New York State CSEA Members

The CSEA-NYS Joint Committee on Health Benefits, pursuant to Article 9 of the State Contract, is primarily responsible for the oversight and administration of the New York State Health Insurance Program (NYSHIP) for state employees. The NYSHIP program includes the Empire Plan and Health Maintenance Organizations located throughout the State of New York.


 

  • Empire Plan Summary of Benefits Available Online The Patient Protection Affordable Care Act (PPACA) requires all insurance plans to make available a Summary of Benefits and Coverage (SBC) for benefits-eligible employees, retirees and dependents.  Current Empire Plan enrollees were mailed a postcard discussing the availability of the 2019 Summary of Benefits and Coverage and Uniform Glossary online at www.cs.ny.gov/employee-benefits/sbc. Enrollees who do not ... Read more...
  • EMPIRE PLAN CLAIMS DEADLINES FOR CALENDAR YEAR 2018 Empire Plan enrollees have until April 30, 2019 (120 days after the end of the calendar year) in which to submit medical expenses which were incurred during the 2018 plan year to: United HealthCare Service Corp. P.O. Box 1600 Kingston, N.Y. 12402-1600 www.empireplanproviders.com/claimform.htm For the Empire Plan Basic Medical Program, the Home Care Advocacy Program (HCAP) and for non-network physical ... Read more...
  • Acupuncturists Join Empire Plan Network Good news for Empire Plan participants in 2019; the Empire Plan participating provider network is being expanded to include licensed acupuncturists. This is a new endeavor, so it will take time for the medical carrier to develop this network.   The network will continue to expand throughout 2019. Visits to network providers are subject to the applicable ... Read more...
  • Health Insurance Changes Effective January 1, 2019 The following information is intended for CSEA represented Executive Branch enrollees – enrollees employed by the State of New York covered by one of the following CSEA collective bargaining agreements; Administrative Services Unit, Institutional Services Unit, Operational Services Unit or the Division of Military and Naval Affairs as well as CSEA Unified Court System The CSEA ... Read more...
  • 2019 New York State Health Insurance Program Plan Rates For CSEA Active State Employees (and Unified Court System Employees) The State Division of Budget has approved the Empire Plan’s premium rates for 2019 (rates are listed below).  The approval of the rates signals the beginning of the option transfer period for state employees. New York state active employees have until January 18, 2019 to change their ... Read more...
  • 2019 Empire Plan Formulary New York State has recently released the 2019 Empire Plan Advanced Flexible Formulary drug list for CSEA active State and Court System Empire Plan enrollees.  The creation of the Empire Plan Formulary is an administrative responsibility held by the New York State Department of Civil Service and the Empire Plan Prescription Drug Administrator, CVS Caremark.  ... Read more...
  • Assignment of Benefits for Non-Network MHSA Services Beacon Health Options (Beacon) is the administrator for The Empire Plan’s Mental Health and Substance Abuse Program (MHSA).  Until recently, the Empire Plan prohibited claim payments for non-network MHSA from being sent directly to a provider.  All non-network claim payments were paid directly to the member and the member was required to send payment to ... Read more...