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