WebEnrollment Form for Employees Eligible to Defer Health Insurance Coverage (PS-406.2) If you are eligible, use this form to defer indefinitely the activation of your New York State … WebTo enroll in the New York State Health Insurance Program (NYSHIP) or to make changes to your existing benefits. Download the forms: Health Insurance Transaction Form (PS-404) Use to sign up for health …
New York State Health Insurance Program: Administration of the …
WebNYSHIP Online Designed to provide you with targeted information about your NYSHIP benefits. Visit this website and login to view your benefits, coverage, and options. Visit … WebCancel my enrollment: NYSHIP Health Insurance Enrollment or Change Form (PS-404) Documentation stating effective date of leave without pay. 30 days from start date of leave: Date leave began: I Want to Cancel My Coverage. If you want to cancel your coverage and one of the above events does not apply, you cannot change your health insurance. healing properties of hiddenite
Provider Enrollment - eMedNY
WebResources. Adjunct Benefits. Benefit Summaries by Job Title. Bereavement Leave. COBRA. Doctoral Student Health Insurance (NYSHIP) Donation of Time. Employee Assistance Program. Employee Health Plan Rates as … WebAs of March 25, 2011, new Federal Rules and Regulations surrounding provider screening and enrollment have been in effect. Please refer to the Federal Register 42 CFR Parts 405, 424, 447 et al. for the complete set of rules and regulations. Changes include: additional screening may be required, all ordering and referring physicians or other ... WebNYSHIP Enrollment. NYSHIP Termination. NYSHIP Termination of Domestic Partnership. NYSHIP Transfer. NYSUT Payroll Deduction Card . Paid Parental Leave Application. PSC/CUNY Death Benefit Designation. PSC/CUNY Application for Welfare Fund Benefits for Domestic Partner/Same Sex Spouse. PSC/CUNY Direct Optical Claim. PSC/CUNY … healing properties of green opal