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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.

State Seal
ANDREW M. CUOMO
GOVERNOR
STATE OF NEW YORK
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov

NY11-13
PE11-13

TO: New York State Health Benefits Administrators; Participating Employer Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: January 2011 HMO Reports and NYSHIP General Information Book Amendments
DATE: August 1, 2011

We will soon mail the January 2011 HMO Reports and NYSHIP General Information Book
Amendments to the following groups: Council 82, CSEA, DC-37, M/C; Legislature, NY Retiree,
NYSCOPBA, PBA-S, PBA-T, PE Active, PE Retiree, PEF, PIA, UCS and UUP.

The HMO Report includes:
NYSHIP Articles: Covering Your Young Adult Children; Reminders: Medicare Part B Premium
Reimbursement (NY Retiree and PE Retiree only); New Web Site Address; Pre-Retirement Seminars
(except PE, UCS and Retiree), Annual Notice of Mastectomy and Reconstructive Surgery Benefits,
Early Retiree Reinsurance Program (ERRP) Notice.

NYSHIP General Information Book Changes
Your Spouse; Domestic Partner; Your child under age 26; Disabled dependents; Coverage ends;
Changes Permitted (except PE and Retiree); Dependent survivors; Medicare.

Distribution of Reports
These publications will be mailed to enrollee homes in August. We will send you a supply of
each publication equal to one percent of your enrollment.

Publications available on our web site: https://www.cs.ny.gov
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.gov, 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 have any questions about this distribution, please contact EBD Communications at 518-457-7577. If you have any questions about benefits, please call your EBD processor at the HBA helpline, 518-474-2780.