The Patient Protection Affordable Care Act (PPACA) requires all insurance plans to make available a Summary of Benefits and Coverage (SBC) for employees eligible for benefits and potential enrollees. The New York State Department of Civil Service’s Employee Benefits Division notified current enrollees of the availability of the Summary of Benefits and Coverage and Uniform Glossary for The Empire Plan online at https://www.cs.ny.gov/sbc/index.cfm and via the annual mailings, including the 2015 rate notification. Employees who do not have internet access may call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program to request a copy of the SBC for The Empire Plan. Employees who need a copy for a NYSHIP HMO should contact the HMO. Empire Plan enrollees will receive the 2015 At A Glance publication, which provides a comprehensive summary of benefits for the year.
The Summary of Benefits and Coverage is a simple and standardized multi-page comparison tool that is intended to help consumers better understand and compare available health insurance options.
While this information may be helpful, employees should refer to other plan material, such as the Choices booklet for more comprehensive coverage and benefit information, prior to making a decision regarding choosing a health plan.