GSEU Health Coverage - 2013

Plan

The New York State Health Insurance Plan (NYSHIP) Student Employee Health Plan (SEHP) is a health insurance program for SUNY graduate and teaching assistants and their families.

Coverage

Hospital, medical, surgical, prescription drug, vision and dental benefits using network and non-network providers.

Eligibility

Graduate and Teaching Assistants represented by GSEU who are active on the State payroll and work at least ½ an assistantship at a stipend that would yield at least $ 4,293 when annualized over the July 1 through June 30 contract year.

Cost

Biweekly premium rates for 2013 will be:

• $ 10.18  Individual coverage
• $ 69.95  Family coverage

How to Enroll

To enroll you should complete the PS-404G form and return it to the Human Resources office - Monday through Friday 8:30 am to 4:00 pm.

**Proof of birth dates, social security numbers and marriage dates will be required for any dependents**.

Coverage Effective Date

If you enroll within 45 days of first becoming eligible your effective date of coverage will be the day we receive your enrollment form. If you request coverage after the 45 day open period, you will be required to serve a 30 day waiting period which begins the day we receive your form.

Dependents

Legal spouse, domestic partner and children up to age 26. Includes natural children, dependent stepchildren, legally adopted children including those still within their waiting period for finalization.

**Proof of birth dates, social security numbers and marriage dates will be required**.

International Students

F1 and J1 Visa Holders: Required to enroll in this plan. Must also purchase medical evacuation and repatriation coverage as a rider through the SUNY International Health Insurance Program.

Contact Lorraine Medionte in ISSS Office or call Ext. 7-2510.