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(800) 628-6673
Monday - Friday 8:00 AM - 4:30 PM
*Request complimentary translation services with customer service when foreign language support is needed. Follow the steps provided here.
Mailing address
Benefit Payment Services Group
P.O. Box 4993
Syracuse, NY 13221
Express mail
Benefit Payment Services Group, MD 37-4
100 Madison St, Suite 1000
Syracuse, NY 13202
By clicking on one of the choices below, you may print the request form on your computer's printer. After completing and signing the form, mail it to the address shown on the form. You may also request that any of these forms be mailed to you by calling our toll-free number, (800) 245-1230 during our business hours, 9 AM to 5 PM, ET, Monday - Friday.
*These forms are Adobe Portable Document Format (PDF) files. You can download the free Adobe Reader here .
Instructions for installation are also found at that location.
If you need additional information, send us your request.