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.
NY15-23
PE15-19
TO: Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: New Report Available: Life 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 and PE agency Health Benefits Administrators.
The Life Insurance Enrollment Report (BEA_LIFE_ANN_SAL_LIST) is a snapshot of an agency’s employees and retirees who are enrolled in NYSHIP life insurance coverage. The Life Insurance Enrollment Report’s snapshot is based upon enrollees and dependents whose coverage was effective on or before the most recent Tuesday.
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 this 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 Life Insurance Enrollment Report:
|
Report Field |
Report Field Description |
|
SSN |
The Social Security Number of the enrollee. |
|
Name |
The enrollee’s name. |
|
Plan Type |
2A = Employee Life Insurance |
|
Benefit Plan |
The enrollee’s level of coverage based upon Plan Type. For example, an employee with one times their salary option for employee Life would have NY01X in this field. |
|
Descr |
A short description of the Benefit Plan. For example, the short description of NY01X is 1 X Salary Life Insurance. |
|
DeptID |
The enrollee’s agency code. |
|
Company |
NYS = New York State |
|
Pay Group |
ALB = Administration Lag Payroll, Biweekly |
|
Life Covrg Amt |
The value of the coverage amount. |
|
Life Salary |
The salary of the individual used to determine the Life Covrg Amt, if the employee selected a multiple of salary option. |
|
Smoker |
S = Smoker |
|
Age |
The age of the employee for the purpose of calculating premium. |
|
Benefit Program |
The enrollee’s benefit program. |
|
Premium |
The premium cost associated with the enrollee’s coverage. |
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 Life Insurance Enrollment Report please contact the M/C Life Insurance Unit at 518-473-3496.