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, District Council 37 (DC-37), NYSCOPBA, Police Benevolent Association (PBA) Supervisors and Troopers, 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 Police Investigators Association (PIA).
|Code||Plan||Monthly NY Young Adult Rates|
|001||The Empire Plan||
|067||BlueCross BlueShield of Western New York||616.21|
|063||Capital District Physicians’ Health Plan (CDPHP)||649.96|
|300||Capital District Physicians’ Health Plan (CDPHP)||744.30|
|310||Capital District Physicians’ Health Plan (CDPHP)||832.94|
|280||Empire BlueCross BlueShield HMO (Upstate)||804.40|
|290||Empire BlueCross BlueShield HMO (Downstate)||1,043.68|
|320||Empire BlueCross BlueShield HMO (Mid-Hudson)||1,018.81|
|050||HIP Health Plan of New York (Downstate)||776.41|
|220||HIP Health Plan of New York (Capital)||794.66|
|350||HIP Health Plan of New York (Hudson Valley)||794.66||072||HMOBlue Excellus BlueCross BlueShield (Central New York Region)||765.05|
|160||HMOBlue Excellus BlueCross BlueShield (Utica Region)||805.01|
|058||MVP Health Care (Rochester)||601.35|
|060||MVP Health Care (East)||608.92|
|330||MVP Health Care (Central)||693.56|
|340||MVP Health Care (Mid-Hudson)||688.98|
|360||MVP Health Care (North)||849.24|