Nys dept of civil service employee benefits: free download. On-line document store on 5y1.org

[PDF File]New York State Retiree Health Insurance and Related ...
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directly to the Department of Civil Service Employee Benefits Division with this option. 5.) What portion of the cost of health insurance must I pay as a retiree? Your premium cost for health insurance coverage is the same as that of an active employee. Currently, the State pays 84-88% of the cost of individual coverage and 69-73% of the additional cost for family coverage in the NYS Empire ...
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[PDF File]Employee Handbook - New York
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New York State Department of Labor Employee Handbook PROTECT – ASSIST – CONNECT The New York State Department of Labor is an Equal Opportunity Employer/Program. Auxiliary aids and services are available upon request to individuals with disabilities.
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[PDF File]the Employee Benefits Division
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the Employee Benefits Division 11-12 HIPAA Authorization Form 13 Change of Address Form elcome to the New York State Department of Civil Service Employee Benefits Division (EBD). At EBD, we are here to serve you and your family as your NYSHIP Health Benefits Administrator (HBA) when your coverage continues after the end of active service ...
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[PDF File]EMPLOYEE BENEFITS DIVISION NYS HEALTH INSURANCE ...
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request. This information will be maintained by the Director of the Employee Benefits Division, NYS Department of Civil Service, Albany, NY 12239. For information concerning the Personal Protection Law, call (518) 457-9375. For information related to the Health Insurance Program, contact your Agency Health Benefits Administrator
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[PDF File]Information For Employees Eligible To Defer Health ...
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Employee Benefits Division, NYS Department of Civil Service, Albany, NY 12239. For information concerning the Personal Protection Law, call (518) 457-9375. If you have a question, regarding this form or the health insurance coverage, please call (518) 457-5754 or 1-800-833-4344 between the hours of 9:00 a.m. and 3:00 p.m.
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[PDF File]NEW YORK STATE HEALTH INSURANCE PROGRAM (NYSHIP) and …
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Department of Civil Service The State Campus Albany, NY 12239 EMPLOYEE BENEFITS DIVISION Authorization for Release of Health Information EBD-543 (4/03L) NEW YORK STATE HEALTH INSURANCE PROGRAM (NYSHIP) and NEW YORK STATE PUBLIC EMPLOYEE AND RETIREE LONG TERM CARE INSURANCE PROGRAM (NYPERL) AUTHORIZATION FOR RELEASE OF …
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[PDF File]PLEASE READ PAGES 4-6 BEFORE YOU COMPLETE AND SUBMIT …
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For Retirees: Submit the required forms and proofs to the New York State Department of Civil Service, Employee Benefits Division, Albany, NY 12239. Section A – Domestic Partner Eligibility Requirements You and your Domestic Partner must affirm “Yes” to each of …
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[PDF File]EMPLOYEE BENEFITS DIVISION HEALTH INSURANCE …
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maintained by the Director of the Employee Benefits Division, NYS Department of Civil Service, Albany, NY 12239. For information concerning the Personal Protection Law, call (518) 473-2624. For information related to the Health Insurance Program,
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[PDF File]State of New York EMPLOYEE BENEFITS DIVISION Department of ...
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requested may interfere with our ability to comply with your request. This information will be maintained by the Director of the Employee Benefits Division, NYS Department of Civil Service, Albany, NY 12239. For information concerning the Personal Protection Law, call (518) 457-9375. For information related to the Health Insurance Program,
nys employee benefits division forms

[PDF File]INSTRUCTIONS: READ AND COMPLETE BOTH SIDES/PAGES. …
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Department of Civil Service Alfred E. Smith State Office Bldg. Albany, NY 12239 NYS Health Insurance Transaction Form Graduate Student Employee Union - Student Employee Health Plan PS-404G (2/07) EMPLOYEE BENEFITS DIVISION INSTRUCTIONS: READ AND COMPLETE BOTH SIDES/PAGES. PLEASE PRINT AND CHECK THE APPROPRIATE CHOICES.
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Nys dept of civil service employee benefits