Page 35 - 2016-2021-ISU

HMO alternatives to become more competitive in quality of care provided

and efficient in cost to payers. Employees may change their health

insurance option each year during the month of November, unless another
period is mutually agreed upon by the State and the Joint Committee on

Health Benefits. If the rate renewals are not available by the time of the
open option transfer period, then the open transfer period shall be extended

to assure ample time for employees to transfer.
§9.14 Premium Contribution Level - Health Only

(a) For employees in a title Salary Grade 9 or below or an employee
equated to a position title Salary Grade 9 or below, the State agrees to pay

88 percent of the cost of individual coverage and 73 percent of the cost of
dependent coverage toward the hospital/medical/mental health and

substance abuse components provided under the Empire Plan. For
employees in a title Salary Grade 10 and above or an employee equated to

a position title Salary Grade 10 and above the State agrees to pay 84 percent
of the cost of individual coverage and 69 percent of the cost of dependent

coverage toward the hospital/medical/mental health and substance abuse
components provided under the Empire Plan.

(b) The State agrees to continue to provide alternative Health
Maintenance Organization (HMO) coverage. For employees in a title

Salary Grade 9 or below or an employee equated to a position title Salary
Grade 9 or below, the State agrees to pay 88 percent of the cost of

individual coverage and 73 percent of the cost of dependent coverage
toward the hospital/medical/mental health and substance abuse

components provided under each HMO, however, not to exceed 100

percent of its dollar contribution for those components under the Empire
Plan. For employees in a title Salary Grade 10 and above or an employee
equated to a position title Salary Grade 10 and above, the State agrees to

pay 84 percent of the cost of individual coverage and 69 percent of the cost

of dependent coverage toward the hospital/medical/mental health and
substance abuse components provided under each HMO, however, not to
exceed 100 percent of its dollar contribution for those components under

the Empire Plan.

§9.15 Prescription Drug Premium Contribution Level
Eligible CSEA employees enrolled in the New York State Health

Insurance Program (NYSHIP) will be provided with prescription drug

34