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Get the free B-8532 Excellus Healthy New York Recertification Form

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Healthy NY Annual ReCertification for Small Employers This is your annual recertification form for Healthy NY. In order to maintain your health insurance through the Healthy NY program, you must complete
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Obtain a copy of the B-8532 Excellus Healthy New form.
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Fill in your personal information, including name, address, phone number, and date of birth.
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Provide information about your current health status and any medical conditions you may have.
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Individuals who are applying for health insurance coverage through Excellus and are required to complete the B-8532 Healthy New form.
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B-8532 Excellus Healthy New is a form used for reporting health insurance coverage.
Employers who provide health insurance coverage to their employees are required to file B-8532 Excellus Healthy New.
B-8532 Excellus Healthy New can be filled out electronically or manually, providing information about the employer, employees, and health insurance coverage.
The purpose of B-8532 Excellus Healthy New is to report health insurance coverage provided by employers to employees and the IRS.
Information such as employer details, employee details, coverage offered, and months of coverage must be reported on B-8532 Excellus Healthy New.
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