Is health insurance coverage automatic?
No, a NYS Health Insurance Transaction Form, which is in your New Employee Orientation Packet and the required proof of eligibility, must be submitted to the Benefits Section of Human Resource Services within 30 days of being appointed.
What is the required proof of eligibility?
To provide health insurance coverage for yourself or to include eligible family members, copies of the following, for each person to be covered, must be attached to the NYS Health Insurance Transaction Form and sent to the Benefits Section of Human Resource Services: birth certificate and social security card. A copy of the following is also required where applicable: marriage certificate, proof of full-time student status for dependents age 19 to 25, proof of support/dependence, proof of disability.
When is my coverage effective?
Your coverage effective date is based on your bargaining unit. If you are a member of CSEA, Council 82 or UUP and the required forms have been submitted to the Benefits Section within 42 days of your appointment your coverage is effective on the 43rd consecutive day. If you are a member of NYSCOPBA, PEF or an MC and the required forms have been submitted to the Benefits Section within 56 days of your appointment your coverage is effective on the 57th consecutive day. Forms submitted after that will mandate a 10 week waiting period before health insurance becomes effective.
When will I receive my identification cards?
You will receive your identification card approximately 6 weeks after a Benefits staff member has processed your NYS Health Insurance Transaction Form.
How may I use my health insurance plan before I receive my identification cards?
If you are enrolled in the Empire Plan, you may contact the Benefits Office at (631) 632-6165 and a staff member will be happy to provide you with the identification card number(s) and effective date. You may bring the card number(s) to the appropriate medical or hospital personnel as necessary.
If you are enrolled in an HMO, you must call the HMO for your card number. The telephone numbers of the individual HMOs are listed in the Summary of Benefits which can be found in your New Employee Orientation Packet or in the Benefits Summaries located on this webpage.
May I visit a medical provider that does not participate in the plan?
Please reference the Benefits Summary which is in your New Employee Orientation Packet or in the Benefits Summaries located on this webpage.
How do I know which medical providers accept the health insurance plan that I have chosen?
You may either call your health, dental or vision carrier directly or reference the provider details by viewing the Health Plan Websites located under the General category of this webpage.
Must I select a Primary Care Physician (PCP)?
If you are enrolled in an HMO you must select a Primary Care Physician.
What should I do if I receive an Explanation of Benefits that states the insurance company has rejected my claim?
There are several reasons why this may happen, you need to contact the insurance company directly at the telephone number listed on the Explanation of Benefits.
I do not see the health insurance deduction on my paycheck. What should I do?
Please allow two pay periods from the time that you submit your Health Insurance Transaction Form and required proof of eligibility to the Benefits Section. If it has been more than two pay periods you may contact the Benefits Office at (631) 632-6165 and a staff member will be happy to assist you.
The biweekly health insurance deduction on my paycheck is for individual coverage but I elected family coverage. What should I do?
You should immediately contact the Benefits Office at (631) 632-6165 to speak with a staff member to insure that your medical coverage has been processed as per your request.
The biweekly health insurance deduction on my paycheck has changed but I did not request any changes to my coverage. What should I do?
You should immediately contact the Benefits Office at (631) 632-6165 to speak with a staff member regarding this.
What happens to my medical coverage if my employment ends?
If you leave, your health, dental and vision coverage will remain in effect for 28 days from the end of the pay period in which you leave and then COBRA continuation of benefits will be offered.

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