Health Insurance Policy

Policy Statement

Eligible SUNY Brockport employees may select a health insurance option from among four health insurance plans. The Empire Plan provides hospitalization coverage through Blue Cross and medical and major medical insurance through the Metropolitan Life Insurance Company. Health Maintenance Organization (HMO) coverage is offered through the Genesee Valley Group Health Association, Preferred Care, and Blue Choice.

For all full-time employees and eligible part-time employees, the state pays 90 percent of the cost of individual coverage and 75 percent of dependent coverage for all options during periods of active service. The difference, if any, between the state’s contribution and the premium for the selected health insurance option is paid by the employee through payroll deduction. For Empire Plan members, other costs include annual deductibles and co-payments. For all options, employees on leave without pay must pay the full cost of benefits through direct payments in order to continue their coverage.

Assuming an employee files a timely application, coverage under the elected health insurance option begins on the 43rd day following employment. Appointees not applying within 43 days of appointment will be considered late enrollees and coverage will not become effective until the first day of the fifth pay period following enrollment. All employees may request a change in option during an option transfer period each November. Such requests will be effective at the beginning of the next calendar year.

Part-time academic employees teaching two courses or more, or employed at salaries of $8000 or more, are eligible for full participation in the health insurance program. Part-time professional employees are eligible if their salary rate ensures that they will receive $8,000, $8,500, and $9,000between July 1 and June 30 for periods ending in 1989, 1990, 1991 respectively. Part-time employees who do not meet the eligibility criterion shall be permitted to participate in a health insurance program only by paying the full premium cost.

Definitions

There are no definitions for this policy at this time.

Links to Related Procedures and Information

There are no links for this procedure at this time.

Contact Information

Detailed booklets explaining the coverage provided by the various health insurance options and lists of participating physicians are available from the Benefits Officer in the Personnel Office.

History (in descending order)

Approval

There are no approvals for this policy at this time.