State of New York Department of Civil Service Employee Benefits Division Albany, NY 12239 EMPLOYEE B 2026

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  1. Click ‘Get Form’ to open the document in the editor.
  2. Begin by filling out the 'Employing Agency Section'. Enter your name, date of hire, agency contact name, and agency code. Ensure all details are accurate for proper processing.
  3. Next, complete the 'Employee Section'. Indicate your understanding of the enrollment opportunity and provide your signature along with your New York State ID and Social Security Number.
  4. Review the 'Open Enrollment Expiration Date' section. Make sure to note that this period lasts 60 calendar days from your date of hire or eligibility.
  5. Finally, ensure all fields are filled correctly before saving or exporting the completed form. You can easily share it directly from our platform.

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The New York State Health Insurance Program (NYSHIP) covers New York State public employees and their dependents. Other public sector employees and their dependents can be eligible for NYSHIP through their agency or employers. Overall, we cover 1.2 million enrollees throughout the country.
NYSHIP is the New York State Health Insurance Program a comprehensive health insurance program for New York State public employees comprising The Empire Plan and NYSHIP-approved Health Maintenance Organizations (HMOs). The New York State Department of Civil Service administers NYSHIP.
As the central personnel agency for State and local governments, the Department of Civil Service provides a variety of human resources services in our effort to build and maintain a vibrant workforce capable of meeting and exceeding the challenges of the future.
SUNY participates in the New York State Health Insurance Program (NYSHIP). This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. Specific coverage provisions and plan design vary by health insurance plan and by employee bargaining unit.
Salaries. New York State strives to offer salaries competitive with the job market. Holidays and Leave. Twelve (12) paid holidays annually. Health Care Coverage. Retirement Program. Public Student Loan Forgiveness. Additional Benefits.

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Federal Employees Health Benefits (FEHB) Program - insurance/healthcare/ FEHB provides comprehensive health insurance. You can choose from fee-for-service plans, health maintenance organizations, consumer-driven plans and high deductible health plans.

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