2017 New York State Health Insurance plan rates for CSEA active state employees and Unified Court System employees

The NYS Division of Budget has approved the Empire Plan’s premium rates for the year 2017.  The approval of the rates signals the beginning of the option transfer period for the New York State Health Insurance Program.

New York State active employees have until December 16, 2016 to change their health insurance option or to submit/resubmit documentation to participate in the Opt-Out Program for 2017.  Enrollees wishing to change options or participate in the Opt-Out Program should complete the necessary transaction forms and return them to their Health Benefits Administrator no later than December 16, 2016.

Opt Out Program for 2017:

NYSHIP will again offer the Opt-Out Program in 2017, which will allow eligible employees who have employer sponsored group health insurance, to opt out of their NYSHIP coverage in exchange for an incentive payment.  NYS employees who currently participate in the Opt-Out Program will receive a notice from the NYS Department of Civil Service advising that the PS-404 and PS-409 forms MUST be submitted during the Annual Option Transfer Period in order to continue participation in 2017.

In 2012 and 2013, CSEA had a special arrangement with New York State which allowed a CSEA enrollee covered as a dependent through their spouse/domestic partner, who is also a State employee, to opt out of their coverage in return for a $1,000 payment.  This arrangement was not made available to CSEA since 2013.  CSEA’s ongoing grievance regarding the “State on State” Opt-Out Program continues to move forward in arbitration.  We will keep you advised of any developments.

The following are the 2017 biweekly rates for CSEA active State Executive Branch and Unified Court System employees.  Please note there are two sets of rates.  The first set reflects 2017 biweekly rates for CSEA represented state employees who are Grade 9 and below.  The second set reflects 2017 biweekly rates for CSEA represented state employees who are Grade 10 and above.

Please note some of the HMOs saw a significant change in health insurance premiums for 2017.

2017 State NYSHIP Enrollee Biweekly Premium Contributions
The following represents the 2017 biweekly premium contributions for CSEA active State employees (and Unified Court System). Please note there are two sets of rates. The first set reflects 2017 biweekly rates for CSEA represented employees who are Grade 9 and below. The second set reflects 2017 biweekly rates for CSEA represented State employees who are Grade 10 and above.
Grade 9 and below:   Individual Change Family Change
The Empire Plan 001 $39.91 $2.41 $175.53 $13.91
Blue Choice 066 $34.49 -$8.62 $148.86 $4.06
Blue Cross Blue Shield (WNY) 067 $36.12 $2.18 $155.52 $9.27
CDPHP (Capital) 063 $40.10 -$12.19 $160.71 -$2.07
CDPHP (Central) 300 $75.92 -$13.17 $218.90 -$52.60
CDPHP (Hudson Valley) 310 $132.47 $9.89 $362.62 $20.61
Empire BC/BS HMO (Upstate) 280 $137.08 $31.79 $418.99 $85.53
Empire BC/BS HMO (Downstate) 290 $238.10 $30.31 $684.44 $81.11
Empire BC/BS HMO (Mid-Hudson) 320 $229.22 $30.52 $660.70 $81.77
HIP (Downstate) 050 $97.55 -$2.00 $262.16 -$6.87
HIP (Capital) 220 $112.54 $6.66 $299.93 $14.88
HIP (Hudson Valley) 350 $112.54 $6.66 $299.93 $14.88
HMO Blue (Central NY ) 072 $87.11 -$15.05 $241.67 -$40.11
HMO Blue (Utica Region) 160 $107.49 -$14.93 $328.05 -$39.08
Independent Health 059 $36.33 -$2.10 $155.04 $7.97
MVP (Rochester) 058 $37.21 $2.54 $144.40 $13.83
MVP (East) 060 $58.56 $9.82 $149.49 $17.09
MVP (Central) 330 $87.33 $5.99 $202.12 $10.19
MVP (Mid-Hudson) 340 $100.95 $11.48 $232.12 $22.05
MVP North 360 $155.56 $11.73 $364.27 $22.95
 
Grade 10 and above: Individual Change Family Change
The Empire Plan 001 $53.21 $3.20 $208.92 $16.40
Blue Choice 066 $45.99 -$7.86 $177.31 $4.85
Blue Cross Blue Shield (WNY) 067 $48.16 $2.90 $185.25 $11.04
CDPHP (Capital) 063 $52.55 -$10.93 $191.50 -$0.17
CDPHP (Central) 300 $88.36 -$12.21 $251.26 -$49.92
CDPHP (Hudson Valley) 310 $145.01 $10.62 $395.28 $22.83
Empire BC/BS HMO (Upstate) 280 $150.53 $33.25 $454.26 $89.60
Empire BC/BS HMO (Downstate) 290 $251.79 $31.67 $720.35 $84.94
Empire BC/BS HMO (Mid-Hudson) 320 $242.83 $31.91 $696.39 $85.66
HIP (Downstate) 050 $110.53 -$0.69 $295.77 -$3.24
HIP (Capital) 220 $125.71 $8.06 $334.00 $18.74
HIP (Hudson Valley) 350 $125.71 $8.06 $334.00 $18.74
HMO Blue (Central NY ) 072 $99.48 -$14.00 $273.63 -$37.10
HMO Blue (Utica Region) 160 $119.78 -$13.87 $360.05 -$36.06
Independent Health 059 $48.44 -$1.29 $184.73 $9.49
MVP (Rochester) 058 $49.39 $3.75 $172.58 $16.53
MVP (East) 060 $70.27 $11.04 $178.66 $20.44
MVP (Central) 330 $99.32 $7.20 $233.14 $13.57
MVP (Mid-Hudson) 340 $112.53 $12.75 $262.19 $25.45
MVP North 360 $167.96 $12.94 $396.22 $26.34