senate Bill S4270C

Requires reviews of dependent eligibility provisions pertaining to dependents of enrollees in the New York state health insurance plan

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Bill Status


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor
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actions

  • 25 / Mar / 2011
    • REFERRED TO CIVIL SERVICE AND PENSIONS
  • 25 / May / 2011
    • AMEND AND RECOMMIT TO CIVIL SERVICE AND PENSIONS
  • 25 / May / 2011
    • PRINT NUMBER 4270A
  • 06 / Jun / 2011
    • AMEND AND RECOMMIT TO CIVIL SERVICE AND PENSIONS
  • 06 / Jun / 2011
    • PRINT NUMBER 4270B
  • 13 / Jun / 2011
    • COMMITTEE DISCHARGED AND COMMITTED TO RULES
  • 14 / Jun / 2011
    • ORDERED TO THIRD READING CAL.1227
  • 14 / Jun / 2011
    • PASSED SENATE
  • 14 / Jun / 2011
    • DELIVERED TO ASSEMBLY
  • 14 / Jun / 2011
    • REFERRED TO GOVERNMENTAL EMPLOYEES
  • 04 / Jan / 2012
    • DIED IN ASSEMBLY
  • 04 / Jan / 2012
    • RETURNED TO SENATE
  • 04 / Jan / 2012
    • REFERRED TO CIVIL SERVICE AND PENSIONS
  • 09 / Jan / 2012
    • AMEND AND RECOMMIT TO CIVIL SERVICE AND PENSIONS
  • 09 / Jan / 2012
    • PRINT NUMBER 4270C
  • 23 / Jan / 2012
    • 1ST REPORT CAL.121
  • 24 / Jan / 2012
    • 2ND REPORT CAL.
  • 30 / Jan / 2012
    • ADVANCED TO THIRD READING
  • 01 / Mar / 2012
    • PASSED SENATE
  • 01 / Mar / 2012
    • DELIVERED TO ASSEMBLY
  • 01 / Mar / 2012
    • REFERRED TO GOVERNMENTAL EMPLOYEES

Summary

Requires the department of civil service to conduct ongoing reviews of dependent eligibility provisions pertaining to dependents of enrollees in the New York state health insurance plan.

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Bill Details

See Assembly Version of this Bill:
A8947A
Versions:
S4270
S4270A
S4270B
S4270C
Legislative Cycle:
2011-2012
Current Committee:
Law Section:
Civil Service Law
Laws Affected:
Add §164-a, amd §164, Civ Serv L

Sponsor Memo

BILL NUMBER:S4270C

TITLE OF BILL:
An act
to amend the civil service law, in relation to requiring reviews of
dependent eligibility provisions pertaining to dependents of enrollees
in the New York state health insurance plan

SUMMARY OF SPECIFIC PROVISIONS:
Section 1 of NYS Civil Service Law is amended by adding a new section
164-a that allows the civil service department to conduct ongoing
reviews of dependent eligibility audits for all newly hired New York
State Health Insurance plan enrollee dependents through a qualified
verification vendor.

Section 2 Subdivision 2 of section 164 of the civil service law as
added by section 1 of part W of chapter 56 of the laws of 2008,
"...is amended to state that during the fiscal period of two thousand
eleven through two thousand twelve a sixty day amnesty period similar
to a sixty day amnesty period established in 2013 shall be included."

JUSTIFICATION:
The New York State Health Insurance Program (NYSHIP) was established
by the State Legislature in 1957 to provide health insurance coverage
to New York State (NYS or State) employees, retirees and their
eligible dependents. Public authorities, public benefit corporations,
and other quasi-public entities, such as the NYS Thruway Authority
and the Dormitory Authority may choose to participate in the NYSHIP
Health Plan; those that do are called Participating Employers (PEs).
Article XI of the NYS Civil Service Law also allows local units of
government such as school districts, special districts, and municipal
corporations to participate in NYSHIP; those local government units
which choose to participate in NYSHIP are called Participating
Agencies (PAs). At present there are approximately 368 NYS agencies,
92 Participating Employers, and 800 participating Agencies in NYSHIP.
NYSHIP is administered by the Department's Employee Benefits Division.

This bill mandates the Division of Civil Service to contract out for
an on-going dependent eligibility audit for new hires, those
employees with family status changes, and those employees that add
dependents during "open enrollment."

The last time a dependent eligibility audit for NYSHIP was conducted
the net savings to the state was in excess of $25 million.

PRIOR LEGISLATIVE HISTORY:
This is a new bill.

FISCAL IMPLICATIONS:
There is no fiscal impact to the state, but a potential cost savings
to the state.

EFFECTIVE DATE:
This act shall take effect immediately.


view bill text
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 4270--C

                       2011-2012 Regular Sessions

                            I N  S E N A T E

                             March 25, 2011
                               ___________

Introduced  by  Sen.  GOLDEN -- read twice and ordered printed, and when
  printed to be committed to the Committee on Civil Service and Pensions
  -- committee discharged, bill amended, ordered  reprinted  as  amended
  and  recommitted  to  said  committee  --  committee  discharged, bill
  amended, ordered reprinted as amended and recommitted to said  commit-
  tee  --  recommitted to the Committee on Civil Service and Pensions in
  accordance with Senate Rule 6, sec. 8 --  committee  discharged,  bill
  amended,  ordered reprinted as amended and recommitted to said commit-
  tee

AN ACT to amend the civil service law, in relation to requiring  reviews
  of dependent eligibility provisions pertaining to dependents of enrol-
  lees in the New York state health insurance plan

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. The civil service law is amended by adding  a  new  section
164-a to read as follows:
  S  164-A.  REVIEWS OF DEPENDENT ELIGIBILITY PROVISIONS. THE DEPARTMENT
SHALL CONDUCT ONGOING REVIEWS OF DEPENDENT  ELIGIBILITY  PROVISIONS  FOR
ALL  NEWLY  HIRED  NEW  YORK STATE HEALTH INSURANCE PLAN ENROLLEE DEPEN-
DENTS, ENROLLEE DEPENDENTS IMPACTED BY CHANGE OF  FAMILY  STATUS  ACTIV-
ITIES,   AND  NEW  ENROLLEE  DEPENDENTS  ADDED  DURING  OPEN  ENROLLMENT
PROCEEDINGS THROUGH A QUALIFIED ELIGIBILITY VERIFICATION VENDOR.
  S 2. Subdivision 2 of section 164 of the civil service law,  as  added
by  section 1 of part W of chapter 56 of the laws of 2008, is amended to
read as follows:
  2. During the fiscal year two thousand eight--two  thousand  nine  AND
FISCAL YEAR TWO THOUSAND TWELVE THROUGH TWO THOUSAND THIRTEEN, the pres-
ident  shall  establish  an  amnesty  period  not  to exceed sixty days.
During this amnesty period when any employee enrolled in the plan volun-
tarily identifies any ineligible dependent:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09962-08-2

S. 4270--C                          2

  (a) the termination of the ineligible dependent's  coverage  resulting
from such employee's timely compliance shall be made on a current basis;
  (b)  the  plan shall not seek recovery of any claims paid based on the
coverage of the ineligible dependent;
  (c) the employee shall not be entitled to any refund of  premium  paid
on behalf of any such ineligible dependent; and
  (d)  the  employee  shall not be subject to any disciplinary, civil or
criminal action, directly as a result of the coverage of the  ineligible
dependent.
  S 3. This act shall take effect immediately.

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