Contract College Health Insurance
Health plan and rates comparison chart
- 2009 Contract College Health
Rates
- 2009 Contract College Health
Comparison Chart (revised 7/1/09)
- 2010 Contract College Health Comparison Chart
Health plans information
NYSHIP
- NYSHIP General Information Book for Employees enrolled in the Empire Plan
- MyNYSHIP: Self Service for Contract College Employees with New York State Health Insurance Program (NYSHIP)
- NYSHIP
Privacy Notice

- NYSHIP
Release of Protected Health Information
- PS-457 (PDF) NYSHIP Statement of Dependence
- NYSHIP COBRA Request
Empire Plan
- Empire Plan Participating Providers
- Empire Plan Coverage Changes for Psychiatric Care at Cayuga Medical Center
- Empire Plan Report: January 2009
- Empire Plan At a Glance January 2009
- The Empire Plan Prescription Drug
through Medco (PDF)

- The Empire Plan Prescription Drug through Medco Mail Service Order Form (PDF)
- The Empire Plan Prescription Drug through Medco Reimbursement Claim Form (PDF)
- Empire Claim Form
Additional health information and forms
- Contract College Health and Dental Forms
- Instructions for completing the PS-404 PS-404 (PDF)
- Documentation to be included
with enrollment form for Contract College Health and Dental Plan
- ValueOptions Claim Form (for claims incurred prior to 1/1/09)
- Optumhealth Claim Form (for Behavioral Health and Substance Abuse claims effective 1/1/09)
- GHI Claim Form
- Contract College HMOs
Dental insurance
- Contract College Dental Plan and Claim Forms Call GHI at (800) 947-0101 to order ID cards
- Contract College Dental Plan Participating Providers

