Cancelling a Policy

Your NYSIF disability benefits policy automatically renews on the policy anniversary date. You may request cancellation of a policy if you are no longer required by law to secure coverage, or you wish to secure coverage with another carrier.

To cancel a policy, the policyholder or authorized representative must complete NYSIF Form UDB-89 and return it to NYSIF at least 30 days before the intended cancellation date.

Return Form UDB-89 to NYSIF

You can fax Form UDB-89 to NYSIF at 518-437-5278, or mail the completed form to the address below:

PO Box 66699
Albany, NY 12206

Upon receiving written notice, NYSIF cancels the policy 30 days from the postmark or requested cancellation date, whichever is later.

**Please be advised, if you also have a workers' compensation policy with NYSIF, you will need to submit a separate request.

After Cancellation – Final Payroll Report

Once your policy is canceled, on the next business day following the effective cancellation date, we will send you a letter requesting a final payroll report. Your account will then be adjusted accordingly, and a final statement will be issued.


Policies may be cancelled by NYSIF at any time for non-payment of premium. If a business owes NYSIF premium on a cancelled policy, NYSIF may not issue a new policy to that entity without addressing the previous outstanding balance.

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