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  1. For a modest yearly fee of $120, SHIP will supplement certain payments provided by your New York City health coverage up to a maximum lifetime benefit of $100,000. SHIP does not require a medical examination for enrollment.

  2. SHIP is a low-cost program to coordinate with most health plans available to retirees of New York City systems. For a modest yearly fee, SHIP will supplement certain payments provided by your New York City health coverage up to a maximum lifetime benefit of $100,000/$10,000 for pre-existing conditions.

  3. Download the SHIP claim form. Before you or your covered spouse/domestic partner file a claim with SHIP, you or your covered spouse/domestic partner MUST have been paid or denied benefits by all other health plan (s) for which you maintain coverage.

  4. 26 Δεκ 2014 · All new members (UFT retirees and UFT retired employees-employees <strong>of</strong> UFT, UFT Welfare Fund and<br /> affiliated organizations) must take the following steps to enroll in <strong>SHIP</strong>:<br /> 1. Complete a <strong>SHIP</strong> Enrollment Card which includes a Pension Deduction Authorization section for UFT<br /> retirees.

  5. All new members (UFT retirees, retired nurses, and UFT retired employees-employees of UFT, UFT Welfare Fund, and affiliated organizations) must take the following steps to enroll in SHIP: 1. Complete a SHIP enrollment card. The enrollment card is available from the SHIP office, website or included in your retirement package.

  6. SHIP Claim Form UFT/RTC Supplemental Health Insurance Program (SHIP) Mail to: SHIP 52 Broadway, 17th Floor New York, NY 10004 Telephone: 212-228-9060 Please read reverse side for required documents and benefit limitation before submitting claim. Incomplete claims will be returned and delayed.

  7. CSA/RSSA: If spouse is covered by CSA/RSSA, spouse must file claims with CSA first and UFT member must file claims with SHIP first. ALL health plan(s) are primary to SHIP coverage , except NYSUT Catastrophic, which is secondary to SHIP.

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