All fields are required unless otherwise stated.
Please provide the following information as shown on the Information Page of your policy.
Please provide the following information as shown on the most recent Information Page for any three policies under your management. Be sure to enter document numbers correctly, they are case-sensitive.
Must be numeric
You will need your NYSIF claim number and a valid email address to begin. Beneficiaries will be prompted to enter the claim number of the deceased claimant. For all other required information (SSN, DOB, Zip), the beneficiary should enter his/her own information. If you are an ATF Claimant or beneficiary having an issue registering for an online account, please contact your ATF Case Manager
If you have not received an authorization notice from NYSIF to perform Independent Medical Exams, please contact the district office that you would like to do work for.
If you have not received an authorization notice to perform investigations and wish to become a NYSIF approved investigator, please call (212) 312-7058.
Additional legal notices regarding specific products, services, as well as conditions, restrictions or disclosures may apply to specific portions of NYSIF.com as posted.
Use of Third Party Products: Your use of third party products affiliated with NYSIF through this website is subject to any additional terms, conditions, and policies applicable to such third party products (such as terms of service or privacy policies of the providers of such third party products).
It is a condition of your use of this website that all the information you provide on this website is correct, current, and complete. You may use this website only for lawful purposes and in accordance with these Terms and Conditions.
The information and descriptions contained for products and services available through online transactions are intended as general information and are not necessarily complete descriptions of all terms, exclusions and conditions applicable to the products and services offered by NYSIF. The insurance coverage afforded by NYSIF is subject for all purposes to the terms and conditions of the policies issued, the Workers' Compensation Law, Disability Benefits Law, Volunteer Firefighters' Benefits Law, Volunteer Ambulance Workers' Benefits Law, the New York Compensation Insurance Rating Board rules and other laws, rules, and regulations applicable to workers' compensation and disability insurance in the State of New York. Submission of any online transactional document, form or request does not necessarily constitute due completion of a required process. Some transactions require confirmation before a submission is deemed complete. Documents displayed on this website could contain technical inaccuracies or typographical errors. Applications, supplements or transactional documents of any kind that NYSIF determines have been altered or modified in any way may not be accepted.
Changes are made periodically to the laws, policies and rules governing the types of services that NYSIF makes available through this website. These changes or corrections may not be incorporated in materials displayed on this website on a timely basis. In no event shall NYSIF be liable for any errors or omissions with respect to any information on this site utilized in connection with or as a predicate for an online transaction.
In order to process your online transactions, you must create a user account. Click on the "Login" link on NYSIF's web page and follow directions for registration. During the registration process you will establish a login name (User ID) and password, which you will use to gain access to the system. NYSIF ensures that your login name and password are unique. Security measures, such as confirmation of your e-mail address and multi-factor authentication procedures, are in place to ensure proper user validation and access. Use of your account in an unauthorized manner or unauthorized use of your account or User ID is strictly prohibited. In accessing the online transaction section of NYSIF’s website and utilizing your User ID you agree that:
All communications and data forwarded or submitted to NYSIF by its contractors, subcontractors, and all others including users in connection with a service or other access agreement shall become the exclusive property of NYSIF and the sender shall have relinquished all proprietary and pecuniary rights thereto. Where any such communication or data is posted by NYSIF, NYSIF maintains the exclusive right to display, utilize, alter or discard such content as if it were generated and posted by NYSIF. User will be responsible for all statements made or materials posted under user’s account, including liability for harm caused by such statements or materials or usage. Any other posting of content anywhere on the NYSIF network, other than in connection with an online transaction or as provided for in a service agreement, is strictly prohibited.
The online transaction process is provided "as is" and without representations or warranties of any kind, either expressed or implied. NYSIF expressly disclaims all warranties, expressed or implied, with respect to any services offered through this website, including, but not limited to, implied warranties of merchantability, fitness for a particular purpose and non-infringement. NYSIF does not warrant or represent that the functions or operation of its website will be uninterrupted or error-free, that defects will be corrected, or that this site, its servers or any e-mail sent from NYSIF are free of viruses or other harmful components.
NYSIF shall not be liable for any injury, loss, claim, or damage, nor any indirect, special, incidental or consequential damages of any kind, whether based in contract, tort, strict liability or otherwise, which arises out of:
Except where otherwise indicated, all materials contained in this website, including the applications for insurance, are the copyrighted property of The New York State Insurance Fund. The NYSIF logo, and all other service marks and the names of various products and service described within and offered by NYSIF are service marks of NYSIF. Permission is hereby granted to use, copy and distribute these materials as presented in this website and without alteration for non-commercial purposes only, provided that all copyright and other proprietary notices appear in all copies in the same manner as the original. All other uses are prohibited. Except as expressly provided herein, you shall not use any portion of this website, or any other intellectual property of NYSIF (including, but not limited to NYSIF service marks), on any other website, in the source code of any other website, or in any other printed or electronic materials. Except as expressly provided herein, you shall not modify, publish, reproduce, republish, create derivative works, copy, upload, post, transmit, distribute, or otherwise use any of this website's content or frame this website within any other website without our prior written permission.
Use of this site for an online transaction shall be governed by and construed in accordance with the laws of the State of New York without giving effect to any principles of conflicts of laws. Any dispute concerning such transactions shall be subject to the exclusive jurisdiction of the Workers' Compensation Board. All actions at law arising outside of the jurisdiction of the Workers' Compensation Board shall be brought in the New York Court of Claims if such Court shall have jurisdiction. All other actions at law shall be brought in a court of competent jurisdiction of the State of New York with venue lying in New York County.
You agree that if NYSIF does not exercise or enforce any legal right or remedy which is contained in these terms (or which NYSIF otherwise has under applicable law), such omission will not be taken to be a waiver of NYSIF’s rights and shall not be construed to be a modification of these Terms.
You agree that if any provision of these Terms and Conditions of Use is found void or unenforceable, including without limitation the warranty disclaimers and liability limitations set forth above, this will not affect the validity of the balance of these Terms and Conditions of Use, which shall remain valid and enforceable, and the invalid or unenforceable provision shall be deemed superseded by a valid, enforceable provision that most closely matches the intent of the original provision.
© 2016 New York State Insurance Fund. All rights reserved. Last Updated: March 13, 2017.
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Thank you for visiting The New York State Insurance Fund (NYSIF) website. This site is designed to make it easier and more efficient for New York State citizens and businesses to interact with NYSIF and to learn about New York workers’ compensation and employers’ liability insurance, disability benefits insurance, volunteer firefighters’ benefits insurance and volunteer ambulance workers’ benefits insurance. NYSIF recognizes that it is critical for individuals and businesses to be confident that their privacy is protected when they visit NYSIF’s website.
For purposes of this policy, "personal information" means any information about a natural person, as opposed to a corporate entity, which, because of name, number, symbol, mark, or other identifier, can be used to identify that natural person. NYSIF only collects personal information about you when you provide that information voluntarily by sending an e-mail or initiating an online transaction, such as an eQuote or claims application.
NYSIF does not automatically collect any personal information about you when you visit this website. The following examples are some of the types of personal information that may be collected by NYSIF about you when you engage in “active information collection processes” like initiating an online transaction or sending NYSIF an email containing the information: full name; date of birth; Social Security Number; gender; information about your family; driver’s license number or identification card number; address; email; telephone number; information about any injuries or disabilities; financial information; and employer or employment history.
During your visit to this website, you may initiate a transaction such as requesting a premium price quote, requesting information about benefits, or filing a claim. The information, including personal information, volunteered by you in initiating the transaction is used by NYSIF to operate NYSIF programs, which include the provision of goods, services and information. The information collected by NYSIF may be disclosed by NYSIF for those purposes that may reasonably be ascertained from the nature and terms of the transaction in connection with which the information was submitted.
During your visit to this website, you may send an e-mail to NYSIF. Your e-mail address and the contents of your e-mail will be collected. The information collected is not limited to text characters and may include audio, video and graphic information formats you send us, as well as any attachments. Your e-mail address and the information contained in your e-mail will be used to respond to you, to address issues you identify, to further improve this website, or to forward your e-mail to another agency for appropriate action. Your e-mail address is not collected for commercial marketing purposes and NYSIF will not sell or distribute your e-mail address for commercial marketing purposes.
NYSIF does not knowingly collect personal information from children or create profiles of children through this website. Users are cautioned, however, that the collection of personal information provided by any individual in an e-mail or through an online transaction will be treated the same as information given by an adult, and may, if not exempted from access by federal or state law, be subject to public access under the Freedom of Information Law or other provisions as more fully set forth below. NYSIF strongly encourages parents and teachers to be involved in children’s Internet activities and to provide guidance whenever children are asked to provide personal information.
As noted above, NYSIF does not collect any personal information about you during your visit to this website unless you provide that information voluntarily by sending an e-mail or initiating an online transaction. You may choose not to send us e-mail, enter into an online transaction or otherwise communicate with us via this website. When you encounter a screen in this site that asks for, or are composing an email containing, information that you do not want us to have or use through online means, you should not proceed further with that screen or email. While your choice not to participate in these activities may limit your ability to receive products and services that are offered exclusively through this website, it will not prevent you from requesting insurance policies or information about such policies from NYSIF through other means. In addition, choosing not to participate in these activities will not normally have an impact on your ability to take advantage of other features of the website, including browsing or downloading most publicly available information.
Information that is voluntarily provided to us may be occasionally used to contact users regarding the purpose for which the information was provided. In addition, we will from time to time use this information to contact users about different NYSIF products and services. Although the information will also be used for statistical analysis and NYSIF marketing purposes, the information is not collected for commercial marketing purposes and NYSIF does not sell or distribute the information collected from the website for commercial marketing purposes.
NYSIF is strongly committed to protecting personal information collected through this website against unauthorized access, use, or disclosure. NYSIF limits access to personally identifiable information obtained to only those employees and authorized subcontractors who need access to perform a specific job in connection with their official duties. Employees and subcontractors who have access to this information are required to follow appropriate procedures in connection with any disclosures of personal information.
In addition, NYSIF has implemented procedures to safeguard its information technology assets including, but not limited to, authentication, monitoring, auditing and encryption. These security procedures have been integrated into the design, implementation and day-to-day operation of this website as part of our continuing commitment to the security of electronic content as well as the electronic transmission of information.
For website security purposes and to maintain the availability of the online transaction process NYSIF employs software to monitor traffic and to identify unauthorized attempts to upload, download, change, access or otherwise damage this website.
Although NYSIF endeavors to protect your personal information, no data transmission or storage system can be guaranteed one hundred percent secure,
and NYSIF does not warrant as fail proof the security of information provided through this website.
None of the information collected automatically when you visit NYSIF's website is deemed to constitute personal information. When visiting this website, NYSIF automatically collects and stores the following examples of information about your visit:
All of the foregoing information is collected using passive information collection processes such as cookies.
The information that is collected automatically is used to improve this website's contents and to help NYSIF understand how people are using this website. The information is collected for statistical analysis, to determine what information is of most and of least interest to our visitors, and to identify system performance, security or problem areas. The information is not collected for commercial marketing purposes and NYSIF is not authorized to sell or otherwise disclose the information collected from the website for commercial marketing purposes.
The collection of information, including personal information, through this website and the disclosure of that information are subject to the provisions of the Internet Security and Privacy Act, as well as the Freedom of Information Law, Personal Privacy Protection Law, and the Workers’ Compensation Law. Except as provided below, or as otherwise provided by law, NYSIF will only collect personal information through this website or disclose personal information collected through this website if the user has consented to the collection or disclosure of such personal information. The voluntary disclosure of personal information to NYSIF by the user, whether solicited or unsolicited, constitutes consent to the collection and disclosure of the information by NYSIF regarding purposes for which the user disclosed the information to NYSIF, as was reasonably ascertained from the nature and terms of the disclosure. However, NYSIF may collect or disclose personal information without user consent if the collection or disclosure is:
NYSIF may disclose personal information to federal or state law enforcement authorities to enforce NYSIF’s rights against unauthorized access or attempted unauthorized access to NYSIF’s information technology assets or against other inappropriate use of this website.
Any user may submit a request to the NYSIF Privacy Compliance Officer to determine whether personal information pertaining to that user has been collected through this website. In addition, any requests for records under the Personal Privacy Protection Law may be submitted to the NYSIF Privacy Compliance Officer. More information on the Personal Privacy Protection Law can be found at the Department of State Committee on Open Government. Any such request(s) shall be made in writing to the address below and must be accompanied by reasonable proof of identity of the user. Reasonable proof of identity may include verification of a signature, inclusion of an identifier generally known only to the user, or similar appropriate identification. The address of the Privacy
Compliance Officer is:
The Privacy Compliance Officer shall, within five (5) business days of the date of the receipt of a proper request: (i) provide access to the personal information; (ii) deny access in writing, explaining the reasons therefore; or (iii) acknowledge the receipt of the request in writing, stating the approximate date when the request will be granted or denied, which date shall not be more than thirty (30) days from the date of the acknowledgment.
In the event that NYSIF has collected personal information pertaining to a user through the website and that information is to be provided to the user pursuant to the user's request, the Privacy Compliance Officer shall inform the user of his or her right to request that the personal information be amended or corrected under the procedures set forth in section 95 of the Public Officers Law (the Personal Privacy Protection Law).
If you provide your e-mail address, telephone number, mailing address or other contact information to us and decide that you do not want to receive e-mail or other correspondence or communications from us in the future, let us know by contacting the Privacy Compliance Officer in writing and telling us that you do not want to be contacted by NYSIF. See "contact information" section for e-mail address, fax number and mailing address. For information on deleting or refusing to accept cookies, see the relevant section above.
For questions regarding maintenance of information and/or opting out of mailing lists, or to correct inaccuracies in information collected through the NYSIF website, please contact the Privacy Compliance Officer at:
© 2016 New York State Insurance Fund. All rights reserved. Last Updated: September 1, 2016
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