UNITED HEALTHCARE INSURANCE COMPANY

OF NEW YORK

THE EMPIRE PLAN

P.O. BOX 5190

KINGSTON, NY  12402-5190

 

 

Date

 

 

 

Patient Name

Patient Address Line 1

Patient Address Line 2

 

 

 

Dear Patient Name:

 

We received the above claim for you. Before we can process this claim, we require proof that your unmarried dependent is enrolled full-time in an accredited secondary or preparatory school, college or other educational institution and is otherwise not eligible for employer group insurance coverage.

 

Please provide the following information:

Is the patient listed above a full-time student at an accredited college or trade school?

   o If yes, please provide the following information:

        Name of school: _________________________________________________________________

        School address: _________________________________________________________________

        Dates of full-time enrollment: _____/_____/_____ to _____/_____/_____

   o If no, please provide the last date of attendance: _____/_____/_____

Does the patient have health coverage through his/her own employer?  o No   o Yes

If yes, please provide the following information:

   Name of employer: _________________________________________________________________

   Name of plan or insurance company: _____________________________Phone: ________________

   Effective date of coverage: _____/____/___ Date when coverage may stop: _____/______/____

Is the patient married? o No   o Yes - If yes, provide date of marriage: ____/____/_____

Has the patient served in the Military? o No   o Yes - If yes, provide dates of services ____/____/____ to ____/____/____ (This may extend the patient's eligibility period)

Please sign and mail this letter to the above return address.

Subscriber's signature: ________________________________________________________________

For your information:

·          Full-time student dependents continue to be eligible for coverage under the Empire Plan until their twenty-fifth (25th) birthday. Please refer to the Empire Plan handbook for additional information on eligibility requirements. 

·          If the patient is no longer a student, please notify your employer as soon as possible. If the patient is disabled, ask your employer if the disability meets the guidelines within their contract.

 

Your claim is on hold until we receive this information from you. When we receive the information, we will process your claim within 15 days. Please respond within 60 days or your claim will be denied.Important Note: If you have already completed this request within the last 60 days and the student status of this individual has not changed, you do not need to complete this questionnaire.

 

If you have any questions about this letter, please call us at 1-877-7-NYSHIP (1-877-769-7447) or write to us at the above address.

 

Sincerely,

OptumHealth Behavioral Solutions