Health Insurance

Health insurance benefits are governed by Article 39 in the 2011–2016 NYS/UUP Agreement (PDF). Detailed information about group health insurance options and rates in the New York State Health Insurance Program (NYSHIP) is available under Health Insurance Information on the SUNY benefits site and:

  • via the New York State Department of Civil Service site at www.cs.ny.gov/ebd/welcome/actlogin.cfm: Select “United University Professions (UUP)” on the dropdown menu and then your chosen health plan (Empire or an HMO). You will be transferred to the NYSHIP Online site: Click on “Health Benefits & Option Transfer” for links to detailed information.

For vision and dental care plans, please refer to UUP Benefit Trust Fund Coverage.


Eligibility
Eligibility for health insurance is determined by employment status. All full-time faculty and part-time faculty who teach at least two courses per semester during the academic year are eligible (together with their eligible dependents) for health insurance coverage at the group rate. Appointment letters for part-time employees indicate if the employee is eligible for health insurance benefits.

Effective Date of Coverage
Coverage will become effective on the 43rd day of employment, provided that you enroll for coverage within the first 30 days of employment. To enroll, please contact Grace Bonnell, the benefits administrator in Human Resources, (914) 251-6091.

Health Insurance Premium Cost-Share

  • For employees with a full-time salary of less than $40,137, the state pays:
    88 percent of your health insurance premium and
    73 percent of the premium for your eligible dependents.
  • For employees with a full-time salary of $40,137 or more, the state pays:
    84 percent of your health insurance premium and
    69 percent of the premium for your eligible dependents.

You may elect to have your biweekly health insurance premium deducted from your pay on a pretax basis. Effective January of each year, your biweekly premium cost is subject to change. Costs for health insurance vary, depending on the type of coverage selected (individual or family) and the plan chosen (the Empire Plan/United Healthcare or an HMO).

Prescription Drug Coverage
Prescription drug coverage is provided through the health insurance plan you select. If you decline to enroll in health insurance, you will not be provided with prescription coverage.

Change of Plan Option or Coverage
You can change your health insurance option and coverage for eligible dependents during the annual transfer period, usually in November of each year. Current enrollees will be notified about the transfer period.

Opt-out Program
If you have coverage under another employer-sponsored health insurance program, you may be eligible for an incentive payment if you opt out of your NYSHIP coverage. If you are a new hire or a newly benefits-eligible employee who has other employer-sponsored group health insurance and you want to participate in the Opt-out Program, you must make your election no later than the first date of your eligibility for NYSHIP. The required Opt-out Attestation Form is available online on the SUNY Employee NYSHIP Health Insurance Forms site. If you are interested in participating in the program, please contact Grace Bonnell, the benefits administrator in Human Resources, (914) 251-6091.

Please note: You must elect the Opt-out Program on an annual basis. If you do not make an election for the next plan year, your enrollment in the Opt-out Program will end and the incentive payment credited to your paycheck will stop.

Continuation of Benefits
Health insurance may be continued during periods of leave without pay if the employee pays the full-share rates. Full-share rates include the regular employee share premium as well as the portion usually contributed by the state. Faculty members who separate from state service may be eligible to continue their insurance at the full-share rate through a mechanism created by COBRA legislation. Health insurance may be continued into retirement for eligible employees. For information on continuation of benefits, please contact Grace Bonnell, the benefits administrator in Human Resources, (914) 251-6091.

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