Human Resources

Health Insurance
2022 Option Transfer Period Information

The 2022 Option Transfer Period runs through December 31, 2021. During this period, employees may change their New York State Health Insurance Program (NYSHIP) plan option for the 2022 plan year. 

 

Option Transfer Period Information and Instructions Top

During the annual health insurance option period continuing through December 31, 2021 you may:
  • Change your health insurance plan (insurance carrier);
  • Change your coverage from Family to Individual without a qualifying event;
  • Cancel your coverage entirely, and if eligible Opt-Out of NYSHIP for incentive payment. 
  • Change your Pre-Tax Contribution Program (PTCP) election for the 2022 plan year.

In addition, 2021 Opt-Out Program participants may:

  • Change your option and elect to enroll in health insurance during the 2022 plan year;
  • Remain in the Opt-Out Program for the 2022 plan year.
    *The requirement to re-enroll in the Opt-Out Program each plan year is no longer in effect.

Changes will go into effect on January 6, 2022. Complete a  PS-404 Health Insurance Transaction Form  if you will be changing your health insurance option. Forms must be received in the Employee Benefits office by December 31, 2021.

To change your health insurance plan (insurance carrier):

To change from Family to Individual health insurance coverage or cancel your coverage without opting out (if Opt-Out Program eligibility requirements are not met):

There are five health insurance plan choices available to UAlbany employees: 

 Plan Name Plan Code Number
The Empire Plan  001
CDPHP   063
HIP  220
MVP 060
Highmark BS of Northeastern NY  069

Insurance information, rates, benefits, and deadlines can be obtained by visiting http://www.cs.ny.gov/ebd/ or www.albany.edu/hr/health.php. You may also call or visit the Benefits Office if you have questions.

If you wish to keep your current insurance carrier as your election for 2022, you do not need to take any action during the Option Transfer Period.

You may enroll or add a dependent at any time of the year (a waiting period may apply). Instructions can be found here:

Employee Benefits Office Contact Information and Paperwork Submission Options  Top

Forms can be submitted to the Office of Human Resources Management (OHRM) by mail (campus or U.S.), dropped off to the front desk or left in the drop box outside of  UAB-300.

Employee Benefits
Office of Human Resources Management
University at Albany
1400 Washington Ave - UAB 300
Albany, NY 12222
[email protected]
Phone: (518) 437-4729 

Please note that we are unable to accept faxed or emailed documents that contain Personal Identifiable Information (PII). Health Insurance Transaction PS-404 forms should not be submitted by fax or email.

 

Option Transfer Choices, Rates, and Opt-Out Period  Top

Health Insurance Plan Choices
  • CHOICES 2022 - Includes benefit information for each of the available insurance plans.
  • A Summary of Benefits and Coverage, which provides more detailed information than the CHOICES booklet is available for each plan.  Obtain these documents by calling Civil Service/NYSHIP at 1-877-769-7447. 

Health Insurance Rates

  • CHOICES User Guide - includes Rates as of January 2022 and will assist in navigating the CHOICES Booklet.

Forms

 

Health Insurance Opt-Out Program  Top

The Opt-out Program allows eligible employees who have other employer-sponsored group health insurance, to opt out of their NYSHIP coverage in exchange for an annual incentive payment of $1,000 for waiving Individual coverage, or $3,000 for waiving Family coverage. Additional details, including eligibility requirements can be found on page 3 of Planning for Option Transfer. 

To cancel your coverage and elect to newly participate in the Opt-out Program for an incentive payment, during the 2022 plan year:

  • On page 1 of the PS-404, Complete items 1-11.
  • On page 2, check item 15, Elect Opt-Out (if eligible) and select individual or family. If you are opting out of family coverage, information for all eligible dependents must be listed in section 13.
  • Sign and date the PS-404 authorization section at the bottom of page 2.
  • Complete and sign the PS-409 Opt-Out Attestation Form to attest to having other employer-sponsored group coverageAll sections of this form must be completed in order for it to be processed.
  • Attach proof of other coverage (copy of other group employer health insurance card, or signed statement on other employer's letterhead confirming current coverage).
  • Mail or deliver BOTH forms with proof of other coverage, using the contact information below. Opt-out submissions that do not include both forms will be considered incomplete and not processed. Forms must be received in the Employee Benefits Office by December 31, 2021.
  • SAMPLE Completed PS-404 and PS-409 - Electing Opt-Out Participation


*The Opt-Out Program is not available for UUP-represented employees.