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.

GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
NY12-08
TO: New York State Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: 2012 Empire Plan At A Glance with 2012 Flexible Formulary and Copayment Cards for Agency Police Services Unit (APSU) (formerly ALESU) Enrollees Represented by PBANYS
DATE: March 5, 2012
We are pleased to announce the April 1, 2012 Empire Plan At A Glance for APSU is at the printer and will soon be mailed to enrollees in APSU. This version replaces the January 1, 2012 publication and offers a brief description of Empire Plan benefits for APSU beginning on April 1, 2012 (the effective date of their recent contract). The At A Glance is a useful guide to the Plan benefits for new employees and at conferences and health fairs. Encourage employees to use this guide together with their Empire Plan Certificate and Amendments.
The 2012 Empire Plan Flexible Formulary drug list and new group-specific copayment cards will be included with the At A Glance mailing to homes for enrollees.
Distribution
This publication will be mailed to active enrollee homes in early April (after their Special Option Transfer period ends). We will send you, in separate shipments, a small supply of the At A Glance and copayment cards for your APSU NYSHIP population. This publication will also be included in Empire Plan Quick Order packages, which are only available to order on HBA Online.
Ordering Publications
You may order additional standalone copies of the April 1, 2012 Empire Plan At A Glance, the 2012 Empire Plan Flexible Formulary and copayment cards on HBA Online at https://www.cs.ny.gov/ebdonline. Open Publications & Forms and select Employees of New York State, then open NYSHIP Publication Order Forms and choose APSU. Please wait until you receive your initial shipment before ordering more. The online version is now available.
If you need assistance with your HBA Online registration or have forgotten your User ID and/or password, please contact the Department of Civil Service Help Desk at 1-800-HBA-EMS1 (800-422-3671). Please be prepared to leave your name, agency information and phone number so our Help Desk personnel may call you back.
If you have questions about NYSHIP benefits, please call your processor at the EBD HBA Help Line at 518-474-2780.
If you are unsure of how to order publications, or if you have questions about this distribution, please call the Communications Unit at 518-457-7577.