Dec. 14 deadline to switch health plans

By LORRAINE SIMPKINS
The state has approved the 2008 Empire Plan and HMO premium rates, which means you have until December 14 to change your health plan option for next year.

If you change your health plan, coverage for the new plan will begin January 3 if you are on the state’s institution payroll, or December 27 if you are on the administration payroll.

Institution-payroll employees will not see a deduction change before their January 3 paycheck.

Administration-payroll employees will not see a deduction change before their December 26 check.

You should have received your 2008 rate flyer in your mail at home by now. In addition to the new rate schedule, the flyer gives the deadline for changing options and other important dates, such as payroll deduction dates. The rates are also posted online at www.pef.org
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The three state agencies responsible for administering the state Health Insurance Program (NYSHIP) – the state Department of Civil Service, Governor’s Office of Employee Relations and Division of Budget – negotiated the Empire Plan premium rates with the insurers.

PEF and the other state-employee unions do not have authority to negotiate premium rates or reject the rates negotiated by the state.

Empire Plan premiums are adjusted annually based on plan experience, which is the actual cost of providing health care to individuals enrolled in the Empire Plan for a given period of time. As health care costs rise, so do the premiums.

Empire Plan rates going up
Empire Plan premium rates for both individual and family coverage are increasing.

The biweekly paycheck deduction for individual coverage is increasing by 4.2 percent, from $21.30 to $22.19. The biweekly paycheck deduction for family coverage is increasing by 6.2 percent, from $89.59 to $95.10.

HMO rates vary by plan
Some PEF members who enroll in an HMO will see an increase in their biweekly premium deduction for their coverage in 2008, while others will pay less than they did this year. Check the new rates for your plan now to avoid “sticker shock” when they take effect.

One HMO, Aetna, will have a biweekly deduction of more than $300 for family coverage.

Three HMO options – Empire BCBS HMO in both the Mid-Hudson and Downstate Regions, and Univera – will have a biweekly deduction topping $200 for family coverage.

Fourteen of the 20 HMO options will have biweekly premium deductions of more than $100 for family coverage.

On the flip side, six of the HMO options have lowered their premiums for individual coverage and seven have lowered premiums for family coverage.

Neither PEF nor the state has the authority to negotiate HMO premiums, which are community rated.

Community rating means all enrollees (including those who don’t work for the state) in an HMO are pooled and charged the same premium for the same benefits.

The HMO premium cap limits the state's contribution to HMO premiums to an amount no greater than the cost of Empire Plan hospital/medical/mental health and substance abuse premiums. Any amount of HMO premium greater than the Empire Plan’s for these components must be paid in full by the enrollee.