GEORGE E. PATAKI
GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
DANIEL E. WALL
COMMISSIONER
JOHN F. BARR
EXECUTIVE DEPUTY COMMISSIONER
NY06-31
PE06-25
TO: State Agency and Participating Employer Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: Empire Plan Basic Medical Program Annual Deductible and Coinsurance Maximum Amounts for 2007
DATE: September 22, 2006
On the reverse side of this memo is a chart showing The Empire Plan Basic Medical Program Annual Deductible and Coinsurance Maximum for calendar year 2007. You may want to copy and post it, or you may want to prepare a posting specific to your agency. If you are a Health Benefits Administrator in an agency with regional offices, please distribute notices to the regional locations as well.
These changes will be announced in the December 2006 Empire Plan Reports.
Note: If your agency has any enrollees with dual coverage through a spouse who is enrolled in The Empire Plan through a NYSHIP Participating Agency (local government or school district), you may find the following information useful:
EMPIRE PLAN Basic Medical Program
Effective January 1, 2007
| Participating Agency Employee/Retiree Group | Annual Deductible (per enrollee; per spouse or domestic partner; per all dependent children combined) | Coinsurance Maximum (Out-of-Pocket Expense per contract) |
|---|---|---|
| Participating Agencies with Core Benefits | $550 | $2,650 |
| Participating Agencies with Core Plus Enhancements | $350 | $1,650 |
Please post until March 1, 2007
EMPIRE PLAN Basic Medical Program
Effective January 1, 2007
| Employee Group | Annual Deductible (per enrollee; per spouse or domestic partner; per all dependent children combined) | Coinsurance Maximum(Out-of-Pocket Expense per contract) |
|---|---|---|
| Executive Branch CSEA |
$225 | $900/$500** |
| DC 37 | $259 CPI* | $1,003 CPI*/ $500** |
| PBA - Troopers | $335 CPI* | $1,241 CPI* |
| PBA - Supervisors | $335 CPI* | $1,241 CPI* |
| PIA | $335 CPI* | $1,241 CPI* |
| Council 82 | $335 CPI* | $1,241 CPI* |
| ALESU | $335 CPI* | $1,241 CPI* |
| NYSCOPBA | $335 CPI* | $1,241 CPI* |
| UUP | $335 CPI* | $1,610 CPI* |
| PEF | $335 CPI* | $1,610 CPI* |
| M/C | $335 CPI* | $1,610 CPI* |
| Legislature | $335 CPI* | $1,610 CPI* |
| Participating Employers | $335 CPI* | $1,610 CPI* |
| Unified Court System | $225 | $900/$500** |
| Retirees, Vestees, Dependent Survivors and Preferred List | $335 CPI* | $1,610 CPI* |
* These changes reflect the 4.0% increase in the medical care component of the Consumer
Price Index for Urban Wage Earners and Clerical Workers, all Cities (C.P.I.-W.) for the period July 1, 2005 through June 30, 2006.
** The coinsurance maximum out-of-pocket expense will be reduced to $500 for calendar year 2007 for employees in (or equated to) salary grade 6 or below on January 1, 2007. This reduction is not available to Judges and Justices.
Note: You have no deductible or coinsurance when you use The Empire Plan Participating Provider Program.