Did Civil Service need to obtain approval from PEF in order to conduct the dependent eligibility audit?
A. No. Civil Service has the right to conduct reviews of dependent eligibility, and they do this every year prior to the annual Option Transfer period when they send NYSHIP enrollees the NYSHIP Benefit Statement. The NYSHIP Benefit Statement indicates the enrollee’s dependents and instructs the enrollee to notify his or her health benefits administrator (HBA) of any changes that need to be made. As amended by the Legislature in 2008, Civil Service Law 164.2 authorizes Civil Service to conduct an eligibility audit of NYSHIP enrollee dependents and establishes an amnesty period during which enrollees may report dependents who are not eligible and to terminate their eligibility on a current basis.
Related Questions
- Why does Civil Service want to do an audit verifying the eligibility of dependents enrolled in the New York State Health Insurance Program (NYSHIP)?
- Can I submit a Phase I Environmental Audit in order to obtain a Child Care Facility Approval (CCFA) letter?
- Did Civil Service need to obtain approval from PEF in order to conduct the dependent eligibility audit?
