HEALTH BENEFITS DEPARTMENT



News From the Health Benefits Department


IMPORTANT HEALTH INSURANCE INFORMATION FOR ALL FT EMPLOYEES - Updated: January 29, 2016
    This Health Insurance Enrollment/Declination form must be completed by all FT employees who are either enrolled in a District health insurance plan, participate in the Health Insurance Buy-out or have elected to opt out of both the District insurance and the Health Insurance Buy-out. Forms are due by Tuesday, March 1st, 2016 and should be returned to K.Martinez in Health Benefits.



Fall 2015 Schedule of PREP Seminars - Updated: October 26, 2015
    The 2015 Fall Schedule of Pension & Retirement Education Program (PREP) Seminars is now available.

Download Schedule


2015 NYS and Local Retirement System Consultation Site Schedule - Updated: October 26, 2015
    The latest schedule for 2015 NYS and Local Retirement System Consultation Site Schedule is available.

Download Schedule


Lifestyle Tips Newsletter - Updated: October 21, 2015
    The October issue of Lifestyle Tips is now available for download.

Download October Lifestyle Tips


Health Insurance Open Enrollment - Updated: October 1, 2015
    The District's Health Insurance Open Enrollment begins today, October 1st and runs through November 30th, 2015. It is during this time that you may switch insurance plans or make changes to your current health insurance plan. All changes made during this time will become effective on January 1st, 2016. If you opt to switch insurance plans, please remember I will need both a cancellation form for the plan you are terminating and an enrollment form for the plan you are enrolling in. Please review the linked below packet which includes: General open enrollment information, current health insurance contribution rates, required notices ( glossary of health coverage and medical terms, CHIP Notice, Health Insurance Market Place Information) and there are new enrollment forms for the MVP HMO plan, CDPHP and Emblem. Please remember to check the Health Benefits page for additional insurance enrollment forms, SBC's, important notices and updates.

Health Insurance Open Enrollment Packet


New Enrollment Forms Added - Updated: October 1, 2015
    The enrollment forms for MVP HMO, CDPHP, and Emblem Healthcare have been added to the list of files in the right column.


REMINDER: FLEX Plan Open Enrollment - Updated: September 3, 2015
    Open enrollment began on September 1st, 2015 for the Flex Plan. All enrollment forms must be submitted to Payroll by Friday, September 25th , 2015.

The maximum annual contribution amount for Unreimbursed Medical Expenses is now $2550.00. Spouses are allowed to contribute up to $2550.00 each annually. The contribution for Dependent Care Expenses will remain the same at $5000.00 annually.

All Wage Works Flex Plan Enrollment Forms must be submitted to Payroll by Friday, September 25th, 2015


WageWorks/Aflac Building Visits - Updated: September 9, 2015
    Aflac and WageWorks will be visiting buildings on September 16-18th and the 22nd. For a complete schedule, use the link below.

Download Schedule


Insurance Buy-out - Updated: September 3, 2015
    If you are interested in participating in the Health Insurance Buy-Out for the 2015-2016 school year we must have a completed Buy-Out form each year along with a copy of your current health insurance card. In order to still participate, please have your completed Buy-Out forms to Health Benefits by Friday September 18th, 2015. This will be the final deadline. Buy-outs will not be paid unless we have a completed form on file for the 15-16 school year. Buy-Out forms are available on the HB page.

Download Letter
Download Forms


FLEX Plan Open Enrollment - Updated: September 3, 2015
    Open enrollment begins on September 1st, 2015 for the Flex Plan. All enrollment forms must be submitted to Payroll by Friday, September 25th , 2015.

The maximum annual contribution amount for Unreimbursed Medical Expenses is now $2550.00. Spouses are allowed to contribute up to $2550.00 each annually. The contribution for Dependent Care Expenses will remain the same at $5000.00 annually.

All Wage Works Flex Plan Enrollment Forms must be submitted to Payroll by Friday, September 25th, 2015


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 schools 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 IDs, 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 www.anthemfacts.com 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 mvphealthcare.com 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.

Formularies:
  • 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 mvphealthcare.com

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



CONTACT HEALTH BENEFITS



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

Phone: (845) 563-3467



IMPORTANT PHONE NUMBERS



Empire1-877-769-7447
MVP1-888-687-6277
CDPHP1-800-777-2273
GHI1-877-244-4466
CSEA Dental/Vision1-800-323-2732
Marshall & SterlingContact



HEALTH BENEFITS FORMS



SUMMARY OF BENEFITS
  2015 MVP PPO SBC Summary of Benefits
  2016 NYSHIP SBC
  2016 CDPHP SBC
  2016 Emblem Health SBC
  2016 MVP HMO SBC


NTA BENEFIT TRUST FUND FORMS
  Visit NTA Website


GENERAL FORMS AND DOCUMENTS
  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


15-16 WAGE WORKS FLEX PLAN
  FSA Enrollment Form
  FSA OTC Eligible Items
  FSA Dependent Care Info
  Healthcare FSA with Carryover Info
  Dependent Care Claim Form
  Unreimbursed Medical Expenses


EMPIRE FORMS
  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 FORMS
  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 Mngm.
  MVP HRA Claim Form
  HMO Enrollment Change Form
  PPO Enrollment Change Form
  CVS/Caremark, Mail-Order Form
  College Student Waiver
  Marshall & Sterling Contact Info
  for more forms visit... JoinMVP.com


GHI FORMS
  visit GHI.com


EMBLEM
  Emblem Enrollment Form
  Emblem Insurance Claim Form
  Emblem Prescription Claim Form


CDPHP
  CDPHP Enrollment Form
  visit CDPHP.com