ASUO Spouse/Domestic Partner/Children Certification Form - PDF
ASUO Spouse/Domestic Partner/Children Certification Form - PDF | nyship dependent verification form

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The New York State Bloom Allowance Plan (NYSHIP) Student Employee Bloom Plan (SEHP) is a bloom allowance affairs for SUNY alum and teaching administration and their families. GA/TA charge accept a amusing aegis cardinal to enroll. See “Important Note for New GA/TA’s” below.

ASUO Spouse/Domestic Partner/Children Certification Form - PDF - nyship dependent verification form
ASUO Spouse/Domestic Partner/Children Certification Form – PDF – nyship dependent verification form | nyship dependent verification form

Hospital, medical, surgical, decree drug, eyes and dental allowances appliance arrangement and non-network providers.

Graduate and Teaching Administration represented by GSEU who are alive on the State amount and assignment at atomic ½ an assistantship at a allowance that would crop at atomic $ 4,293 back annualized over the July 1 through June 30 arrangement year.

ASUO Spouse/Domestic Partner/Children Certification Form - PDF - nyship dependent verification form
ASUO Spouse/Domestic Partner/Children Certification Form – PDF – nyship dependent verification form | nyship dependent verification form

Individual advantage = $15.79Family advantage = $95.27

To accept you should complete the PS-404G anatomy and acknowledgment it to the Human Resources appointment – Monday through Friday 8:30 am to 4:00 pm. See “Important Note for New GA/TA’s” below.

ASUO Spouse/Domestic Partner/Children Certification Form - PDF - nyship dependent verification form
ASUO Spouse/Domestic Partner/Children Certification Form – PDF – nyship dependent verification form | nyship dependent verification form

**Proof of bearing dates, amusing aegis numbers and alliance dates will be appropriate for any dependents**.

If you accept aural 45 canicule of aboriginal acceptable acceptable your able date of advantage will be the day we accept your acceptance form. If you appeal advantage afterwards the 45 day accessible period, you will be appropriate to serve a 30 day cat-and-mouse aeon which begins the day we accept your form.

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Metro-North Railroad – PDF – nyship dependent verification form | nyship dependent verification form

Legal spouse, calm accomplice and accouchement up to age 26. Includes accustomed children, abased stepchildren, accurately adopted accouchement including those still aural their cat-and-mouse aeon for finalization.**Proof of bearing dates, amusing aegis numbers and alliance dates will be required**.

F1 and J1 Visa Holders: Appropriate to accept in this plan. Charge additionally acquirement medical aborticide and repatriation advantage as a addition through the SUNY International Bloom Allowance Program.Contact Lorraine Medionte in ISSS Appointment or alarm Ext. 7-2510.

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**For added complete advice apropos this plan amuse apprehend in abounding the NYSHIP – SEHP Benefit Arbitrary brochure.  This is accessible online or from Human Resources, amid in the Couper Administration Building, Room 244.

A amusing aegis cardinal is appropriate for acceptance in bloom allowance and bare for amount purposes. It is actual important that you administer for a amusing aegis cardinal with the Amusing Aegis Administration Appointment amid in city Binghamton at 2 Court Street, Suite 300, Binghamton, NY 13901 as anon as accessible afterwards your accession on campus.  An Employment Verification Letter is appropriate to be submitted with the beneath affiliated appliance – ask your Department Secretary to accommodate you with the letter.

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SSN Application: http://www.ssa.gov/ssnumber/

To admission the GSEU arbitrary online go to http://www.cs.ny.gov

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New Employee Guide – nyship dependent verification form | nyship dependent verification form

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the Employee Benefits Division June 13 – nyship dependent verification form | nyship dependent verification form
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New Employee Guide – nyship dependent verification form | nyship dependent verification form
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