Nyship dependent survivor coverage. 31 Medicare and NYSHIP .
Nyship dependent survivor coverage cs. 30 Eligibility for Dependent Dependent Survivor Eligible for NYSHIP as a Result of Employment. Note: If you or an enrolled dependent are already Medicare-eligible at the time of your retirement, Domestic Partner’s coverage is considered additional income to the enrollee. for opting out of Family coverage and your last dependent loses NYSHIP eligibility during the year, you will only be eligible for the Individual incentive payment ($1,000) for the remainder of the tax year. Date Issued: October 30, Determine if a dependent survivor who has NYSHIP benefits eligible employment can enroll in coverage as an active employee and resume dependent survivor coverage at a later date. NYSHIP has an excellent publication titled "Medicare and NYSHIP". NYSHIP General Information Book 2015 GENERAL INFORMATION BOOK New York State Retirees New York State Health Insurance Program General Information Book for New York State Retirees, Vestees, Dependent Survivors and Preferred List Enrollees and their eligible dependents; also includes information regarding COBRA continuation coverage and the NYSHIP on the effective date of your disability retirement either as an employee or a dependent to be eligible to continue coverage in NYSHIP as a retiree. 22 Continuing Coverage Through Another NYSHIP Employer Dependent Survivor Coverage. ) • You want to add an eligible dependent or remove a covered dependent or change your type of First dependent child acquired Request coverage for dependents not previously covered Newborn Previous coverage terminated (Complete Section 13) Other Must be provided when choosing to enroll or opt -out of NYSHIP family coverage (use additional sheets if necessary) Check One: A (Add), D (Delete) or C (Change) Date of Event : This page has information about how your Medicare benefits will work with your NYSHIP coverage. , the deceased employee or retiree had at NYSHIP coverage, you will no longer receive reimbursement for the cost of the Medicare Part B premium. dependent survivor information and other helpful content. Click on Retirees, then Health Benefits. Note: If you or an enrolled dependent are already for NYSHIP coverage. Retirees and Dependent Survivors of Employers that contribute 90% Individual/75% Dependent Dependent survivor coverage is explained in your NYSHIP General Information Book. 18. The New York State GENERAL INFORMATION BOOK 2 GIB-NY Active/2014 Empire Plan inquiries: For questions on specific benefits or claims, or to locate a provider, call The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and choose the appropriate program. Permit a dependent survivor who is employed in a benefits eligible position with the State, a participating agency, or a participating employer to enroll in NYSHIP coverage as an active This is the New York State Health Insurance Program (NYSHIP) General Information Book for former employees of New York State, including retirees and vestees, their covered NYSHIP coverage will end permanently for eligible dependent survivors if they: • Do not make a timely election of dependent survivor coverage or • Fail to make required payments. Refer to the appropriate section of the book for information. It is a supplement to the coverage available from regular health death to enroll for dependent survivor coverage if you die in retirement. Click here for a table of the counties each HMO serves in 2018. To ensure that dependent survivors receive the benefits that they are entitled to, contact the Benefits Department at 631-592-3094 or benefits@hhh. Section 165-a of Civil Service Law authorizes the Department of Civil Service to allow NYSHIP If NYSHIP coverage as a dependent survivor is terminated for any reason, eligibility ends and the dependent is not eligible to reenroll. A new dependent child must be added to the enrollee’s record on NYBEAS (for Agencies without access, submit information to the Employee Benefits Division). Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your retirement, ask NYSHIP coverage in their own right, continuing coverage as a dependent of your spouse or domestic partner is one way to meet this requirement. 47 Retired Employee coverage with Medicare primary There is no Dependent Survivor Coverage for Emblem enrollees. You will be mailed this booklet prior turning age 65. * Medicare becomes your primary insurer when you are eligible for Medicare and enrolled in NYSHIP as a retiree, vestee, dependent survivor, or Dependent survivor coverage if this criteria is met: • Family plan in place at the time of your death or deferral • 10 years of NYSHIP benefits-eligible service. NYSHIP is established under New York State Civil Service law. to retain NYSHIP coverage provided the employee has at least 10 years of benefits eligible service, and are within 10 years of retirement. February 19, 2020 29 • Medicare and NYSHIP coverage are both provided through HMO • Care outside HMO service area covered to the extent allowed by HMO. If you and your dependents are not eligible for survivor coverage under NYSHIP, you may be eligible to continue coverage in NYSHIP for up to 36 months under COBRA or convert to direct-pay contracts. If you die while you are not enrolled in NYSHIP, your dependents are not eligible for survivor coverage. •ou add a newly-eligible dependent to Y your coverage. 2 General Information Book GIB-NY Retiree/2018 You are responsible for letting EBD know of any changes that may affect your NYSHIP coverage. If you die while you are not enrolled in NYSHIP, your dependents that provides you with your NYSHIP coverage, such as when you are covered as a retiree, vestee or dependent survivor or covered as a dependent of an enrollee who is no longer an active employee. Benefits Period Ends. 31 Loss of Eligibility for Dependent Survivor Coverage. INFORMATION. NYSHIP . 25 Eligibility to Continue Coverage as a Retiree Eligibility Requirements for NYSHIP Coverage If a National Medical Support Notice (NMSN) requires that coverage be provided for a dependent who was previously eligible but not enrolled, the late enrollment period is waived. 23 Medicare: A Federal Program Dependent Survivor Eligible for NYSHIP as a Result of Employment. When You Should Contact Your Agency Health Benefits Administrator* This page has information about how your Medicare benefits will work with your NYSHIP coverage. If you are covered through NYSHIP as a dependent survivor and cancel your coverage, your eligibility for NYSHIP permanently ends and you cannot re-enroll in the future. View Memo. • Medicare and NYSHIP coverage are both provided through HMO • Care outside HMO service area covered to the extent allowed by HMO. Make sure your family knows they should call the Employee Benefits Division for information about dependent survivor coverage if you die in retirement. Eligible dependent survivors may be enrolled in Individual coverage, Family coverage or a combination thereof. Date Issued: October 30, NYSHIP . 39 Loss of Eligibility for Dependent Survivor Coverage For Retirees, Vestees, Dependent Survivors and Enrollees covered under Preferred List Provisions of New York State Government and their Enrolled Dependents Because you pay for your NYSHIP coverage via a deduction from your monthly pension, your deductions will change to reflect your health plan’s 2020 premium. (See page 3 for information on how sick leave credit impacts your premium. 18 Benefit Cards. Please consider the consequences of canceling your NYSHIP coverage. If you and your dependents are not eligible for survivor coverage under NYSHIP, you may be eligible to continue coverage in NYSHIP for up to 36 months under COBRA or convert to direct Program (NYSHIP) protects you: If the employee dies while on the State payroll, you (the enrolled spouse) and your enrolled dependent children will continue to receive NYSHIP coverage A: Currently, all enrolled dependents of active, retired and vested employees will continue to receive coverage without charge (up to the NYSHIP rate) for three months beyond the end of Enrolled dependents may be eligible to continue NYSHIP coverage if the enrollee predeceases them. NYSHIP dependent survivor coverage will terminate on the date that the Employee Benefits Division is notified of the dependent survivor’s new marriage. 1) above (i. 48 Benefit Cards for Dependent Survivors. February 3, 2022 48 2 General Information Book GIB-NY Retiree/2018 You are responsible for letting EBD know of any changes that may affect your NYSHIP coverage. When you are no longer an active employee and become eligible for Medicare, it is the combination of your health insurance benefits under Medicare and NYSHIP that provides you with the most complete coverage. Dependents covered at the time of the enrollee’s death will continue to receive coverage without charge for a period of three months beyond the last month for which the enrollee paid for NYSHIP coverage. ) Retirees of Employers that contribute 100% Individual/ 75% Dependent Retirees and Dependent Survivors of Employers Dependent Survivor Coverage. ) How do my dependents file for NYSHIP coverage in the event of my death? These rates reflect the monthly cost for NYSHIP retiree, Dependent Survivor and Vestee coverage. Dependent Survivor Enrollment after the enrollee’s death may be eligible for dependent survivor coverage. If you do not elect this option, it does NOT affect your dependent survivor’s eligibility to continue NYSHIP coverage. 48 Cost of Dependent Survivor Coverage. Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your your NYSHIP coverage, you will no longer receive reimbursement for the cost of the Medicare Part B premium. See your NYSHIP General Information Book and make sure the dependents know to Determine whether a dependent survivor is eligible to add a dependent to NYSHIP coverage. NYSHIP is required to calculate and report imputed income to the Internal Revenue Your family unit changes. As of July 7, 2008, the beneficiary designation for certain benefits, including the survivor’s benefit, are revoked when a divorce, annulment or judicial separation becomes final, unless the terms of a Domestic Relations Order (DRO) specify otherwise. Your family unit changes. Divorce. The form is available on NYSHIP Online or by contacting EBD. gov. Number: Policy Memo 139r4 Date Issued: July 22, 2010 Date Revised: September 6, 2024 Subject: Required Dependent Proofs PURPOSE: Identify the documentation that must be collected as proof of eligibility before adding a dependent to New York State Health Insurance Program (NYSHIP) coverage and clarify the procedure for timely submission of proofs. Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your Dependent Survivor Coverage Extended Benefits Period at No Cost. Please consider the consequences of canceling If you wish to re-enroll in NYSHIP, there may be a three-month waiting period. Enrolled dependents may be eligible to continue NYSHIP coverage if the enrollee (active or retiree of Half Hollow Hills) predeceases them AND worked for the District for at least 10 years. Dependent survivor Checklist • Our website, NYSHIP Online, contains a checklist to assist in determining eligibility for dependents to continue 2 General Information Book GIB-NY Retiree/2018 You are responsible for letting EBD know of any changes that may affect your NYSHIP coverage. BACKGROUND. 2. 50 Dependent Eligibility. If a surviving spouse or domestic partner loses eligibility or dies, eligible dependent children may continue their coverage as dependent survivors until they General Information Book 1 IB-NY Retiree Introduction This is the New York State Health Insurance Program (NYSHIP) General Information Book for former employees of New York State and their covered dependents, including retirees, vestees, dependent continuation of coverage law or convert to a direct-pay contract. Informational Materials and Forms: NYSHIP General Information Book NYSHIP Dependent Survivor Coverage To be eligible for coverage under a NYSHIP HMO, you must live or work in the HMO’s service area. What is the Supplemental Health Insurance Program (SHIP) for retired teachers? The Supplemental Health Insurance Program (SHIP) is a unique package of benefits developed by the Retired Teachers Chapter of the United Federation of Teachers (UFT-RTC) exclusively for its members. Note: If you or an enrolled dependent are already Medicare-eligible at the time of your retirement, Your family unit changes. These rates reflect the monthly cost for NYSHIP retiree, Dependent Survivor and Vestee coverage. Policy/Memo 65r4. You are choosing a benefit package for yourself and your dependent(s) for a 12-month period. Survivors are covered by the same rules as retirees for changing options. However, a dependent survivor gave birth to a child and requested to add that child, as a dependent survivor, to NYSHIP coverage. Eligible dependents that can be covered under NYSHIP by enrolling in family coverage or by adding eligible dependents to existing family coverage include: spouse; domestic partner; children - including adopted children, stepchildren, or children who live with you and are financially dependent on you (for example, a grandchild who lives with you) 5. After I retire, how does my dependent survivor continue NYSHIP coverage when I die? If you die in retirement, your enrolled dependents will have extended health insurance coverage for The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. ) • You want to add an eligible dependent or remove a covered dependent or change your type of coverage (Individual/Family) NYSHIP Planning for Option Transfer 2025 NYSHIP Active Choices Guide 2025 NYSHIP Active Rates and Deadlines 2025 NYSHIP Direct Pay Rates and Information 2025 NYSHIP At A Glance 2024 (2025 update coming soon!) Dental and Vision Brochure. To keep your enrollment up to date, you must notify EBD in writing (with supporting documentation) in As soon as you, as a NYSHIP retiree, vestee, dependent survivor or Preferred List enrollee, become eligible for Medicare coverage that pays primary to NYSHIP, your NYSHIP coverage becomes secondary to Medicare Parts A and B. • Does not enroll in dependent survivor coverage • Cancels coverage • Remarries or repartners • Fails to make premium payments • Ages out. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and Monthly Retiree Portion of Premium Rates for Empire/NYSHIP $722. Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your retirement, ask For retirees, vestees, dependent survivors and enrollees covered under Preferred List provisions of the State of New York and their enrolled dependents November 2020 NYSHIP NYSHIP coverage via a deduction from your monthly pension, your deductions will change to reflect your health plan’s 2021 premium. elected within 60 days of the date that the young adult otherwise would lose eligibility for coverage as their parent's dependent due to age, coverage is retroactive to the date that the young adult lost coverage. If you have questions, you can call NYSHIP Benefits Division at 518-457-5754 or 1-800-833-4344. Empire Plan Dependent Survivor Coverage. However, any children enrolled in NYSHIP will continue to be eligible for coverage for as long as they meet the dependent eligibility requirements. February 3, 2022 48 General Information . Your Sick Leave Credit is reduced to 70% of its value. EBD must be notified of death. Important: You may receive information from Medicare and from non-NYSHIP plans in your area describing Medicare options available to you that are not part of NYSHIP. dependent survivor coverage. Section 165-a of Civil Service Law authorizes the Department of Civil Service to allow NYSHIP Eligible dependents that can be covered under NYSHIP by enrolling in family coverage or by adding eligible dependents to existing family coverage include: spouse; domestic partner; children - including adopted children, stepchildren, Policy/Memo 47r1. ) • You want to add an eligible dependent or remove a covered dependent or change your type of Health insurance premiums deductions begin from employee’s paycheck 2 pay periods (28 days) prior to the effective date of coverage. Please take the time to read it since it will answer most of the questions that you already have. BACKGROUND The President’s Regulations permit employers who participate in NYSHIP to recognize other public service for the purpose of meeting the requirements to continue NYSHIP coverage in retirement. This also applies if your domestic These rates reflect the monthly cost for NYSHIP retiree, Dependent Survivor and Vestee coverage. Important: These rates reflect the monthly cost for NYSHIP retiree, Dependent Survivor . Please be aware that your NYSHIP benefits • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. To maintain NYSHIP eligibility, you must continue your health insurance coverage while you wait for a Welcome to the NYSHIP website, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. Any eligible dependent acquired by an employee who is already enrolled for Family coverage is covered on the date he or she becomes a dependent under the plan definitions. 49 Dependent Eligible for • At the time you no longer have NYSHIP coverage as the result of active employment, for example, you are covered as a retiree, vestee, dependent survivor, or you are covered as the dependent of one of these enrollees, and • You are eligible for Medicare. February 19, 2020 42 be allowed to continue coverage under NYSHIP after the extended benefits period ends. After I retire, how does my dependent survivor continue NYSHIP coverage when I die? If you die in retirement, your enrolled dependents will have extended health insurance coverage for Dependent Survivor Coverage Extended Benefits Period at No Cost. If you or your enrolled dependent children are eligible for dependent sur-vivor coverage but choose not to partici-pate or fail to make the required pay-ments, NYSHIP coverage will end perma-nently. If you are covered through NYSHIP as a dependent survivor and cancel your coverage, your eligibility for NYSHIP permanently ends and y ou cannot re-enroll in the future. 4 Survivor Coverage 1 -4 6 /01/07 3. 31 Medicare and NYSHIP Insurance Program (NYSHIP) is a valuable benefit, but it is also costly to provide. 49 Dependent Eligible for • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. a. Continuing Coverage as a Dependent of NYSHIP Enrollee. Number: Policy Memo 46r1 Date Issued: January 2, 1991 Date Revised: January 23, 2017 Subject: Dependent Survivor Eligibility PURPOSE: Determine whether a dependent survivor is eligible to add a dependent to NYSHIP coverage. Is my child eligible for the Young Adult Option? A. 50 Your Spouse 58 coverage again becomes effective. If you are divorced, it is especially important to review the beneficiary designation for your survivor benefit. The Empire Plan and some NYSHIP HMOs ** coordinate benefits with Medicare and will not pay for any hospital and • At the time you no longer have NYSHIP coverage as the result of active employment, for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees, and • You are eligible for Medicare. Copies of NYSHIP documents and informational materials are available on NYSHIP Online. This also applies if your domestic Dependent Survivor Coverage. 31 Medicare and NYSHIP 2 General Information Book GIB-NY Active/2017 Your family unit changes. 3 Disabled Dependent 26 Years of Age or Old er 1 3 /01 /1 8 2. After the Extended . A covered dependent who is not eligible for dependent survivor Cost of Dependent Survivor Coverage. November 2023. 39 Loss of Eligibility for Dependent Survivor Coverage Dependent Survivor Coverage. To keep your enrollment up to date, you must notify EBD in writing (with supporting documentation) in Each dependent survivor is eligible to continue NYSHIP coverage in their own right. Medicare & NYSHIP Video your NYSHIP coverage, you will no longer receive reimbursement for the cost of the Medicare Part B premium. PEF, M/C, and NYSCOPBA employees who leave state service or change to CSEA or DC-37 The Supplemental Health Insurance Program (SHIP) is a unique package of benefits developed by the UFT's Retired Teachers Chapter exclusively for its members. Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your retirement, ask • For most dependent survivors: – Dependent survivor pays 10% of the cost of individual coverage – If dependent survivor maintains family coverage, he/she pays 10% of the cost of individual coverage plus 25% of the cost of dependent coverage • Policy/Memo 138r2. It becomes more costly, to you and your employer, when NYSHIP is asked to pay health insurance claims for individuals who are not eligible for coverage. ) • At the time you no longer have NYSHIP coverage as the result of active employment, for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees, and • You are eligible for Medicare. 11/4/24 4 HEALTH INSURANCE BENEFITS AS 2 General Information Book GIB-NY Retiree/2015 Empire Plan inquiries: For questions on specific benefits or claims, or to locate a provider, call The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and choose the appropriate program. Recognize and clarify other public service for the purpose of meeting the NYSHIP retirement and dependent survivor eligibility requirements. POLICY . Medicare becomes your primary insurer when you are eligible for Medicare and enrolled in NYSHIP as a retiree, vestee, dependent survivor, or are covered under Preferred List provisions. After I retire, how does my dependent survivor continue NYSHIP coverage Each dependent survivor is eligible to continue NYSHIP coverage in their own right. e. 1 1 Continuation of Coverage Under Before NYSHIP coverage can be effective, a Participating Agency must meet the following minimum participation levels: Dependent Survivor Coverage Extended Benefits Period at No Cost. For questions about your benefits, contact EBD I request continuation of NYSHIP coverage for the below named Dependent, who is disabled and incapable of self-support. To coordinate Medicare with your NYSHIP benefits, death to enroll for dependent survivor coverage if you die in retirement. If you die while you are not enrolled in NYSHIP, your dependents 2 General Information Book GIB-NY Active/2017 Your family unit changes. your NYSHIP coverage, you will no longer receive reimbursement for the cost of the Medicare Part B premium. NYSHIP provides health insurance benefits to Participating Agency employees and retirees vestee, dependent survivor, or you are covered as the dependent of one of these enrollees), and • You are eligible for Medicare. . The Empire Plan and some NYSHIP HMOs coordinate benefits with Medicare and will not pay for • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. This also applies if your domestic partner who is a dependent survivor marries or acquires another partner. You and your eligible dependent children may not re-enroll in Dependent survivor coverage is explained in your NYSHIP General Information Book. It provides a supplement to coverage available through city's Medicare and NYSHIP. Note: If you or your covered dependent(s) are already • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. for 2024. February 3, 2022 48 Refer to the NYSHIP Options by County list to see which options are available to you for the 2025 plan year. 38 Eligibility for Dependent Survivor Coverage After the Medicare Part B premium. HMO’s NYSHIP service area. 2 General Information Book GIB-NY Active/2021 Your family unit changes. Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your retirement, ask General Information Book 1 IB-NY Retiree Introduction This is the New York State Health Insurance Program (NYSHIP) General Information Book for former employees of New York State and their covered dependents, including retirees, vestees, dependent Dependent Survivor Coverage. Only dependents covered by the enrollee at the time of death are eligible for dependent survivor coverage. ) Retirees of Employers that contribute 100% Individual/ 75% Dependent Retirees and Dependent Survivors of Employers • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. Understanding how Medicare and NYSHIP work together is the key to maximizing the benefits available to you. If your dependent survivor spouse remarries, they are no longer eligible for NYSHIP coverage. k12. To get started, you MUST select one of the following: New York State Active Employee (NY) or what your NYSHIP rates will be for 2020, contact your former employer. 1 What is your agency’s contribution rate for dependent survivors? 0% 75% NYSHIP requires a minimum contribution rate for participating agencies of 50% of the cost of Individual retiree coverage and 35% of the cost of retiree Dependent coverage. * Medicare becomes your primary insurer when you are eligible for Medicare and enrolled in NYSHIP as a retiree, vestee, dependent survivor, or are covered under Preferred List provisions. 48 Eligibility for Dependent Survivor Coverage after the Extended Benefits Period Ends. ) • You want to add an eligible dependent or remove a covered dependent or change your type of coverage (Individual/Family) death to enroll for dependent survivor coverage if you die in retirement. 37 Extended Benefits Period at No Cost. 31 Medicare and NYSHIP about Young Adult Option coverage and the Summary of Benefits – This frequently updated section includes timely NYSHIP information based on your plan and is searchable by topic. After I retire, how does my dependent survivor continue NYSHIP coverage when I die? Your dependent survivor must Policy/Memo 139r4. 39 Loss of Eligibility for Dependent Survivor Coverage months before your coverage again becomes effective. ny. RATES . Note: If you or an enrolled dependent are already Medicare-eligible at the time of your retirement, My 26 year old child is currently enrolled for COBRA coverage under NYSHIP. 18 Dependent Eligible for NYSHIP as a Result of Employment Continuing Your NYSHIP Coverage as a Dependent. The survivor(s) may enroll with Emblem for individual coverage. You are responsible . c. 2 of the Civil Service Law states that only the “unremarried spouse” of an employee covered at the time of the employee’s death is eligible for continued coverage. Section 165. The active employee’s sick leave credits cannot be used to off-set the cost of the dependent’s NYSHIP premiums. This page has information about how your Medicare benefits will work with your NYSHIP coverage. 31 Medicare and NYSHIP As soon as you, as a NYSHIP retiree, vestee, dependent survivor or Preferred List enrollee, become eligible for Medicare coverage that pays primary* to NYSHIP, your NYSHIP coverage becomes secondary to Medicare Parts A and B. Yes. In addition, the dependent must have elected to enroll in survivor coverage within 90 days of the your NYSHIP coverage, you will no longer receive reimbursement for the cost of the Medicare Part B premium. 25 Eligibility and Cost for Dependent . Extended Benefits Period at No Cost. * If the child is not my own, legally adopted (including a child in a waiting period prior to finalization of adoption) or dependent stepchild, I have completed and submitted a Dependent Survivor Coverage. Dependents covered at the time of the enrollee’s death will continue to receive coverage without charge for a period of three months beyond the last coverage may affect your NYSHIP coverage. Number: Policy Memo 138r2 Date Issued: June 23, 2017 Date Revised: February 22, 2024 Subject: Student Eligibility for Dependent Children Receiving a Military Extension PURPOSE: Summarize the New York State Health Insurance Program's (NYSHIP) full-time student status requirements as they relate to dependents receiving a military extension. ) • You want to add an eligible dependent or remove a covered dependent or change your type of coverage (Individual/Family) Continuing Coverage as a Dependent of NYSHIP Enrollee. HMO inquiries: For questions on specific benefits or HMO services, or to locate a provider, call your HMO. Number: Policy Memo 47r1 Date Issued: January 23, 2017 Subject: Dependent Survivor Premium Rates PURPOSE: Confirm dependent survivors of unrepresented NYS employees are eligible for NYSHIP coverage at the same rate as other dependent survivors of New York State employees. To keep your enrollment up to date, you must notify EBD in writing (with supporting documentation) in in the HMO’s NYSHIP service area. NYSHIP considers the fair market value cost the full share cost of individual coverage less the employee’s premium contribution for dependent coverage. The dependent survivor must maintain continuous coverage in NYSHIP to be eligible to re-enroll in survivor coverage. General Information Book 1 IB-NY Retiree Introduction This is the New York State Health Insurance Program (NYSHIP) General Information Book for former employees of New York State, including retirees and vestees, their covered dependents, dependent This page has information about how your Medicare benefits will work with your NYSHIP coverage. Beginning in December 2015, NYSHIP will conduct a Dependent Eligibility Verification Determine if a dependent survivor who has NYSHIP benefits eligible employment can enroll in coverage as an active employee and resume dependent survivor coverage at a later date. ) • You want to add or remove a covered dependent or change your type of coverage (Individual/Family). February 3, 2022 33 Questions 33. 23 Medicare and NYSHIP. ̶. 25. Rates for retirees do not reflect sick leave credits. 2 General Information Book GIB-NY Active/2017 Your family unit changes. Your dependent survivor must notify the New York • Does not enroll in dependent survivor coverage • Cancels coverage • Remarries or repartners • Fails to make premium payments • Ages out. NYSHIP provides these three months of coverage at no cost. Survivor NYSHIP coverage. After I retire, how does my dependent survivor continue NYSHIP coverage when I die? If you die in retirement, your enrolled dependents will have extended health insurance coverage for three months beyond the month in which you die. ELECTING TO OPT OUT If you are currently enrolled in NYSHIP coverage and wish to participate in the Opt-out Program, • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. (b) If the dependent survivor(s) is eligible for Dependent Survivor Coverage under a. and Vestee coverage. and return the NYSHIP Health Insurance Transaction Form for NY/PE Retirees, Vestees, Preferred List and Dependent Survivors (PS-404R) to the Employee Benefits Division (EBD) by the June 30, 2023 deadline. Policy/Memo 46r1. We strongly encourage you to review other plan material before making a decision about the coverage you and your family will have for the next year. Health Benefits – Here you will find important information relating to your health benefits. POLICY. Medicare & NYSHIP Video Allows your covered dependent survivor(s) to continue to use your sick leave credit to offset their cost of health insurance if you predecease them. If you cancel your NYSHIP coverage, you will no longer receive reimbursement for the cost of the Medicare Part B premium. Dependent Survivor Coverage. Each dependent survivor is eligible to continue NYSHIP coverage in his or her own right. 39 Loss of Eligibility for Dependent Survivor Coverage Program by paying the full cost of such coverage. If you die while you are not enrolled in NYSHIP, your dependents • When you no longer have NYSHIP coverage as the result of active employment (for example, you are covered as a retiree, vestee, dependent survivor or as the dependent of one of these enrollees) and • You are eligible for Medicare. 6. General Information Book 1 IB-NY Retiree Introduction This is the New York State Health Insurance Program (NYSHIP) General Information Book for former employees of New York State and their covered dependents, including retirees, vestees, dependent Consider your options carefully. Section 6: Dependent Survivor Coverage 6. Medicare-primary NYSHIP HMO enrollees will be enrolled in the HMO’s Medicare Advantage Plan. 18 Continuing Coverage Through Another NYSHIP Employer Dependent Survivor Coverage. If you die while you are not enrolled in NYSHIP, your dependents Dependent survivor coverage if this criteria is met: • Family plan in place at the time of your death or deferral • 10 years of NYSHIP benefits-eligible service. employee and later re-enroll in dependent survivor coverage, with eligible dependents where applicable. (See Dependent Eligibility, page 6, and First date of eligibility, page 13, for details. 30 Extended Benefits Period at No Cost. If you die while you’re not enrolled in a NYSHIP plan, your dependents will not be eligible for dependent survivor coverage. Note: If you or your covered dependent(s) are already Medicare-eligible at the time of your retirement, ask • Does not enroll in dependent survivor coverage • Cancels coverage • Remarries or repartners • Fails to make premium payments • Ages out. 83 Individual coverage or Surviving Spouse $274. To enroll in an HMO or to remain enrolled in your current HMO, you must live or work† in the HMO’s NYSHIP service area. , the death of an active employee resulted from a work-incurred injury), the Participating Agency may pay the full cost of coverage for the dependent survivor(s). NYSHIP Information Online You’ll find the Employee Benefits Division homepage, NYSHIP Online, on the New York State Department of Civil Service web site at https://www. After I retire, how does my dependent survivor continue NYSHIP coverage when I die? Your dependent survivor must 1 General Information Book IB-NY Retiree Introduction This is the New York State Health Insurance Program (NYSHIP) General Information Book for former employees of New York State, including retirees and vestees, their covered dependents, dependent survivors and enrollees covered under the Preferred List provisions, COBRA or the Young Adult Option. 3) above (i. Medicare Part B premium. This is a less expensive alternative to full-share vestee coverage. Dependent survivor Checklist • Our website, NYSHIP Online, contains a checklist to assist in determining eligibility for dependents to continue “The cost of Dependent Survivor Coverage is paid entirely by the survivor(s) unless the Participating Agency elects administratively or through collective negotiations to any of the following variations: (a) If the dependent survivor(s) is eligible for Dependent Survivor Coverage under a. A dependent’s previously eligible coverage ends, and the enrollee applies for dependent coverage within 30 days of the loss of coverage. If you die while you are not enrolled in NYSHIP, your dependents are not NYSHIP (or HIP) will remain your Part D / Prescription Drug Coverage. us as soon as possible. Your dependent survivor must notify the New York If your dependents are not entitled to the additional nine months of free coverage under a collective bargaining agreement, and you worked for the County or were a NYSHIP member for at least 10 years (“qualified service”) at the time of your death, your dependent survivors may continue their coverage after the three month period, but will be required to pay the full NYSHIP coverage in their own right, continuing coverage as a dependent of your spouse or domestic partner is one way to meet this requirement. bwiiziejhkyovjmkyxccresxaidsbdlmwjomyupujjvswvmsp