Docstoc

New York 1St Department Legal Research

Document Sample
New York 1St Department Legal Research Powered By Docstoc
					The City University of New York

NYS HEALTH INSURANCE PROGRAM
              NYSHIP

 Student Employee Health Plan (SEHP)
  Office of Human Resources Management
          University Benefits
                   ELIGIBILITY
TO BE ELIGIBLE FOR NYSHIP BENEFITS YOU MUST
MEET ALL OF THE FOLLOWING CRITERIA:
   Enrolled in a Doctoral Program at the CUNY Graduate
    Center or the Engineering Ph.D. Program at City
    College
                            AND
   Appointed to an eligible title at a Senior College
    (Graduate Assistant A, B, C, Adjunct Instructor,
    Adjunct Lecturer, Adjunct College Laboratory
    Technician And Non- Teaching Adjunct I, II)
                            AND
   Make a minimum $4,122 per year or $2,061 per
    semester


Updated 11/18/09    The University Benefits Office        2
                       ENROLLMENT
      Complete the Health Benefits Enrollment Form (PS-404G) and
      submit it along with supporting documentation to:

     For students at the CUNY Graduate Center:
      Teena Costabile – Office of Human Resources, Room 8403
      Phone number 212.817.7706

     For students at City College:
      Kim Ferguson - Benefit Officer, Shepard Hall Room 50
      Phone number 212.650.7963

       NOTE: Refer to the “SEPH Eligibility Requirements” sheet for
                     list of required documentation:
              www.cuny.edu/doctoralstudenthealthplan
    Updated 11/18/09      The University Benefits Office              3
              ENROLLMENT… (Cont’d)
      YOU MAY ENROLL IN NYSHIP BENEFITS:

     Within 45 days of your appointment - Late enrollments
      will be subject to a 30-day waiting period
     Within 30 days of a qualifying event
     Within 30 days following involuntary loss of other
      coverage
.


     During the Annual Open Enrollment Period – November
      1st – November 30th

      *Note: Employees of the CUNY Research Foundation are
      not eligible for these benefits



    Updated 11/18/09    The University Benefits Office        4
Updated 11/18/09   The University Benefits Office   5
Updated 11/18/09   The University Benefits Office   6
EFFECTIVE DATE OF COVERAGE

  Coverage for you and your eligible
  dependents will be effective on the
  date of your appointment

  Note: Services provided outside of the USA are treated
  as out-of network services. You must complete a
  claim form to obtain reimbursement.

  Download this claim form at:
  http://www.cs.state.ny.us/ebd/ebdonlinecenter/pof/
  images/OutOfStateForm.pdf


Updated 11/18/09    The University Benefits Office         7
Updated 11/18/09   The University Benefits Office   8
              INSURANCE CARDS
  You should expect to receive your insurance card within
  3-4 weeks following your enrollment

  You will receive 3 cards separately by mail:

                    Medical/Hospitalization
                    Dental
                    Vision Care

  Note: In case of an emergency, the carrier may use your
  SSN or NYSHIP card number to verify your coverage.
  Contact the University Benefits Office at 212-794-5342
  if you need to obtain your NYSHIP card number.

Updated 11/18/09         The University Benefits Office     9
Updated 11/18/09   The University Benefits Office   10
Updated 11/18/09   The University Benefits Office   11
      ELIGIBLE DEPENDENTS
   Spouse
   Domestic Partner
   Dependent Children - Up to age 19 (natural children,
    adopted children, dependent step children)
   Disabled Dependents

Notes: Refer to the “SEHP Eligibility Requirements” on the
    CUNY website for a list of required documentation

           www.cuny.edu/doctoralstudenthealthplan

       [Parents are not considered eligible dependents]


Updated 11/18/09      The University Benefits Office       12
NYSHIP BENEFITS PROVIDERS
 Medical Benefit – UnitedHealthCare
 Hospital Benefit - Empire BlueCross BlueShield

 Dental Benefit – GHI

 Vision Care Benefit – EyeMed

 Prescription Drug Benefit - UnitedHealthCare /
  Medco Health Solutions
 Mental Health/Substance Abuse Benefit -
  UnitedHealthCare / OptumHealth



Updated 11/18/09   The University Benefits Office   13
       NYSHIP BIWEEKLY PREMIUM
                RATES
                    [AS OF OCTOBER 2009]


       INDIVIDUAL - $5.74 PER PAY PERIOD

          FAMILY - $51.73 PER PAY PERIOD

 Pre-tax bi-weekly health insurance premiums will be
automatically deducted from your paycheck

 You may elect to have post-tax health insurance
premium deduction by completing the appropriate
section on the Health Benefits Enrollment Form


 Updated 11/18/09     The University Benefits Office    14
       CHANGES TO COVERAGE

You may make changes to your coverage:


 Within 30 days of a Qualifying Event

 During the Annual Open Enrollment Period




Updated 11/18/09   The University Benefits Office   15
                QUALIFYING EVENTS
    Marriage
    Birth of a child
    Becoming a child’s legal guardian, step-parent
     or adoptive parent
    Arrival of an eligible dependent to the United
     States
    Completion of the six month waiting period for
     attainment of Domestic Partner Status


    Updated 11/18/09    The University Benefits Office   16
      ANNUAL OPEN ENROLLMENT
              PERIOD

 Generally held in November. For calendar year
   2009 it is November 1st - November 30th.

      During the annual open enrollment period
                     you may:

    Enroll in health benefits
    Change from individual to family coverage
    Change from family to individual coverage
    Add eligible dependents without 30-day
     waiting period

Updated 11/18/09   The University Benefits Office   17
         CHANGES TO TAX STATUS FOR
            PREMIUM DEDUCTION

                   OPTION TRANSFER PERIOD
                       Generally held in November

                        For calendar year 2009 it is
                       November 1st- November 30th

      You may change from pre-tax to post tax status

      You may change from post-tax to pre-tax status



    Updated 11/18/09          The University Benefits Office   18
   TERMINATION OF COVERAGE
 Coverage will cease when you no longer meet both of
           the requirements indicated below:

1. Enrolled in a Doctoral Program at the CUNY Graduate
   Center or in the Engineering Ph.D. Program at City
   College
                            AND

2. Appointed in an eligible title (Graduate Assistant A, B,
   C, Adjunct Instructor, Adjunct Lecturer, Adjunct
   College Laboratory Technician And Non- Teaching
   Adjunct I, II)



 Updated 11/18/09     The University Benefits Office          19
TERMINATION OF COVERAGE…
         (Cont’d)
   Coverage will terminate two pay periods
    following your graduation, leave from the
    doctoral program or appointment end date,
    which ever comes first.

   You must notify the University Benefits Office
    immediately once you no longer meet the
    eligibility requirements. Otherwise, it may
    result in unanticipated cost to you.




Updated 11/18/09   The University Benefits Office    20
        CONSOLIDATED OMNIBUS BUDGET
      RECONCILIATION ACT OF 1985 (COBRA)
                NOTIFICATION


Under COBRA you and your dependents may continue
group health coverage at a monthly premium of 102% of
the group rate. The maximum period of coverage will vary
depending on the reason for continuation.

The COBRA application process begins once the University
Benefits Office is notified of your loss of eligibility. The NYS
Department of Civil Service will send a COBRA package to
your home address once the University Benefits Office has
terminated your NYSHIP benefits.


  Updated 11/18/09     The University Benefits Office        21
            COBRA APPLICATION

     Complete and return the COBRA
  enrollment application to the address
indicated on the COBRA application form
            on a timely basis

NOTE: Effective January 2010 dependent child
    coverage is extended through age 29


Updated 11/18/09   The University Benefits Office   22
     COBRA MONTHLY PREMIUM
             RATES
                     [AS OF OCTOBER 2009]



                INDIVIDUAL - $120.43
                    FAMILY - $514.59
 You will receive a monthly bill from the NYS Department of
  Civil Service for your COBRA premium payments

 You may be eligible for The American Recovery and
  Reinvestment Act of 2009 – The AARA provides for COBRA
  premium assistance for you and your covered dependents who
  have a continuation of coverage election opportunity related to
  an involuntary termination of employment that occurred during
  the period September 1, 2008 through December 31, 2009


 Updated 11/18/09      The University Benefits Office           23
  DEPENDENT CHILD ELIGIBILITY

  A recently enacted NYS Law has extended
    dependent child eligibility through age 29

  Coverage for young adults dependents will be
    “COBRA-like”:
   Charged at the Full Share Individual Rate
   Each dependent will enroll in their own
      individual policy



Updated 11/18/09   The University Benefits Office   24
            TO FIND A LIST OF
       PARTICIPATING PROVIDERS…

    Medical - www.empireplanproviders.com

    Dental - www.ghi.com

    Vision Care - EyeMed 1-877-226-1412

    General Information - 1-877-7-NYHSIP
    Updated 11/18/09   The University Benefits Office   25
                        TRANSFERS
               FILL OUT A NYSHIP TRANSFER FORM
                (NYSHIP001 TRF-UBO) IF YOU ARE:

 Transferring to a new college
    Changing title
    Both transferring and changing title

                          DOWNLOAD THE FORM FROM:
    http://www.cuny.edu/administration/ohrm/university-benefits/dshp.html




Updated 11/18/09            The University Benefits Office                  26
      ONLINE HOME ADDRESS CHANGE
    To update your home address online:

   Go directly to www.cs.state.ny.us/mynyship
   Choose a Civil Service ID and password
   You will receive an Activation Code in the mail within
.
    3 to 5 business days
   Once you receive your Activation Code, return to
    MyNYSHIP and log in with the Civil Service ID and
    password
   Then go to Employee Self Service and update your
    home address

    Updated 11/18/09   The University Benefits Office        27
        COMMUNITY COLLEGES


If you are working at a CUNY Community
College, contact the Graduate Center Provost
Office at provost@gc.cuny.edu
to be transferred to the Graduate Center payroll




Updated 11/18/09   The University Benefits Office   28
        PSC/CUNY WELFARE FUND
       ADJUNCT HEALTH INSURANCE


  If you are eligible for NYSHIP
  coverage, you will no longer be eligible
  for adjunct health insurance through
  the PSC/CUNY Welfare Fund




Updated 11/18/09   The University Benefits Office   29
                       SUMMER COVERAGE
   Graduate Assistants - Coverage continues for all who
    remain on payroll and receive paychecks during the
    months of June, July and August

   Adjunct Instructor, Adjunct Lecturer, Adjunct College
    Laboratory Technician and Non- Teaching Adjunct I, II
    - Coverage continues if: a) you have or are expected
    to have a Fall 2010 appointment; and b) you prepay
    premiums to cover health insurance deductions for the
    summer months in which you are not expected to
    receive a paycheck


    Updated 11/18/09      The University Benefits Office   30
                          CONTACTS

     Teena Costabile – Graduate Center Office of Human Resources,
      Room 8403, Phone number 212.817.7706

     Kim Ferguson – City College Benefit Officer,
      Shepard Hall Room 50, Phone number 212.650.7963

     You may also contact the University Benefits Office at
      212.794.5342 or UniversityBenefits.NYSHIP@MAIL.CUNY.EDU

     You may contact NYSHIP at 1-877-7-NYHSIP




    Updated 11/18/09      The University Benefits Office             31

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:4
posted:11/14/2010
language:English
pages:31
Description: New York 1St Department Legal Research document sample