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.
NY15-24
PE15-20
PA15-16
SEHP15-07
PAEX15-15
TO: Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: New Report Available: NYSHIP Health Insurance Enrollment Report
DATE: September 14, 2015
The New York Benefits Eligibility and Accounting System (NYBEAS) has been enhanced to provide a new report for NYS, PA, PE, and SEHP agency Health Benefits Administrators.
The NYSHIP Health Insurance Enrollment Report (BEA_AGENCY_HI_ENROLLMENT) is a snapshot of an agency’s employees and retirees who are enrolled in NYSHIP health insurance coverage. The NYSHIP Health Insurance Enrollment Report’s snapshot is based upon enrollees and dependents whose coverage was effective on or before the Friday prior to when the user scheduled the report.
When you select this report, you will be prompted for the agency code. After providing this information, follow the instructions from memo NY15-19 / PE15-15 / PA15-14 / PAEX15-13 / SEHP15-5 to run the report.
Agencies are encouraged to run the NYSHIP Health Insurance Enrollment Report to verify the enrollment of their employees and dependents, and to update information that is incorrect. The following data fields are reported in the NYSHIP Health Insurance Enrollment Report:
|
Report Field |
Report Field Description |
|
EMPLID |
The enrollee’s ID number. This value is typically the employee’s SSN. |
|
Contract Holder SSN |
The enrollee’s SSN. This value is the National ID field in NYBEAS |
|
Contract Holder Name |
The enrollee’s name. |
|
Address 1 |
The first line of the enrollee’s permanent address on NYBEAS. |
|
Address 2 |
The second line of the enrollee’s permanent address on NYBEAS. |
|
City |
The city of the enrollee’s permanent address on NYBEAS. |
|
State |
The state of the enrollee’s permanent address on NYBEAS. |
|
Postal |
The zip code of the enrollee’s permanent address on NYBEAS. |
|
County |
The county of the enrollee’s permanent address on NYBEAS. |
|
Country |
The country of the enrollee’s permanent address on NYBEAS. |
|
Dependent/Beneficiary ID |
The person number of a covered individual in NYBEAS. Enrollees default to value 01. Dependents can be any value beginning with 02. |
|
Relationship to Employee |
SP = Spouse |
|
Covered Person Name |
The name of the covered dependent. |
|
Covered Person SSN |
The Social Security Number of the covered dependent. |
|
Covered Person Gender |
The gender of the covered dependent. |
|
Covered Person Birthdate |
The birthday of the covered dependent. |
|
DeptID |
The enrollee’s agency code. |
|
Company |
NYS = New York State |
|
Benefit Program |
The enrollee’s benefit program. |
|
Coverage Code |
1 = Individual Coverage |
|
Fed Qual Indicator |
Y = The dependent is considered federally qualified. |
For your convenience, a sample output from this report is enclosed. Additionally, an updated listing of HBA Reports available is enclosed. If you have any questions related to the NYSHIP Health Insurance Enrollment Report please contact our HBA Helpline at 518-474-2780.