Claims and Forms

Find PDFs of the forms here, from claims to NYSHIP enrollment. 

If you can't find a form, call 1-877-769-7447

Use NYSHIP forms to enroll for the first time or to update your current enrollment records. 

Submit completed forms to your HBA, unless the form provides other instructions. 

Choose or Change Plans

Dependent Children

Domestic Partners

Retirement and Sick Leave

HIPAA

Waiver