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The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and prescription drug coverage.

State Seal

DAVID A. PATERSON
GOVERNOR

STATE OF NEW YORK
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov

NANCY G. GROENWEGEN
COMMISSIONER

PAEX09-18

TO: Health Benefits Administrators of Participating Agencies with The Excelsior Plan
FROM: Employee Benefits Division
SUBJECT: 2010 Excelsior Plan At A Glance
DATE: December 21, 2009

You will soon be receiving the 2010 Excelsior Plan At A Glance. Please recycle the January 1, 2009 Excelsior Plan At A Glance (EX0004) we previously sent, and replace it with this version (EX0008).

Distribution
This publication, including the 2010 Preferred Drug List, will be mailed to Excelsior Plan enrollee homes in December. We will send you, in a separate shipment, standalone supplies equal to 2 percent of Excelsior Plan enrollment for new hires or for those enrollees changing their option to The Excelsior Plan. These pieces are also included in the Excelsior Plan New Hire packages, available to order on HBA Online only.

Ordering Publications
You may order additional copies of the 2010 Excelsior Plan At A Glance on HBA Online. Open Publications & Forms, then open NYSHIP Publication Order Forms and choose the appropriate group. If you need help accessing HBA Online, please call the Help Desk or your processor.

If you are unsure how to order publications, or if you have questions about this distribution, please call the Communications Unit at (518) 457-7577.