News From the Health Benefits Department

Updated Forms and Documents - Updated: July 22, 2015
   Numerous forms/documents have been updated including the CHIPRA Notice, Rx MVP Reimbursement, Medical MVP Reimbursement, MVP Enrollment Application, MVP Mail Order Form, District Benefit Guide, information on the health insurance marketplace, glossary of terms, and summary of benefits.

Health Insurance Buy-out - Updated: June 16, 2015
   The health insurance buy-out information for 2015-2016 is now available. The information letter and the buy-out forms are available below.
Download Letter
Download Forms

Important information for NYSHIP Enrollees for Fall 2015 - Updated: June 9, 2015
   Please be advised that this Fall 2015 the New York State Department of Civil Service will be working with a contracted vendor to conduct a Dependent Verification audit for those who have family coverage under the NYSHIP plan. This audit will be similar to the Dependent Eligibility Verification Project that was conducted back in 2009. If you have a family coverage, you will receive a packet of information with instructions to follow regarding the audit. Do not submit any documents now. This information is being provided in advance to inform you that an audit will occur in the Fall 2015. Please be advised that everyone who carries a family plan with NYSHIP must comply with the audit. Ineligible or unverified dependents will have their coverage terminated, and you may be liable for any NYSHIP expenses paid on their behalf unless the required dependent proof is provided.

Important Employee Information: Health Insurance Buy-out - Updated: May 18, 2015
   The 2015-2016 Health Insurance Buy-Out forms are now available for download. The forms will also be available the week of May 18th in each school’s main office. If you are interested in participating in the Health Insurance Buy-Out for the upcoming 2015-2016 school year, you must complete a buy-out form for each school year. A copy of your current health insurance card must also be attached to the Buy-Out form. All completed Health Insurance Buy-Out forms must be sent to the Health Benefits Department by Friday, June 19th 2015.

2015 TRS Summer PREP Schedule - Updated: May 18, 2015
   The 2015 Pension Retirement Education Program seminar schedule is now available. You can view it here: Schedule

Important Information for MVP PPO Enrollees - Updated: Apr. 24, 2015
   Please be advised that if you are enrolled in the MVP PPO plan, within the next few weeks, MVP will be sending out new MVP ID cards in the mail. We have been advised that the only change to the new MVP ID card is the updated Cigna logo. You should start using the new MVP ID card upon receipt. The MVP HRA Debit Card and the HRA Business card remain the same.

Information on Brand Generic Difference Program - Updated: Feb. 18, 2015
   There will be an MVP PPO insurance informational meeting for CSEA members that will be held on Wed 4.15.15 and this will be discussed further at the meeting. CSEA has emailed its members about the meeting and will also be sending this information via email.

Brand/Generic Difference Program Information

A Reminder from our EAP about New Year's Resolutions: - Updated: Mar. 16, 2015
Download New Year's Resolution Flyer

Updated Information on Anthem Security Breach: - Updated: Feb. 18, 2015
   Anthem, Inc. the parent organization for Empire Blue Cross and Blue Shield has released some additional information for consumers including how to sign up for credit monitoring.

Initial News from Anthem
Anthem FAQ
Anthem Media Release About Credit Monitoring

Important Information for all NYSHIP and Empire Blue Cross Blue Shield Mediblue PPO Enrollees: - Updated: Feb. 5, 2015
   Anthem, Inc. the parent organization for Empire Blue Cross and Blue Shield ( the hospital administrator for NYSHIP and the plan administrator for the retiree plan Empire Blue Cross Blue Shield has reported an extensive security breach of their member data. Names, dates of birth, member ID’s, Social Security numbers, addresses, phone numbers, email addresses and employment information of current and former members were impacted. In the coming weeks, Anthem will send letters to impacted members with an offer of free credit monitoring and identity protection services.

   Both NYSHIP and Empire Blue Cross Blue Shield Mediblue PPO recognize that enrollees are concerned about this situation and that they will have questions concerning their personal information. Please direct inquiries to or 1-877-263-7995. The web site includes an FAQ and will be updated as additional information becomes available.
In addition, some scammers are now trying to use this information to contact former and current Empire BlueCross BlueShield and Empire BlueCross members. Read the full press release here: Press Release

Important information for all MVP PPO Enrollees: - Updated: Jan. 5, 2015
MVP PPO has identified an issue concerning the Pharmacy portion of their plan. If you have attempted to fill or refill a prescription in the New Year and have already met your deductible, your prescription will show that the deductible has not been met and you will not be able to fill/refill the prescription. MVP anticipates they will have this global issue resolved over the next few days and has requested that members who still have a several days supply of their medication, wait to refill the prescription until the situation has been corrected. If you are out of medication or trying to fill an original prescription for an illness, please contact the Health Benefits Department at 563-3467. All urgent matters will be forwarded to a direct contact at MVP who in the interim is working with the District to get these prescriptions filled.

January 1, 2015 MVP PPO Important Information - Updated: Jan. 5, 2015
New MVP ID cards are being mailed to members in batches. You should receive your new MVP ID card shortly. There will be new Rx information printed on the ID card. Effective January 1st, 2015, if you need to fill a prescription prior to receiving your new ID card you will need to give the pharmacy your old ID card and the new RX Bin number and pharmacy group number listed below.
New Rx Bin: 004336
New Pharmacy Group#: MVPCOMM

Updated Summary of Benefits - Updated: Dec. 11, 2014
NYSHIP, CDPHP, GHI/Emblem, and MVP NY HMO Plans have all had their SBCs updated. They can be found in the column of files to the right. Download Now

Important Information for all MVP PPO Enrollees: - Updated: Nov. 12, 2014
Effective January 1st, 2015 CVS/Caremark will be the new pharmacy administrator for the MVP PPO Plan. You will receive new ID cards with an anticipated ship date of December 15, 2014. You can download the 2015 MVP PPO Formulary list here. You can also continue to search for pharmacies on the website. Members will receive letters if their medication or pharmacy is impacted.

Please see below for highlights about the changes:

Prior Authorizations:
  • Prior authorizations that extend beyond 1/1/15 will be transitioned to CVS/Caremark automatically. (No action is required).
  • Prior authorizations that end before 1/1/15 must be re-initiated by the prescriber.

  • No changes as a result of the transition to CVS/Caremark. Members are normally notified by mail during the year whenever a formulary change affects them.

Pharmacy Network:
  • The 2015 network of participating pharmacies will be very much the same as the current pharmacy network. Members are not limited to using CVS Pharmacies. There will be a mail alert sent out in December to any member using a pharmacy that will not be in the network as of 1/1/15 and it will include two alternative pharmacies to utilize.

Online Formulary Network Access:
  • The 2015 formulary list is available on

Mail Order & Specialty Drug Change:
  • All non-controlled and non-compound Rx’s with refills will be sent to CVS/Caremark by 1/1/15
  • Member letters will be sent to those with active Rx’s in mid- November.
  • CVS/Caremark forms will be included for members to use with their first order.

Important information for NYSHIP Enrollees: - Updated: Oct. 10, 2014
Beginning October 1st, 2014, eligible non-Medicare primary enrollees and their dependents may receive the following preventative vaccines without a copayment when administered by a licensed pharmacist at a pharmacy that participates in CVS Caremark’s national vaccine network. NYSHIP enrollees will receive a Preventative Vaccine Postcard from NYSHIP in the mail shortly.
  • Influenza- flu
  • Herpes Zoster-shingles
  • Pneumococcal- pneumonia
  • Meningococcal- meningitis

**You must be at least 18 years of age and Non- Medicare primary to receive the preventative vaccinations listed at a participating pharmacy.**

*** Shingles immunizations provided for individuals ages 55-60 may be subject to a $5.00 co- payment.***

Please visit and select CVS/Caremark to find participating pharmacies in your area.

2014 Retirement System Consultation Site Schedule: - Updated: Oct. 10, 2014
The 2014 Retirement System Consultation Site Schedule is available: Download Now

Pension & Retirement Education Program Fall 2014: - Updated: Oct. 9, 2014
The Fall 2014 Schedule of PREP Seminars is available: Download Now

2014- 2015 Health Insurance Open Enrollment: - Updated: Oct. 3, 2014
2014-2015 Health Insurance Open Enrollment is currently underway. During the months of October and November you can make changes to your current health insurance plan or switch health insurance plans. Please be sure to review the Summary of Benefits Comparisons section on the Health Benefits page. You will be able to compare our different health insurance options and elect the one that is right for you. Please note if switching plans, you will need to complete both an enrollment form for the new plan and a cancellation form to terminate the old plan. All forms must be submitted to the Health Benefits Department by November 30, 2014. All changes will become effective on January 1st, 2015.

Important MVP PPO Plan Information: Run out period on claims incurred prior to 8/1/14 ends 10/31/14 - Updated: Oct. 3, 2014
MVP PPO enrollees: If you have any unpaid insurance claims that were incurred prior to 8/1/14 and a remaining deductible balance from last claim year, please submit the attached MSAS paper claim form along with your bill, EOB or proof of payment to Marshall & Sterling by October 31, 2014. October 31st, 2014 will be the last date to submit these claims. Marshall & Sterling will remit payment directly to you to pay the provider or if you have already paid the provider the check will reimburse you for your payment.
Download Claim Form

Important MVP PPO Plan Information: Run out period on claims incurred prior to 8/1/14 ends 10/31/14 - Updated: Oct. 3, 2014
MVP PPO enrollees: If you have any unpaid insurance claims that were incurred prior to 8/1/14 and a remaining deductible balance from last claim year, please submit the attached MSAS paper claim form along with your bill, EOB or proof of payment to Marshall & Sterling by October 31, 2014. October 31st, 2014 will be the last date to submit these claims. Marshall & Sterling will remit payment directly to you to pay the provider or if you have already paid the provider the check will reimburse you for your payment.

   The following PDF will walk you through setting up your MVP Account as well as managing your HRA account. Download Account Setup and HRA Management PDF

FLEX Plan Reps Building Schedule - Posted: September 5, 2014
   Use the following link to download a schedule of when the Flex plan/ supplemental insurance reps will be at each building/school for next week. Download Schedule

Wage Works Flex Plan - Posted: August 27, 2014
   Open enrollment for the Wage Works Flex Plan will begin on September 1, 2014. SRA forms and Flex Plan information are available on the Health Benefits Page. There have not been any changes from last year. All SRA forms must be submitted to the Payroll Department by Tuesday, September 16, 2014.

MVP PPO Health Care Form Update - July 28, 2014
The following forms have been updated/added:
   MVP PPO Claim Reimbursement Form
   Enrollment Change Form
   Medco Pharmacy, Mail-Order Form
They can also be found under the MVP Forms section to the right.

Important Information For All Mvp Ppo Enrollees - July 15, 2014
Important Information for all MVP PPO enrollees: Marshall & Sterling’s Call Center will be available during the week of Monday, July 21, 2014- Friday, July 25, 2014 from 9:30am – 11:30am and from 2:30-4:30pm to answer questions you may have concerning the MVP PPO plan renewal
To access the Call Center please use the following:
Dial in Number: (800) 501-8979
Use Access Code: 0092480

New Information Posted For The 2014 MVP PPO Plan Renewal - July 9, 2014
New information has been posted for the 2014 MVP PPO Plan. This includes the Health Risk Screen Form, information about the Wellstyle Rewards Program, and the 2014-15 Employee Benefit Guide

Lifestyle Tips - July Issue - July 3, 2014
The July 2014 issue of Lifestyle Tips is available for download. Click on the link below to access the document.
Lifestyle Tips - July Issue

MVP PPO Summary Of Benefits Posted - July 1, 2014
The MVP PPO Summary of Benefits (SBC) has been posted. In addition, the CHIRPA Notice and Medical Terms Glossary are also both available.

Pension And Retirement Education Program (PREP) - May 21, 2014
Click on the link below for the Summer 2014 Schedule of the NYS State PREP Program. The PREP Program seminars offer retirement planning advice.
Pension And Retirement Education Program (PREP) Document

Health Insurance Buyout - May 21, 2014
Click on the link below for the Health Insurance Buy-Out form for the 2014-2015 school year in addition to instructions for filling out the form. ANYONE WISHING TO PARTICIPATE MUST COMPLETE THE FORM. ALL FORMS MUST BE SUBMITTED BY JUNE 20TH, 2014
Download Health Insurance Buyout Form


Keisha Martinez, Health Benefits Specialist
Newburgh Library/BOE Complex
124 Grand Street
Newburgh, NY 12550

Phone: (845) 563-3467


CSEA Dental/Vision1-800-323-2732
Marshall & SterlingContact


  MVP PPO SBC Summary of Benefits
  NYSHIP Summary of Benefits
  CDPHP HMO SBC Summary of Benefits
  Emblem Health SBC Summary of Benefits
  GHI HMO SBC Summary of Benefits
  MVP HMO SBC Summary of Benefits

  Visit NTA Website

  2015-2016 Health Insurance Buyout
  General Notices
  Insurance Marketplace Information
  2015 CHIRPA Notice
  Health Coverage and Medical Terms
  Health Benefits Comparison Chart
  Corporate Services Employee Asst. Program
  Change of Address
  Cancer Screening Leave Form
  Family and Medical Leave Act Form

  Overview of FSA
  FSA OTC Eligible Items
  FSA Limit Compliance
  Salary Reduction Agreement
  Dependent Care Claim Form
  Unreimbursed Medical Expenses

  2014 NYSHIP Summary of Benefits
  3 Month Extension - College Students
  Statement of Dependence PS457
  Empire Enrollment Form PS503.1
  Dependent up to age 26 Form
  Student Verification
  Disability Form PS451
  Empire Claim Form - Non-Partic. Providers
  for more forms visit CS.STATE.NY.US

  MVP PPO SBC Summary of Benefits
  MVP PPO Health Risk Screening Form
  MVP PPO Wellstyle Rewards Program
  MVP PPO 2015-16 Employee Benefit Guide
  MVP PPO Claim Reimbursement
  MVP PPO Rx Claim Reimbursement
  MVP PPO Account Setup & HRA Management
  Enrollment Change Form
  CVS/Caremark, Mail-Order Form
  College Student Waiver
  for more forms visit...