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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

GEORGE E. PATAKI
GOVERNOR

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

DANIEL E. WALL
COMMISSIONER

JOHN F. BARR
EXECUTIVE DEPUTY COMMISSIONER

PA05-07

TO: Health Benefits Administrators of Participating Agencies with Core Empire Plan Benefits
FROM: Employee Benefits Division
SUBJECT: Correction to the PA Core Version of The Empire Plan At A Glance for 2005
DATE: May 24, 2005

We regret to inform you that the January 1, 2005 Empire Plan At a Glance for Participating Agencies with Core benefits contains an error that has required us to print a corrected version. The correction, to clarify that Core enrollees have no hearing aid benefit, appears on page 7. The revised Empire Plan At a Glance will be mailed to enrollees on the NYBEAS file on May 19, 2005 during the second week of June. We apologize for this error and any inconvenience it may cause.

Distribution

We are sending you a supply of the corrected 2005 Empire Plan At a Glance for Participating Agencies with Core Benefits equal to 5 percent of your Empire Plan enrollment for new hires or for those changing their option to the Empire Plan. Please destroy your current copies of the January 1, 2005 Empire Plan At a Glance for Participating Agencies with Core Benefits [PA0128 SB-PA Core-1/05].

The Publications Supply Request Forms have been updated to allow you to order the corrected 2005 Empire Plan At a Glance for enrollees with Empire Plan Core benefits [PA0130 SB-PA Core-5/05 (COR)]. You will receive a copy of the new form with your supply of the corrected publication. Or, instead of faxing the forms, you may order on PA-MARKET. From the homepage, open Publications and Forms, then NYSHIP Publication Order Forms. If you need help accessing PA-MARKET, please call the Help Desk or your processor. Please wait until you receive your supply of the corrected Empire Plan At a Glance before you place an order.

Publications available on the Internet

Please check the web site for new publications. We generally post publications when we sign off for printing. That means you can see the publication online before enrollees receive them. To find new publications on this web site, go to Publications and Forms.

If you have questions about this publication, please call the Communications Unit at (518) 457-7577.