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EMPLOYEE BENEFITS DIVISIONNYSHIP Health Insurance Transaction Form
for Participating Agencies (PAs)PS503 (6/2024)INSTRUCTIONS: READ AND COMPLETE BOTH PAGES. PLEASE PRINT, CHECK THE APPROPRIATE CHOICES
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How to fill out nyship health insurance transaction

How to fill out nyship health insurance transaction
01
Log in to the NYSHIP online portal using your credentials.
02
Click on the 'Benefits' tab and select 'Health Insurance'.
03
Find the section for 'Transaction' and click on 'Fill Out Form'.
04
Provide all requested information accurately, including personal details, enrollment changes, and any supporting documents.
05
Review the filled-out form for any errors or missing information.
06
Submit the completed form electronically and keep a record of the confirmation for your records.
Who needs nyship health insurance transaction?
01
Employees enrolled in the NYSHIP health insurance program
02
Dependents covered under the NYSHIP health insurance plan
03
Individuals making changes to their health insurance coverage
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What is nyship health insurance transaction?
Nyship health insurance transaction refers to the process of submitting and updating health insurance information for employees in the New York State Health Insurance Program.
Who is required to file nyship health insurance transaction?
Employers who participate in the New York State Health Insurance Program are required to file nyship health insurance transactions.
How to fill out nyship health insurance transaction?
To fill out nyship health insurance transaction, employers must log in to the nyship online portal and enter/update employee health insurance information.
What is the purpose of nyship health insurance transaction?
The purpose of nyship health insurance transaction is to ensure that accurate and up-to-date health insurance information is on file for all employees in the program.
What information must be reported on nyship health insurance transaction?
Information such as employee names, social security numbers, dependent information, and health insurance plan details must be reported on nyship health insurance transactions.
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