A. If you continue to be an active employee in a “benefits-eligible” position and you have New York State Health Insurance Program (NYSHIP) coverage either under your own or as a dependent of an active NYS employee (i.e., spouse), you are NOT required to enroll in Medicare (Parts A or B). This exemption also includes eligible dependents (i.e., spouse) of NYSHIP enrollees. However, in most cases you should at least enroll in Part A (hospital insurance) as for most people, Part A is free. NYSHIP would still be your “primary” insurer under hospital benefits as an active employee or dependent of an active employee with Medicare being your “secondary” payor.