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.
ANDREW M. CUOMO
Governor
LOLA W. BRABHAM
Acting Commissioner
NY18-07
TO: New York State Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: Paid Family Leave (PFL) Reporting Enhancements in NYBEAS
DATE: March 7, 2018
The Employee Benefits Division (EBD) is pleased to announce that the New York Benefits Eligibility and Accounting System (NYBEAS) has been enhanced to provide additional agency reporting for NYS Paid Family Leave (PFL). As mentioned in HBA Memo NY18-01
New NYBEAS Page: PFL Claims Information – HBA
Paid Family Leave > PFL Claims Information – HBA
This new page provides the following information:
Field Name |
Field Description |
Field Values |
|
As of Date |
The date PFL claims reporting is current through. |
MM/DD/YYYY |
|
From Date |
Beginning date of claim |
MM/DD/YYYY |
|
To Date |
Reported through date of claim |
MM/DD/YYYY |
|
Customer Number |
NYS Defined Field |
0023900 |
|
DeptID |
Employee Agency Code |
"XXXXX" E.g. 08000 |
|
Customer Name |
New York State |
STATE OF NEW YORK |
|
Report Number |
PFL Coded Report |
0211911 = PFL |
|
Claim Number |
PFL Claim number for member. |
"XXXXXXXXXXXX" 999999999999 |
|
Claim Status |
Status of the claim as of the end of the reporting period. |
Open = Claim is in a payable status Closed = Claim is no longer in payable status Suspended = Payment has been suspended on a previously "Open" claim Denied = Claim has been denied |
|
Last Date Worked |
Last day claimant worked before PFL claim. |
MM/DD/YYYY |
|
Return Date |
NOTE: Field will be blank. |
N/A |
|
Disability Date |
Date of PFL Claim Instance |
MM/DD/YYYY |
|
Received Date |
Date Claim was received. |
MM/DD/YYYY |
Each week, PFL claim information will be updated for claimants. HBAs can identify the PFL claim information that is being reported by referring to the "As Of Date". In the example above, the PFL claim information presented is current through 2/23/2018.
New NYBEAS Query – PFL Claims Information for EBD
NYBEAS has been enhanced to provide a new report for NYS agency HBAs to identify Paid Family Leave claim status for its employees. Please refer to the instructions from memo NY15-19 regarding running reports.
The Report Run Control ID is PFL and the Report Name is BEA_PFL_CLM_HBA. This report is a snapshot of an agency’s employees who are or have used PFL. This report is specific to an agency code (Department ID). If you are responsible for more than one agency code, you will need to run a separate report for each one.
The data fields included in the PFL Claim Report are identical to the PFL Claims Information page in NYBEAS.
For your convenience, a sample output from this report is enclosed. If you have any questions related to the PFL Claims Report, please contact the HBA Help Line at 518-474-2780.