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EMPLOYEE BENEFITS DIVISION State of New York Department of Civil Service Albany NY 12239 NYS HEALTH INSURANCE TRANSACTION FORM YOUNG ADULT DEPENDENT 11/2010 ENROLLEE INFORMATION Last Name First Name Street Address Date of Birth MI Social Security Number City Telephone Numbers Home State Work Sex Male Female Zip Work location and address Dependent is currently covered under NYSHIP through the Young Adult Option YAO or COBRA Health Insurance payin...
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How to fill out NYS employee insurance pending:

01
Gather all necessary information and documents required for the application process.
02
Visit the official website of NYS employee insurance or contact your HR department for the appropriate forms.
03
Carefully read and understand the instructions provided with the forms before starting to fill them out.
04
Begin by providing personal information such as your full name, social security number, date of birth, and contact details.
05
Follow the instructions to indicate the type of insurance coverage you are applying for and any additional coverage options you may need.
06
Provide information regarding your current employment status, including the name of your employer, job title, and dates of employment.
07
Fill in the details about any prior insurance coverage you had and any other insurance programs you may be enrolled in.
08
Make sure to answer all questions accurately and truthfully, providing any requested supporting documents or evidence as required.
09
Read through the completed forms carefully to ensure all information is accurate and no sections have been missed.
10
Sign and date the forms, and submit them as per the instructions provided.

Who needs NYS employee insurance pending:

01
Employees working in the state of New York.
02
Individuals who require insurance coverage through their employer.
03
Those who want to ensure financial protection against potential medical expenses and other related costs.
04
Employees who are eligible for NYS employee insurance benefits.
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1. 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.
Your SEHP medical coverage will be through insurance carriers under contract with NYSHIP: Empire Blue Cross Blue Shield (for hospital benefits), UnitedHealthcare Insurance Company of New York (medical/surgical), GHI/ValueOptions (mental health and substance abuse) and CIGNA/Express Scripts (prescription drugs).
Employer-Sponsored Health Insurance These are also called group plans. Your employer will typically share the cost of your premium with you. Advantages of an employer plan: Your employer often splits the cost of premiums with you.
Respected Employees, This is to bring in your kind attention that our company has decided to introduce Health Insurance Policy for the employees. As you all are well familiar with the fact that our country is becoming a very expensive country to live in and medical treatment is quite exorbitant.
One common expense category for employee health insurance is 'benefits expense'. This is because employee health insurance is typically considered to be a benefit provided to employees, and so is recorded as a benefit expense on the business's financial statements.
NYSHIP requires retirees and their dependents to be enrolled in Medicare parts A and B when first eligible for primary Medicare coverage due to age or disability. You do not need to enroll in part B until you retire from state service.

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NYS employee insurance pending refers to the status of an employee's application for insurance benefits in New York State that has not yet been finalized or approved.
Employers and employees who are seeking to claim or report insurance benefits in New York are required to file the necessary paperwork for pending insurance status.
To fill out the NYS employee insurance pending form, individuals must provide personal information, details about their employment, and the insurance coverage they are applying for, following the guidelines provided by the New York State insurance authorities.
The purpose of NYS employee insurance pending is to facilitate the processing of insurance claims and ensure that all necessary documentation is reviewed before final approval.
The information that must be reported includes the employee's personal details, employment documentation, type of insurance claimed, and any previous claim history relevant to the insurance application.
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