Loading
Form preview
  • US Legal Forms
  • Form Library
  • Labor Forms
  • New York Labor Forms
  • Ny Ps-850 2013

Get Ny Ps-850 2013-2026

Eive information regarding your benefits if your address is not kept current on the New York State Health Insurance Program (NYSHIP) enrollment records. Note: Your enrollment record cannot be updated without your signature. Please complete the information below and return it to the following address. Employee Benefits Division NYS Department of Civil Service Albany, NY 12239 If you have any questions, you may contact the Employee Benefits Division at 1-800-833-4344. Health Insurance Identificati.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the NY PS-850 online

Completing the NY PS-850 form is essential for ensuring that your health insurance information remains up-to-date. This guide will walk you through the process of filling out the form online, step by step, to ensure a smooth experience.

Follow the steps to complete the NY PS-850 form online.

  1. Click the ‘Get Form’ button to access the form and open it in an online editor.
  2. Begin by entering your Health Insurance Identification Number in the designated field. Ensure that the number is accurate to avoid delays.
  3. Fill in your last name, first name, and middle initial as they appear on your health insurance records.
  4. Provide your old address, including street address, city, state, and zip code. This information is necessary to ensure that your previous records are updated correctly.
  5. Enter your new address details, including the new street address, city, state, and zip code. Make sure this information is current to prevent any disruption in communication regarding your benefits.
  6. Include your telephone number, including the area code. This information is important for any follow-up or verification needed regarding your request.
  7. Specify the effective date of your address change. This date is crucial for updating your records accurately.
  8. Sign the form to authorize the address update. Remember that your signature is required for the form to be valid.
  9. Enter the date you filled out the form.
  10. If you are submitting the form on behalf of another person via Power of Attorney or guardianship, ensure that you indicate this and that the necessary documents are on file.
  11. Once all sections are completed, you can save your changes, download the form, or print it directly for submission.

Complete your documents online to keep your health insurance information updated today.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Model Letter for Contacting the Employee Benefits...
Please complete and return Form PS-850 along with this letter. □ I am enclosing a...
Learn more
2024 General Information Book - New York State...
• PS-452 Application for Waiver of Empire Plan Premium. • PS-457 NYSHIP Statement of...
Learn more
Sistema Integrado de Home Theater com Blu-ray...
Você pode conectar um componente que possua uma tomada HDMI (OUT), como um set-top box/...
Learn more

Related links form

OMB 1219-0009 2004 Project/Performance Site Location Instructions 9 FAM 42.81 Exhibit I Form OF-194 2011 DOS Refugee Benefits Election Form 2010

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

When filling out the issuing authority section on the I-9 form, you must enter the name of the organization that issued the document you are verifying. This could include government entities or certain employers. For clarity, you may benefit from checking resources on uslegalforms to ensure you understand how to accurately indicate the issuing authority related to the NY PS-850.

The issuing authority is typically the government agency or department responsible for the issuance of documents like the NY PS-850. This could be a local office or state department that oversees the type of form you are filling out. Consult uslegalforms to identify the correct issuing authority in your case.

Filling out the NY ST 120 form involves entering your personal details accurately, including your name, address, and specific identification numbers. Be sure to follow the guidelines provided with the form to avoid common mistakes. For additional convenience, you can look at samples on uslegalforms to help you complete the NY PS-850 related paperwork effectively.

To fill out the I-9 form with the issuing authority, refer to the section requesting information on the document verification. You need to provide the name of the issuing entity relevant to the document presented. Resources available on uslegalforms can further assist you in ensuring that your NY PS-850 form is completed accurately.

You can find the issuing authority for the NY PS-850 form by checking local government websites or official state resources. Each form typically has details about the responsible agency listed directly on it. Additionally, you can visit uslegalforms for guidance on where to locate this information efficiently.

The Health Benefits Retiree Client Service Center is open for in-person meetings on Wednesdays only, by appointment only. It remains closed to walk-in visitors. To make an appointment to meet with a Client Service Representative call (212) 513-0470.

Log into your NY State of Health account at nystateofhealth.ny.gov. Meet with an enrollment assistor to receive assistance with updating your account. Call the NY State of Health Customer Service Center at 1-855-355-5777.

NYS Employee's Retirement System (ERS) is designed to provide income after retirement from State service. The plan also provides supplemental benefits such as loan privileges, disability retirement benefits, and death benefits for eligible employees. Enrollment in ERS is mandatory for full-time permanent employees.

If you have questions about your health insurance enrollment record, eligibility or NYSHIP requirements, contact the Employee Benefits Division (EBD) Call Center at 518-457-5754 or 1-800-833-4344 (United States, Canada, Puerto Rico, Virgin Islands).

Register for MyNYSHIP ⇒Go towww.cs.ny.gov → Benefit Programs → NYSHIP ONLINE → Choose “I am a New York State Active Employee” → Continue. ⇒Select Your Group → Choose Your Plan → Finish. ⇒Enter your first name, last name, email, preferred username → Create Account.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get NY PS-850
Get form
  • 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
  • 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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program