WebEnroll my domestic partner . NYSHIP Health Insurance Enrollment or Change Form (PS-404) Domestic Partner Application : Birth certificate; Social Security card; See … WebDomestic Partner application and other required proofs as listed in the application. Domestic Partner Enrollment Packets may be obtained by contacting the Benefits Unit …

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Webof a domestic partnership established by NYSHIP. NYSHIP defines a domestic partnership as a lifetime relationship in which you and your partner are 18 years of age or ... The current proof requirements are outlined in the domestic partner enrollment application packet available through your department’s Human Resources Representative. The ... Web9 de feb. de 2016 · Q: If my domestic partner’s application is rejected, can I reapply? A: Yes, you can reapply. Q: Does domestic partner coverage extend to HMOs and dental/optical carriers? A: Yes, the same NYSHIP eligibility and documentation requirements apply if you are seeking domestic partner coverage in an HMO and in dental/optical plans. cup of new covenant

Other NYSHIP programs SUNY Geneseo

WebI, the enrollee, and my Domestic Partner, understand that any false or misleading statements made in Sections A, B, or C of this NYSHIP Domestic Partner Enrollment … WebApplication for Enrolling Domestic Partners In NYS Health Insurance Program (PS-425) Use this form for enrolling a domestic partner in the NYS Health Insurance Program. … WebSummary of NYSHIP Required Proofs: Spouse. Domestic Partner. Child. Other Child* Copy of Birth Certificate** Social Security Number*** Medicare Claim Number (if enrolled … easy choc self saucing pudding