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.
TO: New York State Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: Communications Plan: Option Transfer Period for 2018
DATE: September 19, 2017
We are pleased to announce the communications schedule for this year’s Option Transfer (OT) Period.
Option Transfer Posters
The OT posters help to remind enrollees about the OT Period and other program deadlines. This month, we sent you OT posters equal to one percent of your NYSHIP enrollment. Please post them in high-traffic, highly-visible locations and keep them up until the end of the OT Period, typically through year end. If your agency posts information for employees on an intranet, please use the attached PDF. Additional copies can be ordered on HBA Online.
Planning for Option Transfer
The Planning for Option Transfer flyer describes the requirements and enrollment procedures for several benefits and programs, including NYSHIP health benefits, the Pre-Tax Contribution Program (PTCP), the Opt-Out Program, if applicable, and the Productivity Enhancement Program (PEP), if applicable. Planning for Option Transfer flyers will mail to enrollee homes later this month. We also will ship you a supply of flyers equal to two percent of your NYSHIP enrollment for new employees or for use at meetings. To ensure timely delivery, please make sure your mailing address is listed correctly in NYBEAS.
Health Insurance Choices for 2018
Choices is the Option Transfer guide, which details the benefits, services and programs available to NYSHIP enrollees, including The Empire Plan and NYSHIP-approved Health Maintenance Organizations (HMOs). Procedures for changing options, tips on how to decide which coverage may be best for the enrollee and updates on plan changes are also included in this publication. In October, we will ship you a supply of Choices equal to five percent of your NYSHIP enrollment. Please distribute to employees who request them as this publication is not mailed to enrollee homes.
Distribution of Rate Flyer for Active Enrollees
The Rates & Deadlines for 2018 flyer provides the rates, the deadline for option changes and other important dates, such as payroll deduction dates. The rate flyers will be mailed to enrollee homes when rates are approved. This will occur no later than early December. We will post a system announcement with additional details when rates are approved. We will send you a supply equal to five percent of your NYSHIP enrollment. Again, please distribute to any new employees or enrollees who request them.
Option Transfer Policy for NYSHIP Enrollees with Retiree Benefits
NYSHIP enrollees with retiree benefits* are permitted to change health insurance options at any time once during a 12-month period. This policy allows retirees more flexibility and time to consider personal factors affecting their health insurance option. *NYSHIP enrollees with retiree benefits include: Retirees, Vestees, Dependent Survivors and Enrollees Covered under Preferred List Provisions of New York State Government and COBRA enrollees with their NYSHIP benefits.
Distribution of Publications for Retirees
Once rates are approved, we will mail Health Insurance Choices for 2018 and 2018 Rates & Information for Retirees to retiree homes. Also included in each retiree rate packet will be a personalized insert with the retiree’s sick leave credit value, if applicable. Note: Retiree Choices is mailed only to retirees living in New York State. Additionally, the "Plans by County" insert has been eliminated as the county information in Retiree Choices has been modified this year. We will send you five copies of Choices and the Rates flyer to distribute to new retirees. You may order additional copies throughout 2018, if needed.
Information on the Web
All 2018 Option Transfer publications, including the rate flyers, will be available on the Employee Benefits Division’s administrative website, HBA Online, at www.cs.ny.gov/employee-benefits/hba. Select Health Plan Choices on the homepage to go to Option Transfer information. Note: This site continues to be your best option if you frequently need to check benefit information for different groups. This information also will be available on NYSHIP Online at www.cs.ny.gov/employee-benefits. Select Health Benefits & Option Transfer, then choose Rates and Health Plan Choices.
We will remove the 2017 OT information from both the public and administrative websites once rates are approved and the 2018 OT Period begins. If you need to view this information, it will still be available in the archives of each site. From NYSHIP Online, select the group, if prompted, and then Using Your Benefits. Choose Publications and scroll down to Archived Publications. From the HBA Online homepage, select Publications and Forms, then scroll down to Archived Publications.
NYSHIP’s Plan Comparison Tool
The NYSHIP plan comparison tool on NYSHIP Online will be updated to reflect 2018 benefits and will be available during the OT Period. The system announcement on rate approval will note the availability of the plan comparison tool. Enrollees can generate a side-by-side comparison of the NYSHIP plans available in their area by visiting www.cs.ny.gov/employee-benefits, choosing Rates and Health Plan Choices and NYSHIP Plan Comparison.
To Order Health Benefits Materials
The Employee Benefits Division keeps inventory for all OT publications to accommodate agencies that need more than the supply shipped.
To order Option Transfer materials, both during and after the Option Transfer Period, please use the online publication ordering system via HBA Online at www.cs.ny.gov/employee-benefits/hba. Please do not order publications until you have received your shipment.
If you need help accessing HBA Online, contact the ITS Service Desk at 844-891-1786, email@example.com or via chat at https://chat.its.ny.gov. If you have any questions, please call the Communications Unit at (518) 457-7577.