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State of New York Department of Civil Service Albany, NY 12239-Page 1 Boxes 1 – 9 Box 10 (A) EMPLOYEE BENEFITS DIVISION INSTRUCTIONS FOR THE PS-404 NYS HEALTH INSURANCE TRANSACTION FORM PS-404 I

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What is health insurance application instructions?

Health insurance application instructions are guidelines provided to individuals on how to apply for health insurance coverage.

Who is required to file health insurance application instructions?

Anyone who is seeking health insurance coverage is required to file health insurance application instructions.

How to fill out health insurance application instructions?

Health insurance application instructions can be filled out online or through paper forms provided by the insurance provider. The process typically involves providing personal and medical information.

What is the purpose of health insurance application instructions?

The purpose of health insurance application instructions is to ensure that individuals applying for health insurance provide accurate and complete information for the insurance provider to assess their eligibility and coverage options.

What information must be reported on health insurance application instructions?

Information such as personal details, medical history, current health conditions, and any dependents to be included on the coverage must be reported on health insurance application instructions.

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