Dependent Eligibility Project Home Page

Verification Period - NY/PE

The Dependent Eligibility Verification Period for enrollees of New York State (NYS) and Participating Employer (PE) agencies runs from 7/6/09 - 10/5/09. Information packets will be mailed to enrollees' homes between 7/2/09 - 7/10/09.

HBA Memos

NY Memo NY 09-28 pdf  
NY Memo NY 09-29 pdf  
PE Memo PE 09-20 pdf  
SEHP Memo SEHP 09-12 pdf  

Poster

NY/PE Poster pdf

Enrollee Mailings

Note: The actual Eligibility Worksheet and Required Documents List the enrollee will receive from Budco may look slightly different from the sample provided below. Enrollees should wait until they receive their packet from Budco before submitting the required documents.

Letter to Enrollees pdf

Eligibility Worksheet/Required Documents List pdf

Caution: These forms should not be printed from the website and mailed to Budco.

If the enrollee needs the forms resent to them, they should call Budco at 1-888-358-2198.