The%20City%20University%20of%20New%20York%20NYS%20HEALTH%20INSURANCE%20PROGRAM%20NYSHIP%20Student%20Employee%20Health%20Plan%20(SEHP) - PowerPoint PPT Presentation

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The%20City%20University%20of%20New%20York%20NYS%20HEALTH%20INSURANCE%20PROGRAM%20NYSHIP%20Student%20Employee%20Health%20Plan%20(SEHP)

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The City University of New York NYS HEALTH INSURANCE PROGRAM NYSHIP Student Employee Health Plan (SEHP) Office of Human Resources Management University Benefits – PowerPoint PPT presentation

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Title: The%20City%20University%20of%20New%20York%20NYS%20HEALTH%20INSURANCE%20PROGRAM%20NYSHIP%20Student%20Employee%20Health%20Plan%20(SEHP)


1
The City University of New York NYS HEALTH
INSURANCE PROGRAM NYSHIP Student Employee Health
Plan (SEHP)
  • Office of Human Resources Management
  • University Benefits

2
ELIGIBILITY
  • TO BE ELIGIBLE FOR NYSHIP BENEFITS YOU MUST
  • MEET ALL OF THE FOLLOWING CRITERIA
  • Matriculate in a Doctoral Program at the CUNY
    Graduate Center or the Engineering Ph.D. Program
    at City College
  • Work in an eligible title (Graduate Assistant A,
    B, C, Adjunct Instructor, Adjunct Lecturer,
    Adjunct College Laboratory Technician And Non-
    Teaching Adjunct I, II)
  • Make a minimum 4,122 per year or 2,061 per
    semester

3
ENROLLMENT
  • Complete the Health Benefits Enrollment Form
    (PS-404) and submit it along with supporting
    documentation to the NYSHIP Coordinator at your
    college
  • CUNY Graduate Center Scott Voorhees - Office
    of Student Affairs, Room 7301.05
  • Phone number 212.817.7406
  • City College - Kim Ferguson - Office of Human
    Resources
  • Shepard Hall, Room 50 (212) 650-7963
  • NOTE Refer to the SEPH Eligibility
    Requirements sheet for list of required
    documentation
  • www.cuny.edu/doctoralstudenthealthplan

4
ENROLLMENT (Contd)
  • 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.

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7
EFFECTIVE DATE OF COVERAGE
  • FOR NEWLY ELIGIBLE EMPLOYEES
  • If you apply within 45 days of your date of
    appointment in a NYSHIP eligible title, coverage
    for you and your eligible dependents will
    generally be effective as of the date of your
    appointment.

8
EFFECTIVE DATE OF COVERAGE
  • LATE ENROLLMENT
  • If you apply for NYSHIP coverage more than 45
    days after your date of appointment in a NYSHIP
    eligible title, your medical coverage will begin
    30 days from the date that your enrollment form
    is received by the NYSHIP Coordinator at your
    college

9
COVERAGE OUTSIDE OF THE USA
  • 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

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11
INSURANCE CARDS
  • You should expect to receive your insurance card
    within 3-4 weeks following your enrollment.
  • You will receive 3 cards
  • 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 UniversityBenefits.NYSHIP_at_mail.cuny.edu
  • if you need to obtain your NYSHIP card number.

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14
ELIGIBLE DEPENDENTS
  • Spouse
  • Domestic Partner
  • Dependent Children - Up to age 26 (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
  • Note Parents are not considered eligible
    dependents.

15
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

16
NYSHIP BIWEEKLY PREMIUM RATES AS OF JANUARY 1,
2011
  • INDIVIDUAL 7.49 PER PAY PERIOD
  • FAMILY 58.42 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

17
CHANGES TO COVERAGE
  • You may make changes to your coverage
  • Within 30 days of a Qualifying Event
  • During the Annual Open Enrollment Period

18
QUALIFYING EVENTS
  • Marriage
  • Birth of a child
  • Becoming a childs 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

19
ANNUAL OPEN ENROLLMENT PERIOD
  • Generally held in November. For calendar year
    2011 it is
  • November 1st - November 30th.
  • During the annual open enrollment period you may
  • Enroll in health benefits or add eligible
    dependents without the 30-day waiting period for
    late enrollments
  • Change from individual to family coverage
  • Change from family to individual coverage
  • You may change from pre-tax to post tax status
  • You may change from post-tax to pre-tax status

20
TERMINATION OF COVERAGE
  • Coverage will cease when you no longer meet both
    of the requirements indicated below
  • 1. Matriculated in a Doctoral Program at the CUNY
    Graduate Center or in the Engineering Ph.D.
    Program at City College
  • 2. Working in an eligible title (Graduate
    Assistant A, B, C, Adjunct Instructor, Adjunct
    Lecturer, Adjunct College Laboratory Technician
    And Non- Teaching Adjunct I, II)

21
TERMINATION OF COVERAGE (Contd)
  • Coverage will terminate when you cease
    working in a NYSHIP eligible title or when you
    graduate or take a leave from your doctoral
    program (whichever comes first).
  • Since you will have pre-paid for two pay
    periods of coverage, your coverage will end 28
    days following the last date of the pay-period
    that your termination date falls within.
  • 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.

22
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.

23
COBRA APPLICATION
  • Complete and return the COBRA
  • enrollment application to the address
  • indicated on the COBRA application form
  • on a timely basis

24
COBRA MONTHLY PREMIUM RATES AS OF MARCH 2011
  • INDIVIDUAL - 165.92
  • FAMILY - 617.41
  • You will receive a monthly bill from the NYS
    Department of Civil Service for your COBRA
    premium payments

25
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-NYSHIP

26
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

27
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

28
If
you are working at a CUNY Community College,
contact the NYSHIP Coordinator at your college to
be transferred to the Graduate Center
payroll. CUNY Graduate Center Scott Voorhees -
Office of Student Affairs, Room 7301.05 - Phone
number 212.817.7406 City College - Kim Ferguson
- Office of Human Resources Shepard Hall, Room 50
(212) 650-7963
COMMUNITY COLLEGES
29
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.

30
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 2011
    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.

31
CONTACTS
  • CUNY Graduate Center Scott Voorhees - Office of
    Student Affairs, Room 7301.05 - Phone number
    212.817.7406
  • City College - Kim Ferguson - Office of Human
    Resources Shepard Hall, Room 50 (212) 650-7963
  • You may also contact the University Benefits
    Office at 212.794.5342
  • You may contact NYSHIP at 1-877-7-NYSHIP
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