Brookdale University Hospital

Your union has your back! The incredible benefits you have are a result of your colleagues working together to ensure that resident physicians can both provide the highest quality care possible and improve their working conditions. If you haven’t already, join CIR now. We’re stronger together.


Hearing Aid
Prescription Drug
HIPAA Notice of Special Enrollment Rights


Education allowance $750/year
Meal allowance $2,900/year
Holiday work provision
Free Rosetta Stone
Open your Contract

Residency & Legal

Medical licensure
Professional medical misconduct
Landlord/Tenant issues
CIR Legal Services

Benefits & Forms

Please stay tuned, as paper checks are still being issued until the ACH has been implemented.

Click to order your insurance card
(800) 553-9603 - Group # 720070
(800) 541-7846 - Group # G-417733
(877) 923-2847 - Client code: 2189
(866) 865-4070 - Group # K4DA

Personal information:

  • Membership Form
  • Update Form – To add new dependents to your plan. Requests to add dependents must be received within 30 days of qualifying event (birth/adoption or marriage), and you must attach requested documentation (see form).
  • Domestic Partnership Application (same-sex and opposite partners eligible) – To add a partner, download an application and return a notarized copy, along with all requested documentation, to the Plan office. You must also complete an Update Form above.
  • Opt-Out Benefits Form – Please fill out this form if you would like to remove yourself and/or your dependent(s) from the CIR Benefits Plan.

Where is my Form 1095-B?

Important Medical Plan Changes – please read entire document.





Supplemental Benefits

Employee Assistance Program


For purposes of our disability benefits, “disabled” means you can no longer perform the duties of your occupation due to accidental bodily injury, sickness, or a related medical condition, including pregnancy or childbirth. You must also be under the care of a licensed provider as defined by the state in which you work.

  • Short-term Disability Claim Form
    • If this is your first full-time job, you would have to work four consecutive weeks in order to become eligible for short-term disability. If this isn’t your first full-time job, you will be eligible for short-term disability payments on your first day of employment, unless you worked less than four weeks in previous job.
    • Coverage begins on the eighth (8th) day of your disability. The maximum benefit payable is 60% of your weekly salary, up to $692 per week, for up to 26 weeks. See the Summary Plan Description (SPD) for more details.
    • If you are going out on a disability leave, contact your employer as soon as possible.
    • Please mail or fax the STD disability claims to: Standard Security Life Ins, P.O. Box 25339, Farmington, NY 14425. Fax: (585) 398-2854.
  • Paid Family Leave (PFL) Claim Form – Administered by Standard Security Life Insurance Company of New York
    • PFL provides wage replacement and job security for three leave types:
      1. Bonding with a child during the first year after birth, or during the first year after placement of an adopted or foster child.
      2. Caring for a close family member with a serious health condition.
      3. A qualifying military event is when a spouse, child, domestic partner, or parent of the employee is on active duty or has been notified of an impending call or order of active duty.
    • Coverage includes a maximum weekly payout of $840.70 a week for a maximum 10 Weeks.
    • Visit and click on “I’m a Claimant” to find the New York State PFL Claim Form.
    • Paid Family Leave FAQs
  • Long-term Disability Claim Form
    • The LTD plan pays you 60% of your monthly salary, up to a maximum of $3,500 per month. LTD benefits typically start if you are still disabled after 26 continuous weeks. For detailed information on Long-Term Disability see the Guardian Certificate.
    • When you terminate employment, you will have the option to convert this benefit to an individual policy, subject to certain conditions.
  • INSMED Portable Disability Coverage – Policies offered to you without any medical underwriting requirements or exams.

Guardian Life Insurance:

  • If you die, a death benefit of $125,000 benefit will be paid to any beneficiary you name. You will receive a $20,000 death benefit if your spouse or domestic partner dies.
  • For instructions on submitting a Group Life Claim, click here.
  • When you terminate employment, you will have the option to continue the life insurance coverage as either group term insurance (this is called “porting” and is similar to how you have been covered during training) or you may convert this benefit to an individual policy, subject to certain conditions.
  • Whether you decide to port or convert, the availability and pricing of this coverage does not depend on any past or current medical conditions.
  • You have up to 31 days from your date of termination to submit one of these forms directly to Guardian:
    For an overview of the differences between porting and converting, click here.



What is COBRA continuation coverage?

COBRA continuation coverage allows you to choose to continue and pay for group health benefits provided by CIR for up to 18 months after your termination date.

Who is eligible?

You and your dependents covered under the Plan on the day before you terminated from your employer.
You will receive a COBRA notice mailed to the address we have on file. This notice has important information about your rights related to continued health care coverage in the Voluntary House Staff Benefits Plan.

COBRA Election forms:

To apply for COBRA, you will need to complete the Election form that corresponds to the Dental Plan you had prior to termination. If you don’t remember which Dental Plan you have, look at your Dental ID card. Here is a sample of what the Managed Dental Guard ID card looks like:

Your Cobra Election includes the following benefits: Medical, RX, Vision, and Dental. The only difference in the benefits is the Dental option you had prior to termination. Please select the Election form (also includes the COBRA Credit Card Authorization Form) that applies to you:

You have up to 31 days from your date of termination to submit one of these forms directly to Guardian:

Appeal & Claim Reprocess Forms:

  • Appeal Claim Form – Complete this form if your claim was denied in whole or any part or if you disagree with the decision that was made.
  • Claim Reprocess Form – Complete this form if your claim was denied and you are able to provide additional information.


Mental Health Resources:

  • NY Project Hope Emotional Support Helpline: 1-844-863-9314
  • Crisis Text Line: Text GOT5 to 741741
  • National Suicide Prevention Lifeline: 1-800-273-TALK
  • Trevor Lifeline: 1-866-488-7386
  • Trevor Text: Text START to 678678
  • OMH’s Customer Relations: 1-800-597-8481
  • NY Office of Mental Health Website

Member Portal

The Benefits Fund Office is pleased to announce the launch of our Member Portal!

Now accepting claims for the Professional Educational Benefit (PEB), and Supplemental Mental Health, with more benefits coming soon.

Click on Submit Claim if you have already registered to the member portal. If not, please click on the register link and enroll:


Please note: the “View EOB” (Explanation of Benefits) option will be hidden for claims that were processed prior to going live with Member Portal registration.

How it Works:


First Time Users

Already Registered


Additional Benefits

Member Only Discounts

View discount programs on the main Members page

Professional Educational Benefit

PEB reimbursements for board exams

Identity Theft Monitoring & Protection

Enroll in identity theft protection through IdentityForce. This benefit is portable after graduation.

Voluntary Hospitals House Staff Benefits Plan

View a comprehensive summary of all available benefits

Regional Vice Presidents & Delegates

Regional Vice Presidents
Ashley Brittain, Emergency Medicine, St. Barnabas Hospital
Jared Smith, Family Medicine, BronxCare Health System
Yariana Rodriguez Ortiz, Internal Medicine, Wyckoff Heights Medical Center

Mitchell Hare, Internal Medicine
Armine Bagdasaryan, Internal Medicine
Anna Ivanova, Internal Medicine
Melissa Andrade, Internal Medicine
Colleen Achong, Internal Medicine
Braden Goldberg, Orthopedic Surgery
Anando Malo, Internal Medicine
Richard Dicasoli, Internal Medicine
Nevil Kadakia, Internal Medicine
Mahdi Khattabi, Surgery
Myat Min Han, Internal Medicine

Questions about your contract? Contact: Lila Foldes | | (646) 477-7966