What Is a Qualifying Life Event?
It is a life event that changes your status and eligibility for health insurance.
Common ones include:
- Change in marital status (marriage, divorce)
- Change in number of dependents
- COBRA events
- Medicare or Medicaid eligibility
- Leaves of absence
- You add a newly-eligible dependent to your coverage. A list of the dependents and the necessary documentation can be found in the NYSHIP book. Please note that newborn children are not automatically covered. You must complete a PS-404 and submit the necessary documentation.
For a complete list of what qualifies as a life event review the General Information Book.
Health Insurance Transaction Form (PS-404)
Use to sign up for health insurance or make changes to your existing benefits.
Application for Enrolling Domestic Partners In NYS Health Insurance Program (PS-425)
Use this form for enrolling a domestic partner in the NYS Health Insurance Program.
Termination of Domestic Partnership (PS-425.4)
This form is to be used to notify of a termination of a domestic partnership.
Contact the BSC Benefits Team
Still have questions? Try the BSC Help Center where you can send a question to our support team or search a database of FAQs.
Contact us by phone:
Contact us by email:
BSC Benefits Team
1220 Washington Ave
Building 5, Floor 6
Albany, NY 12226-1900
Contact us by fax: