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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

PA05-20

TO: Health Benefits Administrators of Participating Agencies
FROM: Employee Benefits Division
SUBJECT: Copay Card Shipments
DATE: September 26, 2005

It has come to our attention that PA CORE agencies are receiving shipments of both Empire Plan Copay Cards A and Copay Cards B.

Only Copay Card A (the blue card) applies to enrollees of Participating Agencies.

Please recycle the Copay Cards B that you have mistakenly received. The Copay Cards A are for distribution to your new hires.

We are sorry for the confusion.

If you have any questions about the Copay Cards, please call the Communications Unit at 518-457-7577.