Health Republic Insurance of New York
Liquidation Administration Website

Liquidation Closing Page

Welcome to the Health Republic Insurance of New York, Corp. (Health Republic) closing page.

Notice

An Order closing the Health Republic liquidation proceeding was filed with the Supreme Court, New York County, on November 2, 2023. The Order may be viewed here.

All creditors are required to submit a Policyholder Address Verification Form or a Form W-9 in order to receive a distribution.


  • If you are a person who was a former policyholder of Health Republic, you are required to submit a Policyholder Address Verification Form. A blank Policyholder Address Verification Form can be obtained here.

  • All other creditors are required to submit a Form W-9. A blank Form W-9 can be obtained here.

Completed forms can be sent by email to HealthRepublicInquiry@nylb.org or to the following address:

Health Republic Insurance of New York
New York Liquidation Bureau
180 Maiden Lane, 15th Floor
New York, NY 10038-3889


Why do I need to submit a form to receive a distribution?

The Liquidator requires all creditors to submit a completed Policyholder Address Verification Form or a Form W-9 to ensure that distribution checks are sent to correct mailing addresses and to comply with the Liquidator’s tax reporting obligations. The Liquidator will only send distribution checks to creditors that have verified their information by submitting the requisite forms.

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How do I determine which form to file?

Any person who was a former policyholder of Health Republic with an allowed claim is required to submit a completed Policyholder Address Verification Form. All other creditors of Health Republic with allowed claims are required to submit a completed Form W-9.

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What happens if I do not submit a Policyholder Address Verification Form or Form W-9?

Creditors who do not submit a Policyholder Address Verification Form or Form W-9, or whose information cannot be validated by the time the Liquidator files a closing report with the court supervising the liquidation proceeding will not receive a distribution. Such distributions will be placed in a segregated account pending closure of the estate, and thereafter handled in accordance with New York Abandoned Property Law.

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I have other questions and would like further assistance.

If you have other questions, please send an email to: HealthRepublicInquiry@nylb.org, or leave a voice message at (212) 341-6780.

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