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The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and prescription drug coverage.

State Seal

DAVID A. PATERSON
GOVERNOR

STATE OF NEW YORK
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov

NANCY G. GROENWEGEN
COMMISSIONER

SEHP08-02

TO: Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: 2009 Health Insurance Contribution Biweekly Rates for Student Employee Health Plan (SEHP)
DATE: December 4, 2008

Attached are the 2009 New York State Health Insurance Program (NYSHIP) premium rates and Medicare Part “B” reimbursement rates effective January 1, 2009.

  • Schedule IV – Student Employee Health Plan (SEHP)

The Empire Plan rates, for SEHP rates will increase 7.2%. The percentage changes for individual and family rates vary due to the separate rating of enrollee and dependent experience.

Employee deductions will be changed automatically through PayServ as follows:

Employees Exempt from Lag Payroll

    • Administrative payroll checks dated December 10, 2008
    • Institution payroll checks dated December 18, 2008

Employees Subject to Lag Payroll

    • Administrative payroll checks dated December 24, 2008 o Institution payroll checks dated December 31, 2008

Questions may be directed to your processor.


January 1, 2009 Premium Rate Change NYS Health Insurance Program Biweekly Rates

Administrative Paycheck December 10, 2008 - Employees exempt from Lag Payroll
Administrative Paycheck December 24, 2008 - Employees subject to Lag Payroll
Institution Paycheck December 31, 2008 - Employees subject to Lag Payroll
Institution Paycheck December 18, 2008 - Employees not subject to Lag Payroll

* Medicare :
Biweekly 44.37
Monthly 96.40

    

Schedule lV Student Employee Heath Plan
Benefit Program:

SEHP PLANOPTCOVMED

A27, A52
Employee Biweekly

C27
COBRA Monthy

Individual 002 1 0 5.74 120.43
    Medicare 002 1 1 (38.63) 24.03
Family 002 4 0 51.73 514.59
    1 Medicare 002 4 1 7.36 418.19
    2 Medicares 002 4 2 (37.01) 321.79

SEHP Rates include Medical Dental and Vision.
Medicare credits apply only for Medicare Primary Domestic Partners and/or Medicare Primary Enrollees due to disability or ESRD