Po Box 1407 Church Street Station New York Ny 10008

Group Contract For HMO or Direct HMO PO Box 1407, Church Street Station New York NY 10008-1407 The group named below agrees as follows: To offer Empire BlueCross BlueShield HMO or Direct HMO coverage as an alternative benefit plan to persons who are employed by the group or are members of the

Hospital Benefits Program Empire BlueCross BlueShield New York State Service Center P.O. Box 1407, Church Street Station, New York, NY 10008-1407. Medical/Surgical Benefits Program UnitedHealthcare P.O. Box 1600, Kingston, NY 12402-1600. Mental Health and Substance Abuse Program OptumHealth Behavioral Solutions P.O. Box 5190, Kingston, NY 12402.

KENNEBUNK – Edward Paul Foster, 70, passed away Aug. 13. Fox Foundation for Parkinson’s Research, Church Street Station, P.O. Box 780, New York, NY 10008-0780. Online condolences and sharing of.

PO BOX 1407 Church Street Station New York, NY 10008-1407 Submit all prescription drug claims & correspondence to: East End Health Plan c/o ProAct 1230 Route 11 Gouverneur, NY 13642 Phone: 1-888-219-6886 Fax: 315-287-7864 www.proactrx.com. EEHP’s drug benefit administrator; Submit all vision care claims & correspondence to: East End Health Plan

Donations may be made in Donald’s memory to The Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, NY, NY 10008-0780. GALLAGHER-Mary, of Lynbrook. Suddenly, on.

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Austin Baptist Church Christmas Eve Service Hampton Roads Baptist Church, 347 Hampton Roads Ave., Hampton. 5 p.m. Wednesday. Service and Open Communion will be observed. Information: 723-8594. Oakland Christian Church, 5641 Godwin Blvd., Children play an important role in intergenerational activities such as Hanging of the Greens, Christmas Caroling, the Christmas Cookie Party and Bonfire, Christmas Eve Service, Easter Sunrise Service,

In lieu of flowers, donations may be made in Anne’s memory to The Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008. Please visit Anne’s.

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Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008-0780. Online condolences may be expressed at www.smithmcquistonwebster.com.

Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008-0780. Online condolences may be expressed at www.smithmcquistonwebster.com.

Fox Foundation for Parkinson’s Research, ATTN: Tribute Gifts, Church Street Station, PO Box 780, New York, NY 10008-0780. The DAVIS FUNERAL HOME, One Lock St., Nashua has been placed in charge of.

Fox Foundation for Parkinson’s Research, ATTN: Tribute Gifts, Church Street Station, PO Box 780, New York, NY 10008-0780. The DAVIS FUNERAL HOME, One Lock St., Nashua has been placed in charge of.

Fox Foundation for Parkinson’s Research, Church Street Station, P.O. Box 780, New York, NY 10008-0780. Eisenhauer Eisenhauer. Donations can be made to the Friends of the Children, Inc., PO Box.

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In lieu of flowers, donations may be made in Anne’s memory to The Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008. Please visit Anne’s.

Quick Reference Guide 2019 Connecticut Medicare Advantage. P.O. Box 1407 Church Street Station New York, NY 10008-1407 Anthem Blue Cross and Blue Shield P.O. Box 1407 Church Street Station New York, NY 10008-1407 Anthem Blue Cross and Blue Shield P.O BOX 533 North Haven ,CT 06473

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Contributions: In lieu of flowers to Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008-0780; or to Bloomsburg University Foundation, Attn: Gifts.

Davis Vision is a participating vendor for Lasik surgery only. P.O. Box 1407 Church Street Station New York, NY 10008-1407. Need to Find a Doctor, Dentist or Vision Specialist?. dependent coverage will not be available under the Plan for your new dependent child until the first of the month following the date in which you provide the.

Arthur St., Elmhurst. Interment Private. In lieu of flowers, memorial contributions may be made to The Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York,

INDIVIDUAL AUTHORIZATION FORM Please complete this form and mail to: Empire BlueCross BlueShield PO Box 1407 Church Street Station New York, NY 10008-1407 Section A: The Individual’s Information: about the individual whose information will be released. Only One Member Per Form. Additional Members Must be Completed on a Separate Form.

Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008. For information, directions or condolence messages to the family, visit www.claytonfuneralhome.com.

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PO Box 1407, Church Street Station, New York, NY 10008-1407 Thank you for choosing Empire. Please fill out all items in order for us to quickly and accurately process your enrollment. Make sure you use blue or black ink only, fill in circles completely, print in capital letters, and stay within the boxes when writing.

Insurance Fund. Empire Blue Cross Blue Shield P.O. Box 1407 Church Street Station New York, NY 10008-1408 1-800-553-9603 www.EmpireBlue.com. Materials:

MANAGED CARE REFERRAL FORM PO BOX 1407, Church Street Station New York, New York 10008- 1407 Fax No. 800-522-5793 PATIENT INFORMATION:

BlueShield of Northeastern New York 30 Century Hill Drive Latham, NY 12110 www.bsneny.com. BlueCross BlueShield of Western New York. General Inquiries. 716-887-6900. BlueCross BlueShield of Western New York 257 West Genesee Street Buffalo, NY 14202-2657 www.bcbswny.com. FEP Customer Service. P.O. Box 105557 Atlanta, GA 30348-5557. www.

A. NEW ENROLLMENT/ADDITION (FILL IN ONE ONLY). appropriate box below and enter the name in the SpouselDependent portion in Section 3. Date of event (MMDDYYYY). PO Box 1407, Church Street Station New York, NY 10008-1407 empireblue.com Group no. Author: Hopkins, Michael

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American Red Cross, PO Box 3756, Church Street Station, New York, NY 10008. © 2002 CBS. All rights reserved. After only 13 years since the release of her first album, Taylor Swift has become a musical.

2 NYSHIP Rate Changes Effective July 1, 2012 for Unsettled Groups New York State Health Insurance Program 2012 Rates Effective July 1 Page in Enrollee contributions for employees of New York State CHOICES Code Plan and Service Area Individual Family 16-21 001 The Empire Plan (available to enrollees and their eligible dependents worldwide) 1-877-7-NYSHIP (1-877-769-7447) https://www.cs.ny.gov.

Derry. In lieu of flowers, memorial contributions may be made to the Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008-0780. To send a.

Memorials to Michael J. Fox Foundation, Church Street Station, PO Box 780, New York, NY 10008 would be appreciated. Graveside services Tues.

In lieu of flowers, donations may be made to Michael J. Fox Foundation for Parkinson’s Research, Church Street Station, PO Box 780, New York, NY 10008-0780. Dukes-Harley Funeral Home is in charge of.

New York City residents can apply either in person or by downloading the application and mailing it to: NYC DSS/HRA/HEAP, PO Box 1401, Church Street Station, New York, NY 10008.