA), Local 1000 AFSCME, AFL-CIO, to be my exclusive representative for collective bargaining and therefore revoke any other representative that I may have previously designated. I also hereby authorize the fiscal or payroll officer of my employer to deduct CSEA dues from my salary in the amount certified by CSEA in this and succeeding years of my employment and membership. Dues, contributions or gifts to CSEA are not tax deductible as charitable contributions. However, they may be deductible as ordinary and necessary business expenses.
I hereby revoke any previous designations, and I designate the person, people, or entity named in Section II as Beneficiary(ies). I reserve the right to change or revoke this designation at any time.
Job Title
First Name Address – Street City
M.
Place of Employment/Location Last name
Non-Work Email Address Date of Birth
Phone Number
I acknowledge that my membership entitles me to this $10,000 AD policy.
Member Name (Please Print) Member Signature Date (Must be date form was completed)
Phone Number
You MUST designate at least one primary beneficiary. A person may
The sum of the Primary & Contingent Beneficiary percentages
Dollar amounts, fractions and decimals will not be accepted.
Member Record Verification/Update
I hereby authorize the Civil Service Employees Association, Inc. (CSEA), Local 1000 AFSCME, AFL-CIO, to be my exclusive representative for collective bargaining and therefore revoke any other representative that I may have previously designated. I also hereby authorize the fiscal or payroll officer of my employer to deduct CSEA dues from my salary in the amount certified by CSEA in this and succeeding years of my employment and membership.
Dues, contributions or gifts to CSEA are not tax deductible as charitable contributions. However, they may be deductible as ordinary and necessary business expenses.
State
Zip
SSN
I acknowledge that I am a Member in good standing, which entitles me to this $10,000 AD policy.
Member Name (Please Print) Member Signature Date
Phone Number













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