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.
DAVID A. PATERSON
GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
NANCY G. GROENWEGEN
COMMISSIONER
NY10-23
PE10-17
PA10-18
SEHP10-07
PAEX10-14
TO: Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: DEAS Disposition File
DATE: June 15, 2010
We have recently added a new panel in NYBEAS, the DEAS Disposition File. This file indicates the status of each dependent that was originally included in the Dependent Eligibility Verification Project (DEAS). To access the DEAS Disposition File in NYBEAS, go to Benefits > DEAS > DEAS Disposition File.
This file has two sections, the ‘Enrollee’ section at the top, which contains Personal and Benefit information about the enrollee, and the ‘Dependent’ section, which includes Personal and Eligibility information about each dependent originally included in the audit. If an enrollee has more than one dependent, use ‘Next in List’ and ‘Previous in List’ to scroll through the list of dependents.
The majority of the information on the DEAS Disposition File was captured and remains as it was as of March 2009. The only information that would have changed since that time is Eligibility Status, Reason Code and Date Updated under the Dependent section.
Each dependent will have an Eligibility Status which corresponds with the Date Updated field. There may or may not be a description in the Reason Code as follows:
|
Eligibility Status |
Reason Code / (Comments) |
|
Eligible |
No reason code |
|
Determined Eligible Post Audit |
No reason code |
|
Ineligible |
‘Voluntarily Removed During Amnesty Period’ |
|
Withdrawn |
‘Undeliverable Mail’ |
Until further notice, we will continue to update the DEAS Disposition File with a status of ‘Eligible’ or ‘Determined Eligible Post Audit’ as enrollees submit documentation that establishes a dependent’s eligibility.
If you have any questions, please contact your processor.