New Employees

Newly hired in a benefit eligible position

1. Please refer to your new employee benefits memo that you received in your New Hire Folder.  You may also need additional information

2. Select which healthcare plan you will be signing up for.

   • Complete the  NYSHIP Transaction Form or the HIP Transaction Form to sign up for Individual or Family coverage within 30 days of hire in position.

   • Paraprofessional hired after 7/1/21 are only eligible for the NYSHIP Excelsior Plan.

3. Deduction PRE-TAX Election

4. HEALTH INSURANCE ACKNOWLEDGEMENT

   • Paraprofessionals, please use THIS FORM and attach documentation for when your current coverage ends

5. If enrolling in Family Coverage, please included copies of the following:

• • • Birth Certificates for all dependents

    • Marriage Certificate and Spouse's Birth Certificate, if covering spouse

    • Page 1 from your latest tax filing (1040 or IT-201) if you have been married over 1 year. This is also used to confirm the SS numbers; you can white out the income.

6. Sign and date Form and submit paperwork to HHH Benefits Department at Central Office within 30 days of hire in new position

7. Effective Date of Coverage will be your hire date or the first of the month following per your request.  

Changes in coverage during the month will not be prorated and the full month's cost will be charged.  See When Coverage Begins