State employees enroll or submit changes for NYSHIP health insurance.
Human Resources
University at Buffalo
Townsend Hall
205 Hayes Road
Buffalo, NY 14214
To enroll family members include copies of:
For Spouse
- Marriage Certificate
- Birth Certificate
- Social Security Number
- If married more than 1 year proof of financial interdependance
For Children
- Birth certificate
- Social Security Number
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: December 2019
Owner: State of New York Department of Civil Service