NYSHIP Health Insurance Enrollment or Change Form (PS-404)

State employees enroll or submit changes for NYSHIP health insurance.

Mobile Users

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Completing the PDF Form

  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

Human Resources
120 Crofts Hall
North Campus

To enroll family members include copies of:

For Spouse

 - Marriage Certificate

 - Birth Certificate

 - Social Security Card

 - If married more than 1 year proof of financial interdependance

For Children

 - Birth certificate

 - Social Security Card

Need Help Completing the Form?

For Active Employees

Nadine Burns.

Nadine Burns

Health Benefits Administrator

State Benefit Services

Phone: 716-645-4471

Email: nmburns@buffalo.edu

For Retiree Health Insurance Transactions

Lissa Jasinowski.

Lissa Jasinowski

Assistant Director

Benefits and Work Life Balance

Phone: (716) 645-4488

Email: lmt22@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: December 2019

Owner: State of New York Department of Civil Service