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New York State Office of General Services, Business Services Center (BSC) fax number

(518) 457-1879

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Business Services Center (BSC) - Benefits Administration / Records Management

Used for: Submitting NYSHIP Health Insurance Transaction Form PS-404 and other HR/benefits documents to NYS BSC (e.g., enrollment changes, replacement cards, address changes).

Fax destination details

Department
Business Services Center (BSC) - Benefits Administration / Records Management
Purpose
Submitting NYSHIP Health Insurance Transaction Form PS-404 and other HR/benefits documents to NYS BSC (e.g., enrollment changes, replacement cards, address changes).
Form
PS-404 — New York State Health Insurance Transaction Form (PS-404)
Address
1220 Washington Ave, Building 5, Floor 4, Albany, NY 12226-1900
Voice phone
518-457-4272

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Complete PS-404, sign and date, attach required documentation, and fax to the BSC for processing.

Review official form instructions

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