memo

   

TO:                 Executive Board and Council Leaders

FROM:           Ken Brynien

DATE:            March 1, 2007

RE:                 UPDATE - April 1, 2007 Health Insurance Rate Changes and Special Option Transfer Period                       

As noted in last week’s memo regarding the April 1, 2007 Health Insurance Rate Changes and Special Option Transfer Period, a retroactive adjustment will be done to account for the removal of the Medicare Part B component from the rates that were charged to NYSHIP enrollees between January 1, 2006 and March 31, 2007. This retroactive adjustment of the premium rates will result in a refund for the majority of members including those enrolled in the Empire Plan during all or a portion of this period.  Members enrolled in HMOs that were less expensive than the Empire Plan will also receive a refund.

The exact amount of the refund will vary from individual to individual, depending on which health insurance option(s) the member was enrolled in during this period and the type of coverage (individual or family). The maximum refund for employees on the biweekly payroll from January 1, 2006 through March 31, 2007 will be approximately $91. Civil Service is in the process of calculating the refund amounts for each employee. They expect this task to take several months.    

Members enrolled in HMOs that were more expensive than the Empire Plan (i.e., exceeded the cap on HMO premiums) actually paid less in premium than they should have.  Although the state had threatened to seek recoupment (refunds) of premium owed by HMO members who unknowingly underpaid biweekly deductions from January 1, 2006 through March 31, 2007, they have reconsidered, and notified us that they will not pursue these refunds.

 

This victory is the result of our collaboration with our union partners in the Labor Coalition, as well as other interested parties such as the Retired Public Employees Association (RPEA) and the Organization of Management/Confidential Employees (OMCE).

 If you have any questions please contact Health Benefits staff at 800-342-4306 or 518-785-1900 x283.