Suffolk University must enroll students who are registered in at least 75 percent of a full time curriculum into a health insurance plan. The BCBS Student Health Insurance Plan provides coverage for medically necessary treatment of substance abuse and mental illness conditions.To request enrollment certification, please fill out the form below OR download and complete the Enrollment Certification Request Form. Bring a claim form with you when you visit your dentist. Complete your part – give all the information required. This application can be used to apply for Medicaid, the. Family Planning Benefit Program, or for assistance paying your health insurance premiums. For EMHP Members - AEM section, For Medical Providers, Phone Numbers, Benefits Booklet, EBU Forms, Claim Forms Archive, Workday Summary of Benefits. Page of forms for employees and non-employees to view concerning SUNY Human Resource information. Leave Donation Authorization Form, Payroll.