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Benefits Information

Health Insurance Marketplace Notice

Declination of Health and/or Dental/Vision Benefits

HIP 2017 Summary of Benefits


Ameritas

Announcement Letter


Dental Claim Form

Vision Claim Form






The Empire Plan

The Empire Summary of Benefits and Coverage is available at https://www.cs.ny.gov/sbc/pa/index.cfm.

If you do not have internet access, call 1-877-769-7447 and select Option 1 for the Medical Program to request a copy.


 

 

Access to search for participating providers

Health Claim Form


Life Insurance

Designation of Beneficiary

Monday, Dec 11, 2017 Facebook