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Benefits: Health Insurance

The program is intended to provide the fullest possible protection for you and your dependents for medical services, including hospitalization, surgical, out-patient and prescription drug care.

NYS Empire Plan (NYSHIP)

Orange County currently partially funds a medical insurance program for all government employees, called the New York State Empire Plan (NYSHIP).

The program is a traditional group insurance plan and it is a Preferred Provider Organization which enables you and your family to receive routine medical services from participating physicians, for a $20 co-payment. You can also choose to go to non-participating providers. When you use a non-participating provider, you must meet your deductible (refer to the current "At a Glance" for these amounts). The plan consists of 4 main parts:

  1. Hospital Benefits insured and administered by Empire Blue Cross Blue Shield
  2. Medical/Surgical Benefits insured and administered by United Healthcare
  3. The Empire Plan Managed Mental Health and Substance Abuse Program insured by United Healthcare and administered by Optum Health Behavioral Solutions (Optum Health)
  4. Prescription Drug Program insured and administered by CVS Caremark.

Forms:

Following the links above will take you out of the SUNY Orange Web site. The college cannot be responsible for the content on these pages, although the links on this page have been reviewed and are recommended by the members of the Human Resources Department.


Costs

The majority of the premium costs to provide the program is paid by the College, to the County. However, each employee who participates is required to contribute the following amounts via payroll deductions toward any coverage which they might elect for themselves or their dependents.

Costs are effective January 1, 2014 and are broken down as follows:

12 month employees

Plan Plan Coverage Bi-weekly Amounts
NYS Empire Plan (NYSHIP) Individual $37.04
  Family $67.60

 

Full time faculty

Plan Plan Coverage Bi-weekly Amounts
NYS Empire Plan (NYSHIP) Individual $47.62
  Family $86.91

Counselors, Librarians and Technicians

Plan Plan Coverage Bi-weekly Amounts
NYS Empire Plan (NYSHIP) Individual $41.67
  Family $76.05

Eligibility Date

Coverage begins on the 1st day of the 3rd month following your application (i.e. 1 full month waiting period).

Coverage for Dependents from Age 26 through Age 29

A new law was passed in New York State to extend health insurance coverage to young adult dependents through job-based insurance.

This new law requires insurers to allow coverage for unmarried children through age 29, regardless of financial dependence, to be covered under a parent's group health insurance plan.

Premiums would be paid by the dependent's family, not the employer, and would be at group plan rates.