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LDSS654 (6/12)Attachment NEW YORK STATEDEPARTMENT OF HEALTHTRANSMITTAL SHEET DISABILITY DETERMINATION REQUESTSUBMITTING AGENCY/ADDRESSBatch cases by type. Use separate transmittal sheet for each type

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What is health ny?

Health NY is a health insurance program in New York that allows individuals and families to access affordable healthcare coverage.

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Individuals and families in New York who are eligible for the Health NY program are required to file for coverage.

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To fill out Health NY, individuals need to visit the official Health NY website and follow the instructions for submitting an application.

What is the purpose of health ny?

The purpose of Health NY is to provide affordable healthcare coverage to residents of New York who may not have access to employer-sponsored insurance.

What information must be reported on health ny?

Individuals filing for Health NY must provide information about their household income, family size, and any existing health insurance coverage.

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