NYSHIP Annual Open Enrollment Period
The Fall 2013 Annual Open Enrollment Period for Doctoral Students and Engineering Students in the New York State Health Insurance Program (NYSHIP) is November 1 through November 30, 2013.
If you are participating in the Annual Open Enrollment Period, you must complete and submit the Health Benefits Enrollment Form (PS-404) attached to this notice. If you are adding an eligible dependent, you must provide acceptable documentation* as proof of eligibility for your dependents.
*Refer to the dependent eligibility requirements for Enrollment attached to this notice.
If you are a Doctoral Student, the form must be returned to Scott Voorhees at the Graduate Center, room 7301.05.
If you are an Engineering Ph.D. Student, the form must be returned to the Kim Ferguson at City College, Shepard Hall, room 50.
If you are enrolling in benefits or adding dependents to coverage, you should expect to receive your benefit cards in the mail (at your home address on file) within 3 to 4 weeks from the date your enrollment is processed.
If you are not making changes to your current plan, then no action will be required on your part. Your insurance will continue without a lapse in coverage, assuming you continue to meet the eligibility requirements. The next opportunity you will have to make changes to your coverage as outlined above will be if you experience a Qualifying Event or during the 2014 Annual Open Enrollment.
As a reminder, you are eligible to participate in NYSHIP if you are a matriculated Doctoral Student in a CUNY Doctoral Program or in the Engineering Ph.D. Program and simultaneously employed in one of the following Professional Staff Congress (PSC) represented titles: Graduate Assistant A, B, C, D, Adjunct Instructor, Adjunct Lecturer, Adjunct College Laboratory Technician or Non- Teaching Adjunct I, II.
You may enroll your eligible dependent(s) if their relationship to you is one of the following:
- · Spouse
- · Domestic Partner
- · Dependent Children (under 26 years of age) – The term “children” includes natural children adopted children, dependent step children.
- · Disabled Dependents (26 years of age or older)
For additional information on the New York State Health Insurance Program you may visit our NYSHIP website.
Please contact the NYSHIP Coordinator at your college if you have any questions:
If you are a student at the CUNY Graduate Center, please contact Scott Voorhees at firstname.lastname@example.org or by telephone at 212-817-7406.
If you are an Engineering Ph.D. Student at City College, please contact Kim Ferguson at email@example.com or by telephone at 212-650-7963.