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
NY10-47
PE10-46
PA10-42
SEHP10-18
PAEX10-34
TO: Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: Action/Reason Codes for Dependent Adds/Deletes and Changes in Coverage
DATE: November 30, 2010
New NYBEAS action/reason codes have been created to capture more specific information when adding or deleting dependents or processing changes in coverage. The new action/reason codes will be made available on December 1, 2010. The attached charts outline the action/reason codes now available for dependent transactions and indicate which ones are new.
Please refer to HBA Memos NY10-19, PE10-13, PA10-15, PAEX10-11 and SEHP10-05 for the required documentation you must collect before adding any dependents.
If you have any questions regarding the new action reason codes, please contact your EBD processor.