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New York State Vision Plan For Employees of the State of New YorkRepresented by the New York State Correctional Officers and Police Benevolent Association (DYSTOPIA) and for their enrolled dependents
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Obtain the empire plan certificate amendments form from the appropriate source.
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Fill in your personal information such as name, address, and member ID.
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Review the sections that need to be amended and make the necessary changes.
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Who needs empire plan certificate amendments?

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Any individual who holds an empire plan certificate and needs to make amendments to it.
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Empire Plan certificate amendments are changes or updates made to the Empire Plan certificate of insurance.
Employers who offer the Empire Plan insurance to their employees are required to file the certificate amendments.
Empire Plan certificate amendments can be filled out online through the appropriate insurance provider's portal or by contacting the insurance company directly for assistance.
The purpose of Empire Plan certificate amendments is to ensure that the insurance coverage provided to employees remains accurate and up-to-date.
Empire Plan certificate amendments must include any changes to employee information, coverage levels, or other relevant details.
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