Open Enrollment is held annually from November 1 through 30,
for an effective date of January 1.
All new small business or individual/sole proprietor enrollment applications must include either an NYS45 payroll document, a Schedule C, or a W4 issued to a new hire proving employment by the business.
For questions related to plans, enrollment or forms, please call 518.431.1419 and press 1 for Kathy Giannantonio, or email her at email@example.com .
EMPIRE BLUE VISION PLAN - Enrollment Application for Vision plan
GUARDIAN DENTAL - Enrollment Application
BLUESHIELD OF NORTHEASTERN NY
Billing and Payment
Premiums for health insurance are invoiced on a monthly basis through Business Services Corporation dba Benefit Choices. Bills are mailed mid-month covering the following month; payment is due on the first of the month. (i.e., February premium invoice is mailed mid-January and is due February 1.) Payments not received in a timely fashion incur a late fee of $25. Coverage may be terminated if payments are more than 30 days past due.
We offer two payment methods:
A Check can be mailed using the envelope provided with your invoice. All payments should be mailed to Benefit Choices, PO Box 10145, Albany, NY 12201.
ACH - By completing our ACH Authorization Form, you can elect to have your monthly premium electronically deducted on the first business day of each month.
For billing or payment questions, or to obtain a copy of your invoice, please call 518.431.1419, press 2 for Ann Maria Casper, or email Ann Maria at firstname.lastname@example.org.