A: For young adult children of Retirees, Vestees and Dependent Survivors of the State of New York (regardless of representation when employed).
B: For young adult children of employees of the State of New York Executive Branch who are Management/Confidential, employees of the Legislature, employees of the Unified Court System (UCS), APSU employees represented by PBANYS and employees represented by CSEA, Council 82, NYSCOPBA, PEF and for employees represented by UUP including employees in lifeguard titles.
C: For young adult children of employees of the State of New York Executive Branch who are represented by District Council 37 (DC-37), Police Benevolent Association (PBA) (Supervisors or Troopers) and Police Investigators Association (PIA).
|Code||Plan||Monthly NY Young Adult Rates|
|001||The Empire Plan||
|067||BlueCross BlueShield of Western New York||593.28|
|063||Capital District Physicians’ Health Plan (CDPHP)||567.45|
|300||Capital District Physicians’ Health Plan (CDPHP)||656.28|
|310||Capital District Physicians’ Health Plan (CDPHP)||670.46|
|280||Empire BlueCross BlueShield HMO (Upstate)||761.64|
|290||Empire BlueCross BlueShield HMO (Downstate)||924.42|
|320||Empire BlueCross BlueShield HMO (Mid-Hudson)||905.47|
|050||HIP Health Plan of New York||664.23|
|072||HMOBlue Excellus BlueCross BlueShield (Central New York Region)||850.23|
|160||HMOBlue Excellus BlueCross BlueShield (Utica Region)||850.01|
|058||MVP Health Care (Rochester)||511.29|
|060||MVP Health Care (East)||549.66|
|330||MVP Health Care (Central)||613.95|
|340||MVP Health Care (Mid-Hudson)||590.32|
|360||MVP Health Care (North)||729.32|