Enrollment and Eligibility Requirements


There are only two opportunities to enroll in the health insurance plan.

  1. Within 30 days of your appointment date (deductions will be taken retroactively to cover you from the first day of employment).
  2. During the annual open enrollment period in August of each year.

Please note: Late enrollments will be subjected to a 30 day waiting period from the date the enrollment form is received in the Student Health Insurance Office.

Enrollment Application

Please go to the Student Health Center (Infirmary) Benefits Section for the enrollment application or Download form PS-404G.

To process your health insurance enrollment application you must submit a COPY of the following items for yourself and each person you wish to cover. Your enrollment application WILL NOT be processed if the following items are not attached.

Acceptable items: Birth Certificate or Passport, Social Security Card, Marriage Certificate. Copies will not be made in our office.

Employee Eligibility

You are eligible to enroll in the health insurance plan if ALL of the following conditions are met:

  1. You are appointed as a Graduate Assistant or Teaching Assistant.
  2. You work at least a one-half assistantship.
  3. You are employed at an annualized stipend of $4,293.00 or more.
  4. You are in an active pay status.

Dependent Eligibility

You may enroll the following dependents in your health insurance plan:

  1. Your legal spouse.
  2. Your unmarried children under age 26.
  3. Your Domestic Partner (call the Human Resource Services' Benefits Section at (631) 632-6180 for details on required qualifying criteria).


Coverage begins on the first day of eligible employment and will end 28 days from the issue date of your last paycheck. At this time, COBRA benefits information will be mailed to you from the COBRA Unit in Albany. To ensure that this information reaches you, you must notify Human Resource Services of address changes.