Today's Message
Posted: Thursday, December 8, 2011Empire Plan Deductibles and Coinsurance for 2012
Empire Plan Deductibles
Effective January 1, 2012, annual deductibles for CSEA, PEF, and M/C employees will increase to $1,000 per enrollee, $1,000 per enrolled spouse or domestic partner, and $1,000 for all dependent children combined. The annual deductible for UUP, PBANYS, and NYSCOPBA will increase to $400. This change reflects the 3.1 percent increase in the medical care component of the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W) for July 1, 2010, through June 30, 2011.
The annual deductible for calendar year 2012 will be reduced to $500 for CSEA, PEF, and M/C employees in (or equated to) salary grade 6 or below on January 1, 2012.
Empire Plan Coinsurance
Effective January 1, 2012, the coinsurance maximum (out-of-pocket expenses) for the following employees will increase to reflect the change in the Consumer Price Index:
CSEA, PEF, M/C: $3,000
UUP: $1,102
PBANYS: $1,483
NYSCOPBA: $854
The coinsurance maximum for calendar year 2012 will be reduced to $1,500 for CSEA, PEF, and M/C employees in (or equated to) salary grade 6 or below as of January 1, 2012.
Note: There is no deductible or coinsurance when employees use the Empire Plan Participating Provider Network.
Please call Human Resource Management at ext. 4821 with questions.