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.

DAVID A. PATERSON
GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
NANCY G. GROENWEGEN
COMMISSIONER
NY09-27
PE09-19
TO: New York State Health Benefits Administrators; Participating Employer Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: NYSHIP Dependent Eligibility Verification Period Poster
DATE: July 1, 2009
We are pleased to announce that the Dependent Eligibility Verification Period Poster is at the printer and will be shipped to agencies soon.
Distribution
We will send you a supply of posters equal to 2 percent of your NYSHIP enrollment. Please display these posters immediately and leave them up throughout the Verification Period that runs from July 6 through October 5, 2009. The poster will not be mailed to enrollees’ homes. See memos NY09-13, NY09-14 and PE09-09 for project details.
Ordering Posters
To order more Dependent Eligibility Verification Period posters, fax us the attached Special Order Form. Please note that the earlier version of this form included the wrong fax number and that the Amnesty Period Poster is no longer available. Be sure to use this newer form, dated June 2009. An electronic PDF version is also available online on HBA Online if this format is more useful for your agency. Go to https://www.cs.state.ny.us/ebdonline, click on the red NYSHIP Dependent Eligibility Project button, and then select Information for HBAs.
If you have any questions about this poster distribution, please call the Communications Unit at 518-457-7577. Questions relating to the NYSHIP Dependent Eligibility Verification Project may be directed to Budco Health Service Solutions, the project administrator, at 1-888-358-2198 after July 6.
Attachment - Dependent Eligibility Verification Period Materials Special Order Form (NY and PE)