Transcript New York City College of Technology Personnel Department

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 [email protected]
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 [email protected]
You may contact NYSHIP at 1-877-7-NYHSIP
Updated 11/18/09
The University Benefits Office
31