Submit the Materials
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There are 4 easy ways to submit your application:
Apply Online
By Mail.
(USPS) We will receive your application in 5-10 days
Mail all original documents to:
Empire Blue Cross Blue Shield
PO Box 1407
Church Street Station
New York, NY 10008-1407
By e-mail.
We will receive your application in 24 hours
Scan all documents and attach them to an e-mail addressed to:
empire.iipapplications@empireblue.com By Fax.
We will receive your application the same day.
Fax enrollment applications for "Healthy New York" to: 1-866-862-1660
Fax all other enrollment applications to: 540-853-5148
Fax all other materials/documents to: 1-866-829-2393
It takes us an average of 10-14 days to process applications once we receive them. You can verify if your enrollment is active by registering as a member on our web site, www.empireblue.com, after this time. If your application was complete and you have been enrolled in the contract of your choice, you will receive enrollment materials, an identification card and premium bill by mail. You will also be advised by mail if your application is not complete or, if additional information is needed to complete the enrollment process.
If needed, Sales Representatives are available to answer your questions at 888-721-2583, Monday – Friday 8:30 a.m. – 5:00 p.m. eastern standard time.
Thank you. We look forward to a long and lasting relationship with you.
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