Health Insurance 2024 Option Transfer Period Information
The 2024 Option Transfer Period runs through December 29, 2023. During this period, employees may change their New York State Health Insurance Program (NYSHIP) plan option for the 2024 plan year. If you wish to keep your current insurance carrier as your election for 2024, you do not need to take any action during the Option Transfer Period.
You may enroll or add a dependent at any time of the year (a waiting period may apply). 

Option Transfer Period Information and Instructions 
During the annual health insurance option period continuing through December 29, 2023 you may:
•  Change your health insurance plan (insurance carrier);
•  Change your coverage from Family to Individual without a qualifying event;
•  Cancel your coverage entirely, and if eligible Opt-Out of NYSHIP for incentive payment. 
•  Change your Pre-Tax Contribution Program (PTCP) election for the 2024 plan year.

In addition, 2023 Opt-Out Program participants may:
•  Change your option and elect to enroll in health insurance during the 2024 plan year;
•  Remain in the Opt-Out Program for the 2024 plan year.
*The requirement to re-enroll in the Opt-Out Program each plan year is no longer in effect.
Changes will go into effect on January 4, 2024. Complete a PS-404 Health Insurance Transaction Form if you will be changing your health insurance option. Forms must be received in the Employee Benefits office by December 29, 2023.

Option Transfer Choices, Rates, and Opt-Out Period  
Health Insurance Plan Choices
• CHOICES 2024 - Includes benefit information for each of the available insurance plans.
•  A Summary of Benefits and Coverage, which provides more detailed information than the CHOICES booklet is available for each plan.  Obtain these documents on             the Civil Service Website.  

Health Insurance Rates
• NYSHIP 2024 Rates for Employees of the State of New York and their Enrolled Dependents

Health Insurance Opt-Out Program Information
*The Opt-Out Program is not available for UUP-represented employees.
The Opt-out Program allows eligible employees who have other employer-sponsored group health insurance, to opt out of their NYSHIP coverage in exchange for an annual incentive payment of $1,000 for waiving Individual coverage, or $3,000 for waiving Family coverage. Additional details, including eligibility requirements can be found on page 5 of Planning for Option Transfer. 

To cancel your coverage and elect to newly participate in the Opt-out Program for an incentive payment, during the 2024 plan year:
• Complete and sign the PS-404 and PS-409 Opt-Out Attestation Form to attest to having other employer-sponsored group coverage.  All sections of this form must be completed in order for it to be processed.
•  Attach proof of other coverage (copy of other group employer health insurance card, or signed statement on other employer's letterhead confirming current coverage).
•  Mail or deliver BOTH forms with proof of other coverage, using the contact information above. Opt-out submissions that do not include both forms will be considered incomplete and not processed. Forms must be received in the Employee Benefits Office by December 29, 2023.

Employee Benefits Office Contact Information and Paperwork Submission Options  
Forms can be submitted to the Office of Human Resources (HR) by mail (campus or U.S.) or dropped off.

Employee Benefits
Office of Human Resources 
SUNY Polytechnic Institute
Kunsela Hall, A010 Suite
100 Seymour Road
Utica, NY 13502
Benefits@sunypoly.edu
Phone: 315-792-7279 or 315-792-7817 

Option Transfer Info (pdf)
NYSHIP Health Insurance Transaction Form (pdf)
Opt-Out Attestation Form (pdf)