Rates and the Choices pamphlets are also available online at www.cs.ny.gov/ employee-benefits.



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New York State Correctional Officers & Police Benevolent Association, Inc. 102 Hackett Boulevard - Albany, NY 12209 (518) 427-1551 www.nyscopba.org nyscopba@nyscopba.org TO: FROM: NYSCOPBA Chief Sector Stewards Sharon Smith, Health Benefits Specialist DATE: November 16, 2015 RE: Health Insurance Rates - 2016 The health insurance rates for 2016 for both the Empire Plan and the HMOs have been approved. A rate flyer is on its way to members homes. Enclosed is a comparison of the 2015/2016 rates for both Grade 9 and under and Grade 10 and over. The Option Transfer Period will run through 12/18/15. Choices pamphlets are available at Personnel Offices. This pamphlet has a valuable comparison of all plans available for 2016 to help members make an informed decision in their choice of coverage. Rates and the Choices pamphlets are also available online at www.cs.ny.gov/ employee-benefits. Administration lag-payroll employees will see a deduction change in the check of December 30, 2015. Institution lag-payroll employees will see a deduction change in the check of January 7, 2015. Due to processing times and payroll deadlines, deduction changes related to an option change may be made in a future paycheck and will include retroactive adjustments to the beginning of the plan year. Members can re-enroll or enroll in the Opt-Out Program during this Option Transfer Period. If you have any questions, feel free to contact me. ss Enclosure cc: NYSCOPBA Executive Board NYSCOPBA Jt. Committee on Health Benefits

HEALTH INSURANCE RATES COMPARISON 2015/2016 SALARY GRADE 9 AND UNDER (Option Transfer Period Ends December 18, 2015) 2015 2016 Empire Plan (001) Individual $ 35.42 $ 37.50 Family $149.56 $161.62 Blue Choice (066) Individual $ 39.35 $ 43.11 Family $143.50 $144.80 Counties Served: Livingston, Monroe, Ontario, Seneca, Wayne and Yates BlueCross BlueShield of Western NY (067) $ 36.40 $ 33.94 $157.04 $146.25 Counties Served: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming (CDPHP) Capital (063) Individual $ 47.95 $ 52.29 Family $159.87 $162.78 Counties Served: Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington

(CDPHP) Central (300) Individual $ 67.75 $ 89.09 Family $206.39 $271.50 Counties Served: Broome, Chenango, Delaware, Essex, Hamilton, Herkimer, Madison, Oneida, Otsego and Tioga (CDPHP) Hudson Valley (310) Individual $ 87.73 $122.58 Family $259.25 $342.01 Counties Served: Dutchess, Orange and Ulster Empire BCBS HMO - Upstate (280) Individual $ 84.83 $105.29 Family $287.67 $333.46 Counties Served: Albany, Clinton, Columbia, Delaware, Essex, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington Empire BCBS HMO - Downstate (290) Individual $172.33 $207.79 Family $517.86 $603.33 Counties Served: Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk and Westchester

Empire BCBS HMO - Mid-Hudson (320) Individual $163.00 $198.70 Family $492.98 $578.93 Counties Served: Dutchess, Orange, Putnam, Sullivan and Ulster HIP of New York Downstate - (050) Individual $ 93.02 $ 99.55 Family $261.20 $269.03 Counties Served: Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk and Westchester HIP of New York Capital (220) Individual $102.99 $105.88 Family $285.25 $285.05 Counties Served: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Warren and Washington HIP of New York Hudson Valley (350) Individual $ 97.47 $105.88 Family $254.03 $285.05 HMO Blue - Central (072) Individual $102.91 $102.16 Family $292.95 $281.78 Counties Served: Broome, Cayuga, Chemung, Cortland, Onondaga, Oswego, Schuyler, Steuben, Tioga and Tompkins

HMO Blue - Utica (160) Individual $119.84 $122.42 Family $369.45 $367.13 Counties Served: Chenango, Clinton, Delaware, Essex, Franklin, Fulton, Herkimer, Jefferson, Lewis, Madison, Montgomery, Oneida, Otsego and St. Lawrence Independent Health (059) Individual $ 32.24 $ 38.43 Family $137.86 $147.07 Counties Served: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming MVP Health Care (058) (Rochester) Individual $ 31.04 $ 34.67 Family $132.43 $130.57 Counties Served: Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Steuben, Wayne, Wyoming and Yates MVP Health Care (060) (East) Individual $ 51.92 $ 48.74 Family $167.77 $132.40 Counties Served: Albany, Columbia, Fulton, Greene, Hamilton, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington

MVP Health Care (330) (Central) Individual $ 81.66 $ 81.34 Family $244.42 $191.93 Counties Served: Broome, Cayuga, Chenango, Cortland, Delaware, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, Otsego, Tioga and Tompkins MVP Health Care (340) (Mid-Hudson) Individual $ 74.02 $ 89.47 Family $225.32 $210.07 Counties Served: Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester MVP Health Care (360) (North) Individual $129.73 $143.83 Family $365.14 $341.32 Counties Served: Clinton, Essex, Franklin and St. Lawrence

HEALTH INSURANCE RATES COMPARISON 2015/2016 SALARY GRADE 10 AND OVER (Option Transfer Period Ends December 18, 2015) 2015 2016 Empire Plan (001) Individual $ 47.23 $ 50.01 Family $178.28 $192.52 Blue Choice (066) Individual $ 49.88 $ 53.85 Family $170.31 $172.46 Counties Served: Livingston, Monroe, Ontario, Seneca, Wayne and Yates BlueCross BlueShield of Western NY (067) Individual $ 48.52 $ 45.26 Family $187.04 $174.21 Counties Served: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming (CDPHP) Capital (063) Individual $ 58.72 $ 63.48 Family $187.23 $191.67 Counties Served: Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington

(CDPHP) Central (300) Individual $ 78.57 $100.57 Family $233.88 $301.18 Counties Served: Broome, Chenango, Delaware, Essex, Hamilton, Herkimer, Madison, Oneida, Otsego and Tioga (CDPHP) Hudson Valley (310) Individual $ 98.48 $134.39 Family $286.58 $372.45 Counties Served: Dutchess, Orange and Ulster Empire BCBS HMO - Upstate (280) Individual $ 96.41 $117.28 Family $317.33 $364.66 Counties Served: Albany, Clinton, Columbia, Delaware, Essex, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington Empire BCBS HMO - Downstate (290) Individual $184.18 $220.12 Family $548.22 $635.41 Counties Served: Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk and Westchester

Empire BCBS HMO - Mid-Hudson (320) Individual $174.76 $210.92 Family $523.12 $610.73 Counties Served: Dutchess, Orange, Putnam, Sullivan and Ulster HIP of New York Downstate - (050) Individual $104.28 $111.22 Family $289.69 $299.01 Counties Served: Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk and Westchester HIP of New York Capital (220) Individual $114.37 $117.65 Family $314.01 $315.26 Counties Served: Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Warren and Washington HIP of New York Hudson Valley (350) Individual $102.75 $117.65 Family $282.53 $315.26 Counties Served: New York, Delaware, Dutchess, Orange, Putnam, Sullivan and Ulster HMO Blue - Central (072) Individual $114.07 $113.48 Family $321.02 $310.73 Counties Served: Broome, Cayuga, Chemung, Cortland, Onondaga, Oswego, Schuyler, Steuben, Tioga and Tompkins

HMO Blue - Utica (160) Individual $130.88 $133.65 Family $397.48 $396.11 Counties Served: Chenango, Clinton, Delaware, Essex, Franklin, Fulton, Herkimer, Jefferson, Lewis, Madison, Montgomery, Oneida, Otsego and St. Lawrence Independent Health (059) Individual $ 42.98 $ 49.73 Family $164.25 $175.24 Counties Served: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming MVP Health Care (058) (Rochester) Individual $ 41.38 $ 45.64 Family $157.79 $156.05 Counties Served: Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Steuben, Wayne, Wyoming and Yates MVP Health Care (060) (East) Individual $ 62.27 $ 59.23 Family $194.12 $158.22 Counties Served: Albany, Columbia, Fulton, Greene, Hamilton, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington

MVP Health Care (330) (Central) Individual $ 92.29 $ 92.12 Family $271.46 $219.57 Counties Served: Broome, Cayuga, Chenango, Cortland, Delaware, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, Otsego, Tioga and Tompkins MVP Health Care (340) (Mid-Hudson) Individual $ 84.24 $ 99.78 Family $251.24 $236.74 Counties Served: Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester MVP Health Care (360) (North) Individual $140.64 $155.02 Family $392.85 $369.88 Counties Served: Clinton, Essex, Franklin and St. Lawrence