NY Civ Serv L § 161 (2021)
2021 New York Laws CVS - Civil Service Article 11 - Health Benefits for State and Retired State Employees 161 - Health Insurance.

§ 161. Health  insurance.    1. The president is hereby authorized and   directed to establish a health  benefit  plan  for  state  officers  and   employees  and  their dependents and officers and employees of the state   colleges of agriculture, home economics, industrial labor relations  and   veterinary  medicine,  the  state  agricultural  experiment  station  at   Geneva, and any other institution or agency  under  the  management  and   control  of  Cornell  university  as  the representative of the board of   trustees of the state university of New York, and the state  college  of   ceramics  under  the  management and control of Alfred university as the   representative of the board of trustees of the state university  of  New   York   and  their  dependents  which,  subject  to  the  conditions  and   limitations contained in this article, and in  the  regulations  of  the   president,  will provide for group hospitalization, surgical and medical   insurance against  the  financial  costs  of  hospitalization,  surgery,   medical  treatment  and  care,  and  may  include,  among  other  things   prescribed drugs, medicines, prosthetic appliances, hospital  in-patient   and out-patient service benefits and medical expense indemnity benefits.2.  Such health insurance shall not include expenses incurred by or on   account of an individual prior to the effective date of the plan  as  to   him or her; cosmetic surgery or treatment except to the extent necessary   for  correction  of  damage caused by accidental injury while covered by   the plan or as direct result of diseases covered by the  plan;  services   received because of illness or injury arising out of or in the course of   employment  and  entitling  the  individual to benefits under a workers'   compensation  or  occupational  disease  law;  services  received  in  a   hospital  owned or operated by the United States government for which no   charge is made; services received for injury or sickness due to  war  or   any  act of war, whether declared or undeclared, which war or act of war   shall have occurred after the effective date of this plan; expenses  for   which  the  individual  is not required to make payment; expenses to the   extent of benefits provided under any employer  group  plan  other  than   this  plan, and such other expenses as may be excluded by regulations of   the president.3. The health benefit plan shall be designed by the president  (1)  to   provide  a  reasonable  relationship  between the hospital, surgical and   medical benefits to  be  included,  and  the  expected  distribution  of   expenses  of  each such type to be incurred by the covered employees and   dependents, and (2) to include reasonable controls,  which  may  include   deductible  and  coinsurance provisions applicable to some or all of the   benefits, to reduce unnecessary utilization  of  the  various  hospital,   surgical  and  medical services to be provided and to provide reasonable   assurance of stability in future years of the plan, and (3)  to  provide   benefits on a non-discriminatory basis to the extent possible, to active   members throughout the state, wherever located.