Nyship

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The City University of New YorkNYS HEALTH
INSURANCE PROGRAMNYSHIPStudent Employee Health
Plan (SEHP)

• Office of Human Resources Management
• University Benefits

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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

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ENROLLMENT

• Complete the Health Benefits Enrollment Form
  (PS-404G) and submit it along with supporting
  documentation to
• For students at the CUNY Graduate Center
• Scott Voorhees Office of Student Affairs, Room
  7301
• Phone number 212.817.7406
• 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/doctoralstudenthealthp
  lan

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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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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

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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.

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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

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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

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NYSHIP BIWEEKLY PREMIUM RATESAS OF JANUARY 2010

• INDIVIDUAL - 6.32 PER PAY PERIOD
• FAMILY - 47.36 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

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CHANGES TO COVERAGE

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

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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

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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

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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

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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)

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TERMINATION OF COVERAGE (Contd)

• 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.

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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.

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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

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COBRA MONTHLY PREMIUM RATESAS 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 ARRA 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 February 28,
  2010

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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

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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

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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

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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

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If you are working at a CUNY Community College,
contact the Student Affairs Office at the
Graduate Center to be transferred to the Graduate
Center payroll
COMMUNITY COLLEGES
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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

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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

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CONTACTS

• Scott Voorhees Office of Student Affairs, Room
  7301, Phone number 212.817.7406
• 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_at_MAIL.CU
  NY.EDU
• You may contact NYSHIP at 1-877-7-NYHSIP