REQUIRED PROOFS
NO SUBSTITUTIONS ALLOWED
If you are eligible for health insurance and would like to enroll please make sure you bring copies of the following documents for yourself, spouse and any dependents you would like to enroll, to the orientation. No substitutions will be allowed and the Department of Civil Service will not accept any enrollment applications without the required documents.
Required Proofs
| Individual | Spouse | Domestic Partner | Child(ren) | M/C, PBANYS, PEF, NYSCOPA and GSEU dependents age 19 to 25 — Dental & Vision Coverage only |
|---|---|---|---|---|
| Birth Certificate or Passport | Birth Certificate or Passport | Birth Certificate or Passport | Birth Certificate | Proof of full-time student status: Vision Student Verification Form |
| Social Security Card | Marriage Certificate | Social Security Card | Proof of support/ dependence of other children (if applicable) | Proof of full-time student status: Dental Student Verification Form |
| Joint Ownership Document, if married for over 1 year | Two forms of acceptable proof to prove joint responsibility for basic financial obligations. | Proof of disability (if applicable) | ||
| Affidavit of Marriage Certificate (If you can't provide joint financial document as described here) |
One form of acceptable proof to prove that you and your Domestic Partner reside together. |
*All documents must be translated into English.
As applicable, please also include copies of the following
- Married more than one year? Also provide proof of currentjoint ownership
- Proof of full-time student status for dependents age 19 to 25 (Dental & Vision Coverage only — M/C, PBANYS, PEF, NYSCOPBA and GSEU)
- Proof of support/dependence
- Proof of disability
- Medicare card
Examples of Joint Ownership
Documents must have enrollee’s name and spouse’s name on the statement.
→Prior year tax return
→Mortgage statement
→Bank account statement
→Homeowners/renters insurance policy
→Renter/lease agreement
→Credit Card statement
→Utility statement
If you cannot provide the joint financial documents as described above, you may submit an Affidavit of Marriage Certificate.
TRANSLATORS
*You have to pay for the translation
| Service | Address | Phone Number |
|---|---|---|
| Istra Business Service | 759 Durham Road Sayville, NY 11782 |
631-567-5742 |
| Multinational Translating Service | 36 Carleton Ave Islip Terrace, NY 11752 |
631-581-8956 |
| All-Round Typing & Translations German, French, Italian, Spanish |
Gisela Zabriskie giselaz1@optonline.net |
516-541-2586 |
| MMR Enterprises | 20 Earl Avenue Northport, NY 11768 |
631-754-2057 |
| Romanian & French Language Services |
239 N Hawthorne Street Massapequa, NY 11758 |
516-799-5176 |
| Accredited Language Services | 18 John Street Suite 300 New York, NY 10038 |
1-800-322-0284 |
More Questions?
hrs_benefits@stonybrook.edu
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