Requires the department of civil service to conduct ongoing reviews of dependent eligibility provisions pertaining to dependents of enrollees in the New York state health insurance plan.
Ayes (53): Adams, Addabbo, Alesi, Avella, Ball, Bonacic, Breslin, Carlucci, DeFrancisco, Duane, Espaillat, Flanagan, Fuschillo, Gallivan, Gianaris, Golden, Griffo, Grisanti, Hannon, Hassell-Thomps, Huntley, Johnson, Kennedy, Klein, Lanza, Larkin, LaValle, Libous, Little, Marcellino, Martins, Maziarz, McDonald, Nozzolio, O'Mara, Parker, Peralta, Ranzenhofer, Ritchie, Robach, Saland, Sampson, Savino, Serrano, Seward, Skelos, Smith, Squadron, Stavisky, Stewart-Cousin, Valesky, Young, Zeldin
Nays (2): Krueger, Rivera
Absent (5): Diaz, Dilan, Farley, Montgomery, Perkins
Excused (1): Oppenheimer
TITLE OF BILL: An act to amend the civil service law, in relation to requiring reviews of dependent eligibility provisions pertaining to dependents of enrollees in the New York state health insurance plan
SUMMARY OF SPECIFIC PROVISIONS: Section 1 of NYS Civil Service Law is amended by adding a new section 164-a that allows the civil service department to conduct ongoing reviews of dependent eligibility audits for all newly hired New York State Health Insurance plan enrollee dependents through a qualified verification vendor.
Section 2 Subdivision 2 of section 164 of the civil service law as added by section 1 of part W of chapter 56 of the laws of 2008, "...is amended to state that during the fiscal period of two thousand eleven through two thousand twelve a sixty day amnesty period similar to a sixty day amnesty period established in 2013 shall be included."
JUSTIFICATION: The New York State Health Insurance Program (NYSHIP) was established by the State Legislature in 1957 to provide health insurance coverage to New York State (NYS or State) employees, retirees and their eligible dependents. Public authorities, public benefit corporations, and other quasi-public entities, such as the NYS Thruway Authority and the Dormitory Authority may choose to participate in the NYSHIP Health Plan; those that do are called Participating Employers (PEs). Article XI of the NYS Civil Service Law also allows local units of government such as school districts, special districts, and municipal corporations to participate in NYSHIP; those local government units which choose to participate in NYSHIP are called Participating Agencies (PAs). At present there are approximately 368 NYS agencies, 92 Participating Employers, and 800 participating Agencies in NYSHIP. NYSHIP is administered by the Department's Employee Benefits Division.
This bill mandates the Division of Civil Service to contract out for an on-going dependent eligibility audit for new hires, those employees with family status changes, and those employees that add dependents during "open enrollment."
The last time a dependent eligibility audit for NYSHIP was conducted the net savings to the state was in excess of $25 million.
PRIOR LEGISLATIVE HISTORY: This is a new bill.
FISCAL IMPLICATIONS: There is no fiscal impact to the state, but a potential cost savings to the state.
EFFECTIVE DATE: This act shall take effect immediately.
STATE OF NEW YORK ________________________________________________________________________ 4270--C 2011-2012 Regular Sessions IN SENATE March 25, 2011 ___________Introduced by Sen. GOLDEN -- read twice and ordered printed, and when printed to be committed to the Committee on Civil Service and Pensions -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee -- recommitted to the Committee on Civil Service and Pensions in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee AN ACT to amend the civil service law, in relation to requiring reviews of dependent eligibility provisions pertaining to dependents of enrol- lees in the New York state health insurance plan THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The civil service law is amended by adding a new section 164-a to read as follows: S 164-A. REVIEWS OF DEPENDENT ELIGIBILITY PROVISIONS. THE DEPARTMENT SHALL CONDUCT ONGOING REVIEWS OF DEPENDENT ELIGIBILITY PROVISIONS FOR ALL NEWLY HIRED NEW YORK STATE HEALTH INSURANCE PLAN ENROLLEE DEPEN- DENTS, ENROLLEE DEPENDENTS IMPACTED BY CHANGE OF FAMILY STATUS ACTIV- ITIES, AND NEW ENROLLEE DEPENDENTS ADDED DURING OPEN ENROLLMENT PROCEEDINGS THROUGH A QUALIFIED ELIGIBILITY VERIFICATION VENDOR. S 2. Subdivision 2 of section 164 of the civil service law, as added by section 1 of part W of chapter 56 of the laws of 2008, is amended to read as follows: 2. During the fiscal year two thousand eight--two thousand nine AND FISCAL YEAR TWO THOUSAND TWELVE THROUGH TWO THOUSAND THIRTEEN, the pres- ident shall establish an amnesty period not to exceed sixty days. During this amnesty period when any employee enrolled in the plan volun- tarily identifies any ineligible dependent:EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09962-08-2 S. 4270--C 2
(a) the termination of the ineligible dependent's coverage resulting from such employee's timely compliance shall be made on a current basis; (b) the plan shall not seek recovery of any claims paid based on the coverage of the ineligible dependent; (c) the employee shall not be entitled to any refund of premium paid on behalf of any such ineligible dependent; and (d) the employee shall not be subject to any disciplinary, civil or criminal action, directly as a result of the coverage of the ineligible dependent. S 3. This act shall take effect immediately.