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.
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
NY10-10
PE10-07
TO: New York State Health Benefits Administrators; Participating Employer Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: January 2010 HMO Reports and NYSHIP General Information Book Amendments
DATE: April 2, 2010
We will soon mail the January 2010 HMO Reports and NYSHIP General Information Book Amendments to the following groups: Council 82, CSEA, DC-37, MC, NYSCOPBA, PBA-S, PBA-T, PE, PEF, PIA, Retiree, UCS and UUP.
The HMO Report includes:
NYSHIP Articles: Young Adult Option Coverage, New York State: Supplemental Continuation of Coverage, Important Information about the Pre-Tax Contribution Program (PTCP) For Enrollees with Domestic Partners (except PE and Retiree). Reminders: Dependent Verification, Medicare Part B Premium Reimbursement, Reimbursement of the Medicare Part B Income-Related Monthly Adjustment Amount (IRMAA) for Medicare-Primary Enrollees and Pre-Retirement Seminars (except PE and Retiree), The 2010 Census and Annual Notice of Mastectomy and Reconstructive Surgery Benefits.
NYSHIP General Information Book Changes
Your Spouse, Domestic Partner, Leaving school before graduation (C-82 and NYSCOPBARepresented), Medical leave for students age 19 or over, Disabled Dependents; Young Adult Option: Cost, Eligibility, Available Coverage, Enrollment Rules, Exception: CHIP and Medicaid, When your Family coverage begins (C-82 and NYSCOPBA-Represented), PTCP Changes (except PE and Retiree), Health Care Spending Account (C-82, NYSCOPBA, PBA-S, PBA-T and PIA), Money Saving Programs (CSEA, DC-37, M/C, PEF, UCS and UUP), Workers’ Compensation (C-82 and NYSCOPBA-Represented), Retiree Eligibility, COBRA: Continuation of Coverage (PE only), New York State: Extended continuation of coverage and Medicare Reimbursement.
Distribution of Reports
These publications will be mailed to enrollee homes in early April 2010. We will send you a supply of each publication equal to one percent of your affected enrollment.
Publications available on our web site: https://www.cs.state.ny.us
Please check this web site for new publications. We generally post publications when we sign off for printing. That means you can see the publications before enrollees start receiving them.
Ordering Publications
You may order additional copies of the Reports, including Amendments, on HBA Online. From the Department of Civil Service homepage, https://www.cs.state.ny.us, select the Benefit Programs button from the left hand navigation. Then click on HBA Online. Open Publications & Forms, then open NYSHIP Publication Order Forms. If you need help accessing HBA Online, please call the Help Desk or your processor.
If you are unsure of how to order publications or have questions about this distribution, please call the Communications Unit at 518-457-7577.