§ 160 — Regulations governing the health benefit plan; advisory committee

New York § 160

• Jurisdiction: New York
• Law CVS: Civil Service
• Art. 11: Health Benefits For State and Retired State Employees

Text

§ 160. Regulations governing the health benefit plan; advisory\ncommittee. 1. The president, subject to the provisions of this article,\nis hereby empowered to establish regulations relating to:\n (1) the eligibility of (a) active and (b) retired employees to\nparticipate in the health benefit plan authorized by this article,\n (2) the terms and conditions of the insurance and/or plan\nadministrator contract or contracts, as applied to (a) active employees\nand (b) retired employees, and\n (3) the purchase of such insurance and/or plan administrator contract\nor contracts and the administration of such health benefit plan.\n The president shall adopt such further regulations as may be required\nfor the effective administration of this article, including the right to\nrequire advance payments of any portion of the amount required to be\npaid by any participating employer as its share in connection with the\noperation of the health benefit plan hereunder.\n 2. The president, in his discretion, is hereby empowered to make,\namend and rescind, from time to time, regulations establishing a dental\ninsurance plan which shall be a part of the health insurance plan\nauthorized by this article. Such regulations may provide for negotiating\nunit, employee and employer participation or nonparticipation, employee,\ndependent and retiree eligibility or noneligibility and such\ncontribution rates as the president may determine even though such\nregulations establish standards which differ from those applicable by\nlaw to other parts of such health insurance plan. The president is\nhereby authorized and directed to provide in such regulations for\nparticipation in the dental insurance plan by retirees; provided,\nhowever, that the claims experience for retirees shall be separately\nrated and premiums established separate from other participants in the\nplan and provided further that the full costs of participation in such\nplan, including all administrative costs, shall be borne by such\nretirees. Considering the dental insurance plan as a whole, no\nregulation enacted pursuant to this subdivision shall provide or permit\na benefit structure inconsistent with the most efficient and economical\nadministration of such plan.\n 3. Notwithstanding any inconsistent provision of this article, no rule\nor regulation shall be adopted, repealed or amended, and no other action\ntaken with respect to state employees affecting the rate of or\neligibility for benefits under this article, without the approval of the\ndirector of employee relations.\n