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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.

NEW YORK STATE DEPARTMENT OF CIVIL SERVICE
MANUAL FOR PARTICIPATING AGENCIES

 

Table of Contents

Section 1 – Introduction
1.1 Maintenance of the Manual  (issued 6/01/07)
1.2 Summary of NYSHIP (issued 6/01/07)
1.3 Health Insurance Portability and Accountability Act (issued 6/01/07)
1.4 Requirements for Agency Participation (issued 2/01/08)
1.5 Rates of Contribution (issued 6/01/07)
1.6 Health Insurance and Collective Bargaining (issued 6/01/07)
1.7 Role of the Health Benefits Administrator (issued 6/01/07)
1.8 Distribution of Materials & Commonly Used Forms (issued 6/01/07)
   
Section 2 – Eligibility and Enrollment
2.1 Employee Eligibility Requirements (issued 6/01/07)
2.2 Dependent/Student Eligibility Requirements (issued 2/01/08)
2.3 Disabled Dependent 19 Years of Age or Older (issued 6/01/07)
2.4 Prior Retiree Eligibility Requirements (issued 6/01/07)
2.5 Domestic Partner Option (issued 2/01/08)
2.6 Processing Enrollments and Declinations (issued 6/01/07)
2.7 Effective Date of Coverage (issued 6/01/07)
2.8 Employee Benefit Cards (issued 6/01/07)
   
Section 3 – Changes in Enrollment
3.1 Change of Coverage (issued 6/01/07)
3.2  Loss of Student Dependent Eligibility (issued 6/01/07)
3.3  Transfer Between Employer Sponsored Plans (issued 6/01/07)
3.4

Temporary Removal from the Payroll Including Preferred List Status (issued 6/01/07)

3.5 Restoration to Payroll Following Temporary Removal (issued 6/01/07)
3.6 Waiver of Premium (issued 6/01/07)
3.7 Continuing Coverage in Retirement (issued 6/01/07)
3.8 Medicare (issued 2/01/08)
3.9 Separation from Service (issued 6/01/07)
3.10 Death of Enrollee - Survivor Coverage (issued 6/01/07)
3.11 Continuation of Coverage Under the New York State Continuation of Coverage Law (issued 6/01/07)
3.12 Continuation of Coverage Under the Federal COBRA Continuation of Coverage Law (issued 6/01/07)
3.13 Cancellation of Coverage (issued 6/01/07)
3.14 Vested Status (issued 6/01/07)
   

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