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  • Employee Benefit Ps 452 Form

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STATE OF NEW YORK DEPARTMENT OF CIVIL SERVICE THE STATE CAMPUS ALBANY, NEW YORK 12239 EMPLOYEE BENEFITS DIVISION APPLICATION FOR WAIVER OF PREMIUM PS-452 (7/98)(w) Page 1 of 2 This is the application.

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Related links form

New York State Department Of Taxation And Finance Quarterly Schedule A For Part-Quarterly Filers Attach This Schedule To Form ST-810, New York State And Local Sales And Use Tax Return - Quarterly Print Name, Address And Identification Number As Shown On Form ST-810 Please Read Instructions On Form CT-189-WR: August 2000 , Claim For Refund Of Section 189 ... - Tax Ny

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Call The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and select the appropriate program.

What is NYSHIP? A. NYSHIP is the New York State Health Insurance Program – a comprehensive health insurance program for New York State public employees comprising The Empire Plan and NYSHIP-approved Health Maintenance Organizations (HMOs). The New York State Department of Civil Service administers NYSHIP.

Empire is proud to serve Medicaid members in New York. You or your child(ren) may be eligible for Medicaid through Empire if you: Live in Brooklyn, the Bronx, Dutchess, Manhattan, Nassau, Orange, Putnam, Queens, Rockland, Staten Island, Suffolk, Ulster, or Westchester County.

Call EBD at 518-457-5754 or 1-800-833-4344 (United States, Canada, Puerto Rico, Virgin Islands). Representatives are available Monday through Friday, 9 a.m. to 4 p.m. Eastern time.

Call 1-877-769-7447 if you need help locating a participating provider in those specialties.

Empire BlueCross New York State Service Center P.O. Box 1407Church Street Station New York, NY 10008-1407.

Q. What is The Empire Plan? A. The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. The Empire Plan pays for covered hospital services, physicians' bills, prescription drugs and other covered medical expenses.

Contact Information For information on offering NYSHIP's Empire Plan to your employees, please call Employee Benefits Division of the New York State Department of Civil Service at 518-485-1771.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232