senate Bill S4270C

2011-2012 Legislative Session

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

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Sponsored By

Archive: Last Bill Status - Passed Senate


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

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Actions

view actions (21)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Mar 01, 2012 referred to governmental employees
delivered to assembly
passed senate
Jan 30, 2012 advanced to third reading
Jan 24, 2012 2nd report cal.
Jan 23, 2012 1st report cal.121
Jan 09, 2012 print number 4270c
amend and recommit to civil service and pensions
Jan 04, 2012 referred to civil service and pensions
returned to senate
died in assembly
Jun 14, 2011 referred to governmental employees
delivered to assembly
passed senate
ordered to third reading cal.1227
Jun 13, 2011 committee discharged and committed to rules
Jun 06, 2011 print number 4270b
amend and recommit to civil service and pensions
May 25, 2011 print number 4270a
amend and recommit to civil service and pensions
Mar 25, 2011 referred to civil service and pensions

Votes

view votes

Jan 23, 2012 - Civil Service and Pensions committee Vote

S4270C
12
0
committee
12
Aye
0
Nay
0
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show Civil Service and Pensions committee vote details

Civil Service and Pensions Committee Vote: Jan 23, 2012

Jun 14, 2011 - Rules committee Vote

S4270B
20
2
committee
20
Aye
2
Nay
2
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show committee vote details

Bill Amendments

Original
A
B
C (Active)
Original
A
B
C (Active)

S4270 - Bill Details

See Assembly Version of this Bill:
A8947A
Current Committee:
Law Section:
Civil Service Law
Laws Affected:
Add §164-a, amd §164, Civ Serv L

S4270 - Bill Texts

view 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.

view sponsor memo
BILL NUMBER:S4270

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
conduct ongoing reviews of dependent eligibility audits for
all newly hired New York State Health Insurance plan enrollee
dependents.

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 2008-2009 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 audit for the eligibility of
dependents would be performed by a firm that would offer a guarantee
on return of investment so that the program will be performed at a
cost savings to the state. 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 and
potentially a cost savings to the state

EFFECTIVE DATE:
This act shall take effect immediately.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  4270

                       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

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  THAT
HAS  PREVIOUSLY CONDUCTED AND MANAGED COMPREHENSIVE DEPENDENT AUDITS FOR
THE STATE OF NEW YORK HEALTH INSURANCE PLAN.
  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 ELEVEN THROUGH TWO THOUSAND TWELVE, the presi-
dent shall establish an amnesty period not to exceed sixty days.  During
this amnesty period when any employee enrolled in the  plan  voluntarily
identifies any ineligible dependent:
  (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

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09962-02-1

S. 4270                             2

  (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.

S4270A - Bill Details

See Assembly Version of this Bill:
A8947A
Current Committee:
Law Section:
Civil Service Law
Laws Affected:
Add §164-a, amd §164, Civ Serv L

S4270A - Bill Texts

view 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.

view sponsor memo
BILL NUMBER:S4270A

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 conduct
ongoing reviews of dependent eligibility audits for all newly hired
New York State Health Insurance plan enrollee dependents.

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 2008-2009 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 and potentially a cost savings
to the state.

EFFECTIVE DATE:
This act shall take effect immediately.


view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 4270--A

                       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

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.
  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 ELEVEN THROUGH TWO THOUSAND TWELVE, the  presi-
dent shall establish an amnesty period not to exceed sixty days.  During
this  amnesty  period when any employee enrolled in the plan voluntarily
identifies any ineligible dependent:
  (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

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09962-03-1

S. 4270--A                          2

  (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.

S4270B - Bill Details

See Assembly Version of this Bill:
A8947A
Current Committee:
Law Section:
Civil Service Law
Laws Affected:
Add §164-a, amd §164, Civ Serv L

S4270B - Bill Texts

view 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.

view sponsor memo
BILL NUMBER:S4270B

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 2008-2009 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 full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 4270--B

                       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

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 ELEVEN THROUGH TWO THOUSAND TWELVE, the  presi-
dent shall establish an amnesty period not to exceed sixty days.  During
this  amnesty  period when any employee enrolled in the plan voluntarily
identifies any ineligible dependent:
  (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;

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD09962-06-1

S. 4270--B                          2

  (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.

S4270C (ACTIVE) - Bill Details

See Assembly Version of this Bill:
A8947A
Current Committee:
Law Section:
Civil Service Law
Laws Affected:
Add §164-a, amd §164, Civ Serv L

S4270C (ACTIVE) - Bill Texts

view 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.

view 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 full text
download pdf
                    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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