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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.

New York State of Opportunity

Acting Commissioner


TO: Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: The Empire Plan Special Report on Health Insurance Fraud, February 2019
DATE: February 21, 2019

The Empire Plan Special Report on Health Insurance Fraud, February 2019 is now available online and will soon be available in inventory. This publication updates and replaces the 2013 version. This Empire Plan Special Report describes some of the most common forms of health insurance fraud and abuse, how it drives up health insurance premiums and out-of-pocket costs as well as what enrollees can do to help protect themselves from becoming victims.

This report is not being mailed to enrollees at this time. We will send you two copies of this publication [AL1641]. Please recycle any copies of the old publication [AL1207]. Publications Available on NYSHIP Online: You can access the Special Report online under Using Your Benefits and then Publications from the NYSHIP Online home page.

Ordering Publications
You may order additional copies of the Special Report on HBA Online under Publications & Forms. Please wait to order additional copies until you have received your shipment.

If you need help accessing HBA Online, contact the ITS Service Desk at 844-891-1786, or via chat at If you are unsure of how to order publications or have questions about this distribution, please call the EBD Communications Unit at 518-457-7577.