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West Campus, Health Sciences, and School of Medicine

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)
IndividualBirth Certificate or Passport SpouseBirth Certificate, Passport, Driver's License, OR government issued photo ID Domestic PartnerBirth Certificate, Passport, Driver's License, OR government issued photo ID Child(ren)Birth Certificate
IndividualSocial Security Card SpouseMarriage Certificate Domestic PartnerSocial Security Card Child(ren)Proof of support/ dependence of other children (if applicable)
Individual  SpouseJoint Ownership Document, if married for over 1 year Domestic PartnerTwo forms of acceptable proof to prove joint responsibility for basic financial obligations. Child(ren)Proof of disability (if applicable)
Individual  SpouseAffidavit of Marriage Certificate
(If you can't provide joint financial document as described here)
Domestic PartnerOne form of acceptable proof to prove that you and your Domestic Partner reside together. Child(ren) 

*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
ServiceIstra Business Service Address759 Durham Road
Sayville, NY 11782
Phone Number631-567-5742
ServiceMultinational Translating Service Address36 Carleton Ave
Islip Terrace, NY 11752
Phone Number631-581-8956
ServiceAll-Round Typing & Translations
German, French, Italian, Spanish
AddressGisela Zabriskie
giselaz1@optonline.net
Phone Number516-541-2586
ServiceMMR Enterprises  Address20 Earl Avenue
Northport, NY 11768
Phone Number631-754-2057 
ServiceRomanian & French Language
Services 
Address239 N Hawthorne Street
Massapequa, NY 11758
Phone Number516-799-5176 
ServiceAccredited Language Services Address18 John Street
Suite 300
New York, NY 10038
Phone Number1-800-322-0284

 

More Questions?

hrs_benefits@stonybrook.edu