Home » Contract Information » Health Benefits

Health Benefits

PEF Logo

New Empire Plan Reporting On Publications

The December 2015 Empire Plan Reporting On publications describe benefits for enrollees with asthma, special surgery needs, or those trying to quit smoking.

Reporting on Asthma  (asthma pdf) discusses the causes and symptoms of asthma, how to avoid asthma triggers, The Empire Plan’s Asthma Management Program and Home Care Advocacy Program (HCAP), types of asthma drugs and smoking cessation benefits.

Reporting on Center of Excellence Programs (centers of excellence pdf) discusses The Empire Plan Centers of Excellence Programs for cancer, transplants and infertility. The Programs offer paid-in-full coverage, including a travel allowance, as well as access to a select group of providers who are recognized as leaders in their fields.

Reporting on Smoking Cessation (smoking cessation pdf) explains the health risks of smoking, tips on how to quit, the e-cigarette trend and information on the smoking cessation treatments covered by The Empire Plan.

Click on the links to read them online, or contact your Health Benefits Administrator (HBA) for a printed copy.

2016 Productivity Enhancement Program Extended to PEF Enrollees            PEF and New York State have reached agreement on extending the Productivity Enhancement Program (PEP) for 2016 to eligible PEF enrollees. To elect PEP for 2016, you must apply by January 8, 2016. The attached notice (PEP 2016 HBA Memo and attachments.pdf) explains the application process and credit amounts available. Contact your Health Benefits Administrator (HBA) located in your Personnel Office if you have any questions or want to request an application.

NYSHIP Dependent Eligibility Audit
Beginning in December 2015, the Department of Civil Service (DCS) will conduct a Dependent Eligibility Verification Project (DEVP), similar to the eligibility audit conducted in 2009, to help ensure that every participant who receives benefits through the New York State Health Insurance Program (NYSHIP) is entitled to those benefits. A key component of the audit is an amnesty period. The 2015-16 New York State budget provides legislation for a special amnesty period which will protect employees and retirees who voluntarily identify ineligible dependents during the amnesty period.
Click here for more information.

Productivity Enhancement Program (PEP) Extension for 2016

On December 2, 2015, PEF and New York State reached agreement on a Memorandum of Understanding (MOU) that restores the Productivity Enhancement Program (PEP) for 2016. Under the PEP, eligible full-time and part-time employees may forfeit previously accrued annual and/or personal leave in return for a credit that reduces their state health insurance premium contribution. The PEP credit of either $500 or $1,000 is divided by 26 paychecks and applied on a biweekly basis. Click here to view PDF.

The Memo from the Department of Civil Service can be seen here:   http://www.cs.ny.gov/attendance_leave/pb15-03.pdf

Dental                                    Doctors
Empire Plan                           FAQ’s
Forms                                    Health Plan Contracts
Help with Problems                Helpful Links
HMO’s                                   NYS Benefits