This page is available in other languages, Statewide Learning Management System (SLMS), Civil Service Employees Association (CSEA), NYS Correctional Officers & Police Benevolent Association (NYSCOPBA), NYS Law Enforcement Officers' Union, Council 82, AFSCME, AFL-CIO (C82), Police Benevolent Association of NYS, Inc. (PBANYS), New York State Employee Discrimination Complaint Form, Equal Employment Opportunity in New York State Rights and Responsibilities A Handbook for Employees of New York State Agencies. They will assist regional staff with purchase orders/requisitions, reconcile Pcards, take in revenue, make travel arrangements, and process reimbursements, contract management, and become familiar with all accounting procedures. Participating Agency retirees contact your former employer's Health Benefits Administrator. 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. This final calculation letter will provide you with the amount of the benefit you will be receiving each month for the remainder of your life. EmblemHealth NYS-Ride. Download NYS Health Insurance Program NYSHIP Opt-out Attestation Form (PS-409) Use to enroll in the NYSHIP Opt-out program. These terms are defined in the Uniform Glossary, a non-customized companion document to the SBC. Fax: (518) 457-1879, New York State Department of Civil Service If you think you may have a Department of Civil Service account, but do not know your User ID, please do not create another account . Find Jobs At DOL All State Openings TOP Civil Service SHARE Civil Service Working in Government and the Public Sector Statewide Civil Service Serve your fellow New Yorkers at one of our many public agencies. Empire Plan Health Insurance Employment Type Full-Time. Employees elsewhere in the state can call 1-866-805-0990. A. NYS Department of Civil Service, Albany, NY 12239 [email protected] Accessibility. reduction in work hours), you must elect continuation coverage within 60 days from the date of the COBRA-qualifying event or 60 days from the date you are notified of your eligibility for continuation coverage, whichever is later. This isthe form that your doctor completes to estimate your physical capabilities from a workers' compensation injury or accident. Michael N. Volforte, Director. Working with the AS1, they will lead the region's transition to the new financial management system, supervise admin staff, assist with everyday duties as needed and sell sporting licenses. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. Refer to your plan material for the definition used by your plan. of Civil Service, Employee Benefits Division: 518-457-5754 or 1-800-833-4344. Employer provided you coverage under Preferred List provisions and that coverage has been exhausted. StateJobsNY - State Employees: Review Vacancy Use this form to certifythat you were in attendance for theperformance of assigned duties at the location, dates and times provided. Department of Civil Service Share & Bookmark Font Size: + - Click Here to View Current Exam Announcements, Apply for Exams and View Eligible Lists Click Here to View Current Job Postings FAQs (Frequently Asked Questions) Visit our FAQs page Applications & Forms Civil Service Exam Application (ACS-21) Use to verify your identity and that you are authorized to work in the US. AN EASY AND SECURE WAY TO REVIEW YOUR BENEFITS. Telecommuting may be available, will be discussed at interview. Below are a few primary resources to assist New York State Executive Branch employees with retirement planning. Contact NYSLRS | Office of the New York State Comptroller Dental and vision benefits have a 28-day waiting period. Some words on the Summary of Benefits and . Please refer to the Social Security Website for these requirements. Employment Type Full-Time. Medicare has four parts: Medicare Part A (hospital insurance) helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay). Occupational Category Clerical, Secretarial, Office Aide. Welcome to the New York State Department of Civil Service Employee Benefits Division (EBD). Working with the AS1, they will lead the region's transition to the new financial management system, supervise admin staff, assist with everyday duties as needed and sell sporting licenses. Fax Number. To avoid paying retroactive premiums, submit thePS-404 as soon as possibleat the start of your employment. Q. I see that the Coverage Examples page shows a "you pay" amount. Use to sign up for health insurance or make changes to your existing benefits. Summary of Benefits and Coverage - Government of New York NYSHIP Online Login - Government of New York The Coverage Examples that are included in the SBC are based on a standard set of services that a patient might receive in either scenario. Should I use the Summary of Benefits and Coverage to decide which NYSHIP option is best for my family? Q. PDF 2022 General Information Book Title Human Resources Specialist 3, Appointments. A. Email:[emailprotected]Mailing Address: Yes. Some positions may require additional credentials or a background check to verify your identity. Click on the link below to access the Summary of Benefits and Coverage for the following: The Empire Plan - Settled NY and Unrepresented Groups (Active & Retiree) | Espaol (effective July 1 - December 31, 2023) Additional titles which qualify can be found on the Department of Civil Service website, search "GOT-IT.". Use this form to add or update beneficiaries for retirement payouts. More Benefits & Programs Available to State Employees. They will assist regional staff with purchase orders/requisitions, reconcile Pcards, take in revenue, make travel arrangements, and process reimbursements, contract management, and become familiar with all accounting procedures. If you are eligible, use this form to defer indefinitely the activation of your New York State Health Insurance Program (NYSHIP) coverage as a retiree. Highmark Blue Cross Blue Shield of Western New York PDF February 3, 2022 1 - Office of Employee Relations We hope you find these videos helpful as you prepare for retirement from NYS service as an Executive Branch employee. You will have the option of changing your group at any time after the initial log on. Employee Benefits Division To enroll in the New York State Health Insurance Program (NYSHIP) or to make changes to your existingbenefits. Enrollment after 42 days will result in a 5-pay period waiting period before such coverage becomes effective and health insurance contributions being deducted on a post-tax basis. State of New York Department of Civil Service Albany, NY 12239 EMPLOYEE BENEFITS DIVISION NYS HEALTH INSURANCE TRANSACTION FORM PS-404 (11/14) INSTRUCTIONS: READ AND COMPLETE BOTH SIDES/PAGES. PEF, M/C, and NYSCOPBA employees who leave state service or change to CSEA or DC-37 negotiating units, health insurance coverage continues for 28 days from the last day of the last pay period in which they worked. Box 10 (A - I)Complete appropriate sections. Your DOL is Hiring! Part A also pays for some home health care, and hospice care. Because the 45-day grace period applies to all premiums due for periods of coverage prior to the date of the election, several months premiums could be due and outstanding. of Civil Service Notes on ApplyingBe sure to put Posting #23-133678 on your resume and also in the subject line of your email or it may not be accepted. 518-474-6988. Forms - Empire Plan Claim Forms, Yes, if you need a paper copy of the Summary of Benefits and Coverage for The Empire Plan or the Uniform Glossary, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. The Summary of Benefits and Coverage is a standardized template and the cells cannot be altered, moved, or deleted by any plan. A. To enroll in these benefits, you must enroll directly through your union as they administer these benefits. BSC Benefits Team The Summary of Benefits and Coverage is a simple, federally mandated table intended to aid consumer understanding. Paid Family Leave for New York State Employees. To be eligible for coverage under a NYSHIP HMO, you must live in the HMOs service area. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. Operating under a whole-person philosophy, New York State has successfully brought together its employment services systems to create a single approach to linking and coordinating employment supports, using the Medicaid Infrastructure Grant as the catalyst. COBRA enrollees will have an initial grace period of 45 days to pay the first premium starting with the date continuation coverage is elected. Contact. Prepared for use by the Department of Civil Service, Employee Benefits Division representatives only. If you are eligible, use this form to defer indefinitely the activation of your New York State Health Insurance Program (NYSHIP) coverage as a retiree. Building 5, Floor 6 2 Empire State Plaza, Albany, New York 12223 [email protected] Office of the Director. The SBCs below do not reflect benefits for Medicare Advantage Plans. 42-day waiting period for health insurance. Terms defined in the Uniform Glossary 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - April 2023, 2023 Empire Plan Advanced Flexible Formulary - April 2023. This book explains certain rights and responsibilities you have as an enrollee in NYSHIP. OSC Recommendation (1): Review the $4.6 million ($3.5 million + $1.1 million) in claims paid for ineligible members and make recoveries, as warranted. Dental coverage begins on the first day of the month following 6 full months of employment. Presentations from our partner agencies include: the Office of the State Comptroller, the NYS Department of Civil Service, the NYS Deferred Compensation Plan, and the Social Security Administration. Planning Your Successful Retirement Video Guide | Office of Employee 56-day waiting period for health insurance, dental, and vision benefits. Ask the Employee Benefits Division whether you will receive subsequent payment reminders. It's unlikely that you would pay the same amount listed in the "you pay" cell of the Summary of Benefits and Coverage. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plans unique terms. Flex Spending Account. Retirement | Business Services Center Disability Processing. Download Documentation Requirements for the Health Insurance Transaction Form (PS-404) Use this form to change your name, address, email address, or phone number. Health Insurance Program (NYSHIP). Benefit Calculation and Disbursements Bureau. questions in sections 11-13 (detailed instructions are located onpage 2-3 of the form). Employees who have other employer-sponsored group health insurance may be eligible to enroll in theOpt-out program and receive a bi-weekly incentive payment. NYS retirees contact the Dept. Agency Environmental Conservation, Department of. The FY 2021 Executive Budget recommends $58.7 million ($15.8 million General Fund; $39.8 million Internal Service Funds; $1.1 million Special Revenue Funds-Other; and $2.0 million for Aid to Localities), unchanged from FY 2020. The site will remember your group for future visits. Glossary Of Titles - Inquiry Tool (Got-IT). GSA has adjusted all POV mileage reimbursement rates effective January 1, 2023. Phone: (518) 457-4272 New York State Department of Civil Service Benefits Forms | Business Services Center You can view your benefit information,update your contact information,view or update your beneficiaries, orapply for a loan. Use this form todecline membership in the NYS Employees' Retirement System. Life Changes: A Guide for Retirees | Office of the New York State MVP. Enrollment after 56 days will result in a 5-pay period waiting period before such coverage becomes effective and health insurance contributions being deducted on a post-tax basis. Welcome to EBD - Document. Independent Health Use to document your Oath of Office, which is required for all appointed officials. Building 5, Floor 6 Disability retirement documents (applications or in-process applications) 518-474-3091 or 518-408-3587. All employees must complete this form, evenif you intend to decline coverage or enroll in the Opt-out program. Civil Service | Department of Labor StateJobsNY - State Employees: Review Vacancy Appointment Type Contingent Permanent. In order to provide you with targeted information about your benefits, you will need to select your group (negotiating unit) and health insurance plan when prompted. Civil Service, Department of | Agency Appropriations | FY 2019 Certificate, 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary, 2023 Empire Plan Advanced Flexible Formulary, Demographic Data Self-Identification Form. NYS Deferred Compensation Plan Information You can reach the NYS Deferred Compensation Plan at www.nysdcp.com or by calling the Helpline at 1-800-422-8463. NYS Dept. Program Highlights Executive Direction Social Security and Medicare - Retired Public Employees Association Service retirement documents (retirement application, option form, proof of your date of birth) 518-474-3510. PDF JULY 2023 GLANCE - cs.ny.gov The Staffing Services Division is responsible for assisting State agencies with staffing the State workforce, which includes providing merit system guidance; planning, developing and implementing examinations; recruiting and placing personnel; and establishing, maintaining and certifying eligible lists. Always refer to other plan material, such as Choices for 2023 for more information about The Empire Plan and NYSHIP HMOs if you are making a decision about your family's coverage. These definitions are intended to help improve consumer understanding and do not necessarily reflect your plans definition of the same term. To enroll in the New York State Health Insurance Program (NYSHIP) or to make changes to your existing benefits. Health Benefits - Retiree - Empire Plan - Government of New York 56-day waiting period for health insurance and vision benefits. This document does not provide the full scope of coverage under any plan and should not be construed as a complete description of a plan's benefits. New York Employment Services System Download Forms | Office of Employee Relations Download the forms: Health Insurance Transaction Form (PS-404) Use to sign up for health insurance or make changes to your existing benefits. Retirement Planning Resources Quick List - Office of Employee Relations From here, you can review all current openings ( vacancies ), both competitive and non-competitive, or identify vacancies of interest to you ( search vacancies ). Albany, NY 12239 This is the New York State Health Insurance Program (NYSHIP) General Information Book for individuals and their covered dependents enrolled in NYSHIP through a local government agency (Participating Agency) that elects to participate in NYSHIP. Albany, NY 12226-1900, This page is available in other languages. This form can only be used by temporary, part-time, or provisional employees. HMO Blue Useto enroll, change, or cancel yourdirect deposit. NYS Health Insurance Opt-Out Form (PS-409). Retirement application, lump sum payment, medicare, and required insurance documents found here. It will also provide you with the total amount of the pension you have earned up to that point and the total amount already paid to you. Once you elect COBRA coverage, you will receive a bill. Eligibility for NYSHIP is lost as a result of a reduction in hours of employment or termination of employment. AgencyEnvironmental Conservation, Department of, Occupational CategoryClerical, Secretarial, Office Aide, Bargaining UnitASU - Administrative Services Unit (CSEA), Salary RangeFrom $53262 to $64693 Annually, Jurisdictional Class New York State Department of Civil Service Employee Benefits Division, Albany, New York 12239 518-457-5754 or 1-800-833-4344 (U.S., Canada, Puerto Rico, Virgin Islands) . Still have questions? Use if you are signing up for M/C Life Insurance more than 6 pay periods after your start date. Management Confidential | Human Resources - Binghamton University Empire Plan Health Insurance Certificate - Detailed description of the benefits and plan requirements. The Coverage Examples are: Versions for each NYSHIP HMO Use to identify and withhold the correct New York State, New York City, and/or Yonkers Tax. After the initial 45-day grace period, enrollees will have a 30-day grace period from the premium due date to pay subsequent premiums. Fax: (518) 485-5590, This page is available in other languages. Active Employees Welcome to NYSHIP Online, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. CDPHP PDF the Employee Benefits Division - Government of New York New York Employment Services System. Highmark Blue Shield of Northeastern New York NY PS-850 2013-2023 - Fill and Sign Printable Template Online However, for a complete list of covered services and more comprehensive information explaining how services are covered, refer to your Certificate of Coverage, At A Glance and other plan material. Human Resources Retirees Need to Know Management Confidential Retirement planning: NYS Employees' Retirement System (ERS) Interactive Voice Response Line (518) 474-7736 Outside Albany, Toll Free (866) 805-0990 110 State Street Albany, NY 12244-0001 Service credit, pension estimates, transfers, vesting, refunds, retirement options Send your original, signed PS-404 with copies of all required proofdocuments to the BSC. Also any language parenthetic for the above titles. Useto identify and withhold the correct federal income tax from your pay. February 3, 2022 4 NYSHIP What is NYSHIP? If you are a NYSHIP enrollee who is no longer covered through active employment, you have the right to COBRA coverage if your: When you experience an employment change that affects coverage (for example, termination or All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. Contents of the Summary of Benefits and Coverage Contact Us | Office of Employee Relations Additional Comments Must have a valid drivers license or demonstrate the ability to meet the transportation needs of the position. Department of Civil Service; Division of the Budget; Office of Employee Relations; Office of the State Comptroller; Register to Vote Translation Services. 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. Occupational Category Administrative or General Management. Benefits | Business Services Center In addition to the federal COBRA law, the New York State continuation coverage law, or mini-COBRA, extends the continuation period. If you are a New York State Active Employee and unsure of your group, our Enrollee Group Wizard will ask you a series of questions in order to determine which group you should select. Use this form to name the persons or entities you want to receive your life insurance proceeds after your death. Follow the simple instructions below: Enjoy smart fillable fields and interactivity. Payment is considered made on the date of the payments postmark. Effective/Applicability Date. Contact the ITS Enterprise Service Desk for assistance at: 1-844-891-1786 or fixit@its.ny.gov The Service Desk hours of operation are Monday - Friday 7:30 am to 5:00 pm. Deferred Compensation Plan. To get started, you MUST select one of the following: Click here for NYSHIP Online for RETIREES, Demographic Data Self-Identification Form. June 27, 2023 This page is designed for current New York State employees who are seeking a transfer or promotional opportunity. Department of Civil Service | Albany County, NY BSC Benefits Team Email Address PostingResponses@dec.ny.gov. PDF Employee Benefits Division - Mta Tmba Terms defined in the Uniform Glossary. No. This outlines the documentation that must be collected as proof of eligibility before enrolling in NYSHIP for medical, dental, and vision. A. Civil Service, Department of | Agency Appropriations | FY 2021 Ask the Employee Benefits Division whether you will receive subsequent payment reminders. You may access pre-retirement planning information on health insurance through the NYSHIP Online portion of the Department of Civil Service website at, Information about Social Security and retirement can be accessed at, You can reach the NYS Deferred Compensation Plan at. Sign In Department of Civil Service - Government of New York Salary Grade 14. This form is for your physician to fill out when you (the employee) are filing for FMLA for a serious medical condition. Refer to Choices for 2023 and other plan material for more detailed information. FAQsHow to Get a State JobWorkers with Disabilities (55b/c)Civil Service Exams, State Agencies: Department of Civil ServiceOffice of the State Comptroller, OER Link: Employee Unions and Bargaining Units, Exam announcementsGeneral Information about NYS Government, StateJobsNY 2023 NYS Office of Employee Relations, AccuracyPrivacyAccessibilityContact, Environmental Conservation, Department of, ASU - Administrative Services Unit (CSEA), Reassignment - Currently in the title and an employee of DEC. Duties Description This staff person will report directly to the Admin Specialist 1 and work with the Central Office financial management team to ensure Region 9 compliance with DEC financial objectives, policies, and procedures. February 3, 2022 2 . Use for assistance in completing a Direct Deposit Form (AC-2772). administrative fee. Your SBC may provide you with some information that will explain how you are covered for certain services, such as what your copayment is. COBRA enrollees pay 100 percent of the premium for continuation coverage, plus a two percent NYSHIP General Information Book - General eligibility and enrollment rules and information. The Employee Benefits Division will bill you for the COBRA premiums. Employee Benefit Programs | Office of Employee Relations Employees may select the Empire Plan or one of many participating Health Maintenance Organizations (HMO). Department. This outlines the documentation that must be collected as proof of eligibility before enrolling in NYSHIP for medical, dental, and vision. It is the policy of the New York State Department of Civil Service to provide reasonable accommodation to ensure effective communication This form is to be used to notify of a termination of a domestic partnership. Employee Assistance Program. Salary Grade 661. Can I get a paper copy of the Summary of Benefits and Coverage if I need one? Q. Pension-related questions can also be submitted to the Retirement System via email at, Employees who are not planning on retiring right away can sign up for e-news on the Retirement System website at. Building 5, Floor 4 Civil Service Employees Association (CSEA) Graduate Student Employees Union (GSEU) Management/Confidential (M/C) NYS Correctional Officers & Police Benevolent Association (NYSCOPBA) NYS Law Enforcement Officers' Union, Council 82, AFSCME, AFL-CIO (C82) Police Benevolent Association of NYS, Inc. (PBANYS) Public Employees Federation (PEF) Try the BSC Help Center where you can send a question to our support team or search a database of FAQs. Because the 45-day grace period applies to all premiums due for periods of coverage prior to the date of the election, several months' premiums could be due and outstanding. OSC Recommendation (2): To ensure NYBEAS [New York Benefits Eligibility and Accounting System] reflects accurate eligibility status, take steps including: Use to identify employees that are veterans of the US Armed Forces. Privately Owned Vehicle (POV) Mileage Reimbursement Rates. Certificate - Detailed description of the benefits and plan requirements. Q. 2 Empire State Plaza, Albany, New York 12223 Public Information Officer. If you need a paper copy of the Summary of Benefits and Coverage or the Uniform Glossary for a NYSHIP HMO, please contact the HMO. Once you elect COBRA coverage, you will receive a bill. Retiree - Summary of Benefits and Coverage - Government of New York PDF NYSHIP - SUNY - The State University of New York Effective August 1, 2021 For Employees of the State of New York in the Agency Police Services Unit (APSU) represented by the Police Benevolent Association of New York State (PBANYS) and their Enrolled Dependents New York State Department of Civil Service, Employee Benefits Division, Albany, New York 12239 www.cs.ny.gov/employee-benefits They will oversee supply inventory and financial record retention procedures. Click here for a table of the counties each HMO serves in 2023, The Empire Plan - Settled NY and Unrepresented Groups (Active & Retiree), Highmark Blue Cross Blue Shield of Western New York, Highmark Blue Shield of Northeastern New York, Demographic Data Self-Identification Form. NYSHIP General Information Book - General eligibility and enrollment rules and information. Office of Employee Relations. StateJobsNY - State Employees: Home - Government of New York COBRA Insurance | Business Services Center Albany, NY 12226-1900 They will oversee supply inventory and financial record retention procedures. The NYS Network Child Care Centers provide quality care at worksites with Making better choices to be well and stay well, Statewide Learning Management System (SLMS), Civil Service Employees Association (CSEA), NYS Correctional Officers & Police Benevolent Association (NYSCOPBA), NYS Law Enforcement Officers' Union, Council 82, AFSCME, AFL-CIO (C82), Police Benevolent Association of NYS, Inc. (PBANYS), New York State Employee Discrimination Complaint Form, Equal Employment Opportunity in New York State Rights and Responsibilities A Handbook for Employees of New York State Agencies, DIRECTIONS: Pre-Retirement Planning Information.
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