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M/C Professional Benefits
These are your M/C Professional (Management Confidential Professional) benefits if your affiliation with UB is New York State and your group number is 13.
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Medical, Dental and Vision Insurance
Medical Insurance Eligibility
The University at Buffalo offers a variety of medical insurance options to suit your needs.
As part of your benefits package, you may be eligible for medical insurance. Listed below are eligibility criteria. If you are unsure if you meet this criteria, Human Resources is available to guide you.
Contact the Benefits Team
The State Benefit Services Team is available to answer your questions. Use our contact information below to access all team members for the fastest response.
Department Leadership
Contact our department leaders for additional assistance.
![Lissa Jasinowski.]()
Lissa Jasinowski
Assistant Director
Benefits and Work Life Balance
Phone: (716) 645-4488
Email: lmt22@buffalo.edu
Dependent Eligibility for Medical Insurance
You may be able to add dependent(s) to your medical insurance for family coverage. Listed below is the documentation that will be required to enroll your dependent(s).
The NYSHIP General Information Book provides full dependent eligibility information.
A Social Security Number is Required for Dependents
Dependents who have not obtained work authorization can visit an SSA office and request a denial letter (SSA-L676), which states that the individual is not eligible for a Social Security number. This letter does not affect an individual’s ability to request a Social Security number in the future. This option is encouraged for minor children.
Your Spouse
Your spouse, including a legally-separated spouse, is eligible for NYSHIP coverage. If you are divorced or your marriage has been annulled, your former spouse is not eligible, even if a court orders you to maintain coverage.
Your Domestic Partner
For eligibility under NYSHIP, you will be required to provide additional documentation and certification of your domestic partnership.
Under Internal Revenue Service (IRS) rules, the fair market value cost of your domestic partner’s coverage, referred to as imputed income, is considered to be a taxable fringe benefit. The imputed income will increase your taxable gross income for federal and state income taxes, as well as Social Security and Medicare payroll taxes.
Your Child(ren)
The following children are eligible for coverage until age 26:
- Your natural child
- Your stepchild
- Your domestic partner’s child
- Your legally-adopted child, including a child in a waiting period prior to finalization of adoption
"Other" Children as defined by NYSHIP:
You may cover “other” children by filing a NYSHIP Statement of Dependence for “Other” Children (PS-457) form to verify eligibility (recertification required every two years).
Disabled children age 26 or older:
You will be required to submit a NYSHIP Statement of Disability for Dependents (PS-451) form to the Plan administrator and provide medical documentation to qualify a disabled child over age 26 for NYSHIP coverage. You will be asked to recertify periodically based on Social Security Administration criteria.
Young Adult Option:
The Young Adult Option allows a qualifying child age 29 or younger of a NYSHIP enrollee to purchase Individual health insurance coverage through NYSHIP when they do not otherwise qualify as a dependent. The young adult or their parent is required to pay the full cost of premium for Individual coverage.
New Employees
Welcome to the University at Buffalo! Benefit Services (State) will contact you with initial benefit enrollment information. Review enrollment instructions and deadlines included in the benefit information you receive carefully. Failure to enroll timely may result in an extended waiting period for coverage to begin.
Enrollment in medical insurance is voluntary. You will not be automatically enrolled in a plan. Your waiting period for coverage to begin will be based on your appointment with the University.
Establish Your UB Email
Communications from Benefit Services (State) will be sent to your UB email (@buffalo.edu). Set up your email to receive important benefit information.
NYSHIP Health Insurance Resources
Transferring Employees
Contact Benefit Services (State) for guidance if you are transferring from another SUNY Institution and/or New York State Agency or changing negotiating units.
NYSHIP Health Insurance Resources
Current Employees
Following your initial eligibility for health insurance, you may want to enroll in a NYSHIP plan, cancel coverage or make changes to your current plan. Allowable options will be based on your request and whether you are experiencing a qualifying event. Certain changes are not allowable outside of the annual option transfer period. Contact Benefit Services (State) as soon as possible as deadlines may apply.
Benefit Services for State must receive your completed paperwork within 30 days of a NYSHIP qualifying event.
NYSHIP Enrollment and Plan Changes
Contact the Benefits Team
The State Benefit Services Team is available to answer your questions. Use our contact information below to access all team members for the fastest response.
Department Leadership
Contact our department leaders for additional assistance.
![Lissa Jasinowski.]()
Lissa Jasinowski
Assistant Director
Benefits and Work Life Balance
Phone: (716) 645-4488
Email: lmt22@buffalo.edu
Biweekly Cost
The employee cost share is based on a salary threshold as detailed on the current health insurance rate information.
The Opt-Out Program
If you have coverage under another employer-sponsored health insurance program, you may be eligible for an incentive payment if you opt-out of your (New York State Health Insurance Program) NYSHIP coverage.
The annual incentive payment is $1,000 for opting out of individual coverage or $3,000 for opting out of family coverage. The payment is considered taxable income and prorated and reimbursed in your biweekly paycheck throughout the year.
Eligibility
- You must be covered under an employer-sponsored group health insurance plan through other employment of your own or a plan that your spouse, domestic partner or parent has as the result of his or her employment.
- The other coverage may not allow you to opt out if it is NYSHIP coverage provided through employment with another state employer.
- NYSHIP coverage through another employer, such as a municipality, school district or public benefit corporation, qualifies as other coverage.
Ineligible Groups
- UUP (United University Professions)
- GSEU (Graduate Student Employees Union)
Enrollment
- You may be eligible to enroll when you are newly eligible for NYSHIP coverage. Benefit Services can assist with enrollment during your benefits orientation.
- If you do not opt-out within your initial enrollment deadline, you will no longer be eligible based on new employment.
- You may be eligible to enroll during the Option Transfer period if you were enrolled in NYSHIP by April 1 of the prior plan year and remained enrolled through the end of that plan year.
Option Transfer Period
Each year New York state employees can change medical plans for the next calendar year.
The Option Transfer Period occurs over a specific period of time.
Except under very limited circumstances, this is the only time an employee is allowed to change plans.
Managing My Medical Insurance
Once enrolled, you may be able to make changes to your medical insurance. Listed below are events that allow you to make changes to your plan.
All required forms and documentation must be received in Human Resources by the listed deadline in order for the change to be made. Submit all forms and documentation to our Secure UB Box Folder:
Contact the Benefits Team
The State Benefit Services Team is available to answer your questions. Use our contact information below to access all team members for the fastest response.
Department Leadership
Contact our department leaders for additional assistance.
![Lissa Jasinowski.]()
Lissa Jasinowski
Assistant Director
Benefits and Work Life Balance
Phone: (716) 645-4488
Email: lmt22@buffalo.edu
Adding Dependents
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Enroll my spouse | NYSHIP Health Insurance Enrollment or Change Form (PS-404) | 30 days from date of marriage | Date of marriage |
| Action | Required Forms | Required Documents | Deadline To Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
Enroll my domestic partner
| No deadline | Determined upon review |
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Enroll my child | NYSHIP Health Insurance Enrollment or Change Form (PS-404) | 30 days from date of birth or placement of child | Date of birth or placement of child |
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Enroll my spouse and/or child | NYSHIP Health Insurance Enrollment or Change Form (PS-404) |
| 30 days from date of prior coverage termination | Date of prior coverage termination |
| Action | Required Forms | Required Documents | Deadline To Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
Enroll my domestic partner
|
| 30 days from date of prior coverage termination | 30 days from date of prior coverage termination |
To change coverage when a qualiyfing event does not apply, there may be a waiting period for the change in coverage to take effect and the tax status of your health insurance deductions from your paycheck may be impacted.
If your insurance deduction tax status is affected, you may change your participation in the pre-tax contribution program during the option transfer period announced at the end of each calendar year for allowable changes to take effect in the following calendar year.
Option Transfer Period
Near the end of every year, New York state employees can change medical plans for the next calendar year.
This Option Transfer Period lasts a specific period of time and is the only time you are allowed to change plans without a qualifying life event.
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Enroll my spouse and/or child | NYSHIP Health Insurance Enrollment or Change Form (PS-404) | May be submitted at any time but date of submission will affect coverage effective date | Coverage will take effect following a waiting period of 5 biweekly payroll periods |
Removing Dependents
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Remove my spouse | NYSHIP Health Insurance Enrollment or Change Form (PS-404) | Legal Separation or divorce documentation | 30 days from date of separation or divorce | Date of separation or divorce |
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Remove my dependent(s) | NYSHIP Health Insurance Enrollment or Change Form (PS-404) | Letter from new coverage provider stating effective date of coverage | 30 days from new coverage effective date | Date new coverage begins |
| Action | Required Forms | Required Documents | Deadline to Submit Paperwork | Coverage Effective Date |
|---|---|---|---|---|
| Remove my domestic partner | None | No deadline | Determined upon review |
If you want to change from family to individual coverage or remove a dependent without a qualifying event, contact Benefit Services for further guidance.
If you are unable to make this change based on your enrollment in the pre-tax contribution program, the option transfer period offers the opportunity for these changes to be made. The option transfer period is announced at the end of each calendar year for changes to take place in the following calendar year.
Cancelling Coverage
| Action | Required Forms | Required Documentation | Deadline to Submit Paperwork | Coverage Termination Date |
|---|---|---|---|---|
| Cancel my enrollment | NYSHIP Health Insurance Enrollment or Change Form (PS-404) | Letter from new coverage provider stating effective date of coverage | 30 days from new coverage effective date | Date new coverage begins |
Health insurance benefits may be impacted when employees take an unpaid leave of absence. If you are on an unpaid leave that impacts your health insurance benefits, you may have multiple options, including cancellation of coverage. Employees should contact Benefit Services to discuss their leave of absence and for further guidance regarding their benefits.
| Action | Required Forms | Required Documentation | Deadline to Submit Paperwork | Coverage Termination Date |
|---|---|---|---|---|
| Cancel my enrollment | Documentation stating effective date of leave without pay | 30 days from start date of leave | Date leave began |
If you want to cancel coverage without a qualifying event, contact Benefit Services for further guidance. If you are unable to make this change based on your enrollment in the pre-tax contribution program, the option transfer period offers the opportunity for these changes to be made. The option transfer period is announced at the end of each calendar year for changes to take place in the following calendar year.
Option Transfer Period
Near the end of every year, New York state employees can change medical plans for the next calendar year.
This Option Transfer Period lasts a specific period of time and is the only time you are allowed to change plans without a qualifying life event.
You may be eligible to enroll in the opt-out program during the next option transfer period. Please refer to the eligibility guidelines in the NYSHIP General Information Booklet and contact Benefit Services for futher guidance.
UUP employees are not currently eligible to particiapte in the Opt-out program.
Option Transfer Period
Near the end of every year, New York state employees can change medical plans for the next calendar year.
This Option Transfer Period lasts a specific period of time and is the only time you are allowed to change plans without a qualifying life event.
Coverage Termination
Medical insurance coverage ends two full payperiods following your appointment end date.
The Department of Civil Service, Employee Benefits Division, will send information regarding COBRA to your home address after your coverage has terminated. COBRA is a federal law that allows the voluntary continuation of the same coverage at full cost.
Contact the Employee Benefits Division at 800-833-4344 with questions regarding COBRA continuation of coverage.
Monthly COBRA Rates
Dental and Vision Coverage
Dental and vision coverage is provided through the state of New York. There is no cost for enrollment. There is a 28 calendar day waiting period. Enroll during waiting period and coverage is effective on your 29th day of employment.