reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.6 - Application for inclusion in the plan

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Cost estimates. Upon the request of the
				governing body of any authority, corporation, district, agency, subdivision or
				organization eligible to become a participating employer pursuant to section
				163 of the
				Civil Service Law, accompanied by a certificate of the chairman or other
				presiding officer thereof certifying as to the number of its employees and/or
				retired employees who would be eligible to participate in the plan, the
				President of the Civil Service Commission shall provide an estimate of the
				costs, including assessments for administrative expenses, based on current and
				anticipated charges at the time of the estimate, which would have to be paid by
				such authority, corporation, district, agency, subdivision or organization on
				account of the coverage of its employees and/or retired employees in the
				plan.
(b) Application for
				inclusion.
(1) Any such authority,
				corporation, district, agency, subdivision or organization may apply for the
				inclusion of its employees in the plan by submitting to the president the
				following: a certified copy of a resolution of its governing body electing such
				inclusion, duly adopted pursuant to subdivision 4 of section
				163 of the
				Civil Service Law, which resolution shall be in a form approved by the
				president, and an appropriate certificate of the clerk, or if there be no
				clerk, the chairman or other presiding officer of such governing body
				certifying that a specified sum or sums of money have been appropriated for the
				purpose of paying the employer's contributions and expenses on account of the
				coverage of such employees and their dependents in the plan.
(2) Prior retirees of such authority,
				corporation, district, agency, subdivision or organization may also be included
				in such application, or separate application with respect to such prior
				retirees may be made at another time thereafter in the same manner.
(3) The president may request such further
				data, certificates or information in connection with any such application as he
				may deem necessary or desirable.
(4) No such application shall be approved
				unless it appears to the satisfaction of the president that sufficient sums
				have been appropriated to reasonably assure the availability of monies for the
				payment of anticipated employer's costs, including assessments for
				administrative expenses until the end of the employer's eligible fiscal year in
				which the expected effective date of the extension of the plan to such
				employees or prior retirees occurs.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.7 - Effective date of coverage

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Upon
				the approval of the application of any authority, corporation, district,
				agency, subdivision, or organization for the inclusion of its employees and/or
				prior retirees in the plan, it shall become a participating employer, and the
				president shall thereupon fix an effective date for the commencement of
				coverage of such employees and/or prior retirees, as the case may be. Such
				effective date shall be fixed with due regard to a reasonable time allowance
				needed for educational, promotional and enrollment purposes and other
				administrative requirements. The president may, in his discretion, fix a
				schedule of effective dates of coverage with respect to newly approved
				participating employers on a quarterly basis or at such other time intervals as
				he may deem appropriate.
(b)
				Notwithstanding such effective date for coverage as may be fixed by the
				president and except as provided in this subdivision, coverage shall not become
				effective with respect to the employees of a participating employer unless 75
				percent of all persons eligible for coverage as employees of such participating
				employer shall enroll for such coverage. If a participating employer provides
				coverage for only a class of its employees designated by it in accordance with
				paragraph (a) of subdivision 2 of section 221 of the Insurance Law, the
				coverage shall not become effective until 75 percent of the class shall enroll
				for such coverage. If two or more classes of employees are covered
				simultaneously, the 75 percent requirement shall apply to the total of such two
				or more classes which shall be considered one group. If a class of employees
				not initially covered is subsequently extended the opportunity to enroll, then
				75 percent of the employees of that class must enroll for coverage before such
				coverage can become effective for that class. If two or more classes not
				initially covered are subsequently and simultaneously extended the opportunity
				to enroll, then the 75 percent requirement shall apply to the total of such two
				or more classes which shall be considered one group. For the purposes of this
				subdivision, the prior retirees of a participating employer are deemed to be a
				class. The president shall make the final administrative determination whether
				any purported class set forth in an application for coverage is a class
				permitted by law. No coverage shall become effective until the employer and
				employee contributions therefor have been paid into the Health Insurance
				Fund.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.8 - Payments to health insurance fund

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The total contributions required to
				insure covered employees and retired employees for any calendar month shall be
				due and payable to the Health Insurance Fund on the first day of the preceding
				calendar month.
(b) The chief
				fiscal officer of the participating employer shall, on the first day of each
				month, pay to the Health Insurance Fund the sum of:
(1) the contributions paid by covered
				employees and retired employees (except contributions deducted from retirement
				allowances other than as provided in paragraph [3] of this subdivision)
				required to insure them for the following calendar month;
(2) the contributions required to be paid by
				the participating employer for the coverage of all covered employees and
				retired employees of such participating employer for the following calendar
				month; and
(3) in the case of a
				participating employer electing to pay a higher rate of contribution for the
				coverage of its retired employees and their dependents, the contributions
				deducted from retirement allowances and paid to the chief fiscal officer of
				such participating employer pursuant to subdivision (b) of section
				73.3 of this Part.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.9 - Inspection of records

Current through Register Vol. 46, No. 28, July 10, 2024
All records in the possession of the participating employer
				  or its officers or agents which have a bearing on the participation of
				  employees or retired employees in the health insurance plan, or which otherwise
				  have any bearing on the administration or operation of the health insurance
				  plan, shall be open to the inspection of representatives of the president and
				  the insurers at all reasonable times.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.10 - Withdrawal from the plan

Current through Register Vol. 46, No. 28, July 10, 2024
(a) A
				participating employer which intends to withdraw from the plan shall give
				notice of such intention to the president and to its covered employees and
				retired employees at least 90 days in advance of the last date for which
				coverage will be provided.
(b) A
				participating employer which withdraws from the plan shall not be eligible to
				rejoin the plan for one year following such withdrawal except with the consent
				of the president. The granting or denial of such consent shall be based on the
				extent to which the participating employer carried out its duties and
				responsibilities as required under the plan and this Part during the period of
				prior participation, with due consideration being given to:
(1) timely payment of premiums due;
(2) assignment of personnel to administer the
				plan;
(3) conformance in its
				assignment of effective dates and termination dates to permitted program
				options;
(4) compliance with plan
				Medicare reimbursement requirements;
(5) adherence to established eligibility
				requirements;
(6) proper
				distribution of certificates describing plan benefits, restrictions and
				penalties; and
(7) prior
				withdrawal(s).
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.11 - Expulsion from the plan

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
				president may expel a participating employer from the plan upon finding that
				fraud or abuses in the administration of the plan have been committed or
				permitted by the acts or neglect of its officers or agents, or that the
				participating employer has failed to carry out satisfactorily its duties and
				responsibilities as required under the plan and by this Part. Such expulsion
				shall be effective not sooner than two months after notice thereof has been
				given by the president to the governing body of the participating
				employer.
(b) A participating
				employer which is expelled from the plan shall not be eligible to rejoin the
				plan for one year following such expulsion.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 73 - State Health Insurance Plan › Section 73.12 - Negotiating units

Current through Register Vol. 46, No. 28, July 10, 2024
The provisions of this Chapter, insofar as they apply to
				  employees in the negotiating units established pursuant to article 14 of the
				  Civil Service Law and their dependents, shall be continued; provided, however,
				  that during periods of time when there is in effect an agreement between the
				  State and an employee organization reached pursuant to the provisions of said
				  article 14, the provisions of such agreement and the provisions of this Chapter
				  shall both be applicable. In the event the provisions of the agreement are
				  different from the provisions of this Chapter, the provisions of the agreement
				  shall be controlling. The president may, upon approval by the Director of the
				  Budget, provide for the extension of the negotiated provisions of such
				  agreement, in whole or in part, to officers and employees not in a negotiating
				  unit within the meaning of article 14 of the Civil Service Law and may extend
				  provisions regarding the modified State cost of premium or subscription charges
				  to such employees or retirees.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The term plan
				or dental insurance plan means the group dental insurance provided under the
				contract or contracts entered into pursuant to article XI of the Civil Service
				Law, and any amendments thereto, including all the benefits provided
				thereunder, and all conditions and limitations applicable thereto pursuant to
				such contracts or as prescribed by the President of the Civil Service
				Commission.
(b) The term employer
				or an employer shall include the State of New York (in all its branches,
				departments and agencies and certain departments and agencies of the State
				maintained and financed from special or administrative funds) and any
				participating employer. The term participating employer shall mean the public
				authorities, public benefit corporations and quasi-public organizations of the
				State which elect, with the approval of the President of the Civil Service
				Commission, to include their employees in the plan.
(c) The term employee means any person in the
				service of the employer:
(1) who is in a
				negotiating unit covered by the provisions of an agreement negotiated pursuant
				to article 14 of the Civil Service Law providing for participation in this
				plan;
(2) who has been designated
				as managerial or confidential;
(3)
				who is employed in the Division of Military and Naval Affairs;
(4) who is a paid elected official or a paid
				member of a public legislative body or who is employed by such body as other
				than a session employee;
(5) who is
				a State-paid member of the Judiciary or a State-paid employee thereof;
				or
(6) who is employed by the New
				York State Public Employment Relations Board;
provided, however, the term employee shall not include any
				  person whose regular work schedule is less than half-time, unless such person
				  is a paid elected official or a paid member of a public legislative body; and
				  further provided that no person shall be deemed to be an employee for the
				  purposes of this plan who is employed by a public educational institution on
				  other than a full-time basis and who is a student therein enrolled for a
				  degree.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.3 - Contributions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Rate of
				contribution. The rate of contribution of the State on account of the coverage
				of its employees and their dependents shall be 100 percent of the charge on
				account of individual coverage and 100 percent of the charge on account of
				dependent coverage. Notwithstanding the foregoing provisions an employee on
				leave without pay, whose coverage is continued pursuant to this Part shall be
				required to pay the entire charge on account of such coverage for each full
				month of absence.
(b) Assessment of
				certain costs.
(1) If the salary or
				compensation of any eligible officers and employees of the State is paid from a
				special or administrative fund or funds, other than the State purposes fund or
				the local assistance fund of the general fund of the State or the capital
				construction fund or an income fund of the State University or the mental
				hygiene services fund, such fund or funds shall be charged, and there shall be
				paid therefrom as hereinafter provided the employer's share of the premium for
				the coverage of such officers and employees under the dental insurance plan. A
				participating employer may pay the same rate of contribution paid by the State,
				or may require that its employees contribute a percentage of the premium cost.
				Such amounts shall be paid, at such times and in such manner as shall be
				specified by the president.
(2) If
				the salary or compensation of any officers and employees of the State is
				payable from a special or administrative fund or funds, other than the State
				purposes fund or the local assistance fund of the general fund of the State or
				the capital construction fund or an income fund of the State University or the
				mental hygiene services fund, a proportionate share of the expenses of
				administration of the dental insurance plan, on account of coverage of such
				officers and employees, shall be payable from such fund or funds. Any
				participating employer which has extended the plan to its employees shall also
				be charged its proportionate share of expenses of administration of the plan.
				The proportionate share of the expenses of administration of the State dental
				insurance plan chargeable pursuant to this subdivision to any special or
				administrative fund shall be determined by the president and shall be payable
				at such times as may be fixed by him.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.4 - Administrative responsibilities of employers

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each employing agency shall be
				responsible for performing the following administrative functions:
(1) enrollment of employees and their
				dependents;
(2) distribution of
				certificates and such other materials as may be required in connection with the
				administration of the plan;
(3)
				maintenance of enrollment and up-to-date eligibility records for covered
				employees;
(4) reporting enrollment
				transactions in a manner and form approved by the president; and
(5) reporting such information and data
				concerning the administration and operation of the plan as the president may
				require.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.5 - Application for inclusion in the plan as a participating employer

Current through Register Vol. 46, No. 28, July 10, 2024
Any public authority, public benefit corporation, or
				  quasi-public organization of the State may apply for the inclusion of its
				  employees in the plan by submitting to the president a certified copy of a
				  resolution of its governing body electing such inclusion, which resolution
				  shall be in a form approved by the president.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.6 - Initial coverage date for participating employers

Current through Register Vol. 46, No. 28, July 10, 2024
Upon the approval of the application of any public authority,
				  public benefit corporation, or quasi-public organization of the State for the
				  inclusion of its employees in the plan, it shall become a participating
				  employer and the president shall thereupon fix an effective date for the
				  commencement of coverage of such employees. Such effective date shall be fixed
				  with due regard to a reasonable time allowance needed for educational,
				  promotional and enrollment purposes and other administrative requirements. The
				  president may, in his discretion, fix a schedule of effective dates of coverage
				  with respect to newly approved participating employers.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.7 - Payments to dental insurance fund

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The total contributions required to
				insure covered employees for any calendar month shall be due and payable by the
				chief fiscal officer of the participating employer to the dental insurance fund
				on the 10th day of the coverage month.
(b) Each such payment by a participating
				employer shall be accompanied by an appropriate form prescribed by the
				president.
(c) No monies in the
				dental insurance fund, other than the sums received therefor from the
				participating employer shall be committed, encumbered, or advanced to pay for
				the coverage of the employees of such participating employer.
(d) The sums due on the 10th day of any month
				must be paid to the dental insurance fund by the end of that month; and if not
				so paid, the president may determine that the participating employer is in
				default and coverage of the employees of such participating employer shall
				terminate at the end of the last month for which payments were made. However,
				the president may authorize the reinstatement of coverage of the employees of
				the participating employer upon payment of all overdue amounts.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.8 - Inspection of records

Current through Register Vol. 46, No. 28, July 10, 2024
All records in the possession of the participating employer
				  of its officers or agents which have a bearing on the participation of
				  employees in the dental insurance plan, or which otherwise have any bearing on
				  the administration or operation of the dental insurance plan, shall be open to
				  the inspection of representatives of the president and the insurers at all
				  reasonable times.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.9 - Withdrawal from the plan

Current through Register Vol. 46, No. 28, July 10, 2024
Notice of intention to withdraw from the plan shall be given
				  to the president and to the employer's employees at least 60 days in advance of
				  the last date for which coverage will be provided. An employer who withdraws or
				  is expelled from the plan shall not be eligible to rejoin the plan for one year
				  thereafter unless, in the exercise of the president's discretion, for good
				  cause shown, such period is reduced or waived.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.10 - Expulsion from the plan

Current through Register Vol. 46, No. 28, July 10, 2024
The president may expel a participating employer from the
				  plan upon finding that fraud or abuses in the administration of the plan have
				  been committed or permitted by the acts or neglect of its officers or agents,
				  or that the participating employer has failed to carry out satisfactorily its
				  duties and responsibilities as required under the plan and by this Part. Such
				  expulsion shall be effective not sooner than two months after notice thereof
				  has been given by the president to the governing body of the participating
				  employer.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 74 - State Dental Insurance Plan › Section 74.11 - Negotiating units

Current through Register Vol. 46, No. 28, July 10, 2024
The provisions of this Chapter, insofar as they apply to
				  employees in the negotiating units established pursuant to article 14 of the
				  Civil Service Law and their dependents, shall be continued; provided, however,
				  that during periods of time when there is in effect an agreement between the
				  State and an employee organization reached pursuant to the provisions of said
				  article 14, the provisions of such agreement and the provisions of this Chapter
				  shall both be applicable. In the event the provisions of the agreement are
				  different from the provisions of this Chapter, the provisions of the agreement
				  shall be controlling. The president may, upon certification by the Director of
				  Employee Relations, provide for the supplementation of benefits provided
				  hereinabove for officers and employees not in a negotiating unit within the
				  meaning of article 14 of the Civil Service Law.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.2 - Eligibility

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Employees.
(1) An employee shall be eligible for
				coverage under the plan for himself and for his dependents, if any, subject to
				the provisions of this Part and to the plan.
(2) Coverage for any employee and his
				dependents shall cease without notice upon termination of his status as an
				employee as defined in section
				75.1 of this Part. The status of
				any person as an employee shall be deemed to terminate upon his severance from
				the payroll, except that for the purpose of continuing his coverage under the
				plan, the status of such person as an employee shall be deemed to continue:
(i) during any period of authorized leave
				without pay; and
(ii) in the event
				of the employee's retirement.
(3) In the event both husband and wife are
				covered under the plan as employees or retirees or both, they both shall be
				eligible for coverage as dependents.
(i)
				Cessation of eligibility. Upon the termination of the plan by the State, or by
				an employee or retiree by reason of default in the payment of premiums or by
				withdrawal or expulsion or otherwise, the coverage and eligibility for coverage
				shall cease as of the last day for which the required premiums have been paid
				to the carrier.
(ii)
				Disqualification. The president may disqualify from participation in the plan
				any employee or retired employee who has secured or attempted to secure
				participation in the plan for himself or another by fraud, deception or a false
				statement of a material fact. No employee or retiree shall be disqualified or
				denied benefits pursuant to this subdivision until he is given a written
				statement by the president of the reasons therefor and afforded an opportunity
				to make an explanation and submit facts in opposition to such action, such
				explanation to be submitted to the president by the employee or retiree not
				later than 10 days following the issuance of the notice by the president
				required by this subdivision. Such employee may be restored to the plan on
				approval of the president and subject to such conditions as may be imposed by
				the president.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.3 - Premiums

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Premiums for
				coverage of employees whose salaries are paid on a biweekly basis shall be
				payable to the fund established pursuant to section
				75.8 of this Part on a
				corresponding biweekly basis. Premiums for coverage of all other employees and
				for coverage of all retirees shall be payable to such fund on a monthly basis.
				All such premiums shall be subject to change from time to time in accordance
				with the provisions of the contract or otherwise upon amendment of the
				contract.
(b) Deduction of
				premiums.
(1) The premiums required to be paid
				by an employee on account of coverage for himself and his dependents shall be
				deducted from his salary or wages by the chief fiscal officer of the employer.
				In the case of a retiree his required premiums shall be deducted from his
				retirement allowance by the fiscal officer responsible for the payment of such
				allowance, but in the event that his retirement allowance is suspended by
				virtue of his further government employment as an officer or employee of the
				employer from whose service he retired his required premiums shall be deducted
				from his salary or wages. During any period when an employer or retiree is not
				receiving a salary, wages or a retirement allowance and his coverage is
				continued pursuant to this Part, he shall make the payments required of him on
				account of such coverage directly to the fund.
(2) The sums for premiums to be deducted from
				salaries, wages or retirement allowances or otherwise paid by direct payment
				shall be as determined by the president, and shall be in sufficient amounts for
				the full premiums of employees and retirees due and payable to the
				insurer.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.4 - Administrative responsibilities of the employer

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The employer shall be responsible for
				performing the following administrative functions:
(1) enrollment of employees and
				dependents;
(2) preparation and
				distribution of certificates for enrolled employees and retirees, and such
				other materials as may be required in connection with the administration of the
				plan;
(3) maintenance of enrollment
				and up-to-date eligibility records for covered employees and
				retirees;
(4) prompt certification
				to the insurer of eligibility or noneligibility for benefits for the employees,
				retirees, and their dependents;
(5)
				collection of any unpaid and past due employee premiums;
(6) reporting such information and data
				concerning the administration and operation of the plan as the president may
				request.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.5 - Assessment and payment of administrative expenses

Current through Register Vol. 46, No. 28, July 10, 2024
Assessments of proportionate shares of expenses of
				  administration of the plan shall be made annually on March 31st, in accordance
				  with a formula approved by the president. With respect to participating
				  employers, a statement of each assessment shall be sent to the appropriate
				  fiscal officer and shall show the formula used and the actual computation of
				  the assessment. Such assessment shall be payable by a participating employer
				  within 30 days after such statement is rendered, by check made payable to the
				  fund, and forwarded to the president. Failure to pay any such assessment
				  promptly shall constitute cause for expulsion. Assessments of proportionate
				  shares of expenses of administration of the plan for the State shall be
				  submitted to the State Commissioner of Taxation and Finance.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.6 - Application for inclusion in the plan

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Cost estimates. Upon the request of the
				governing body of any authority, corporation, district, agency, subdivision or
				organization eligible to become a participating employer accompanied by a
				certificate of the chairman or other presiding officer thereof certifying as to
				the number of its employees who would be eligible to participate in the plan,
				the president shall provide an estimate of the costs, including assessments for
				administrative expenses, based on current and anticipated charges at the time
				of the estimate, which would have to be paid by such authority, corporation,
				district, agency, subdivision or organization on account of the coverage of its
				employees and their dependents in the plan.
(b) Application for inclusion.
(1) Any such authority, corporation,
				district, agency, subdivision or organization may apply for the inclusion of
				its employees in the plan by submitting to the president the following: a
				certified copy of a resolution of its governing body electing such inclusion,
				which resolution shall be in a form approved by the president, and an
				appropriate certificate of the clerk, or if there be no clerk, the chairman or
				other presiding officer of such governing body certifying that a specified sum
				of money has been appropriated for the purpose of paying the participating
				employer's expenses on account of the coverage of such employees and their
				dependents in the plan.
(2) The
				president may request such further data, certificates or information in
				connection with any such application as he may deem necessary or
				desirable.
(3) No such application
				shall be approved unless it appears to the satisfaction of the president that
				sufficient sums have been appropriated to reasonably assure the availability of
				monies for the payment of anticipated participating employer's costs.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.7 - Effective date of coverage

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Upon
				the approval of the application of an employer for the inclusion of its
				employees in the plan, the president shall thereupon fix an effective date for
				the commencement of coverage of such employees. Such effective date shall be
				fixed with due regard to a reasonable time allowance needed for educational,
				promotional and enrollment purposes and other administrative requirements. The
				president may, in his discretion, fix a schedule of effective dates of coverage
				with respect to newly approved employers on a quarterly basis or at such other
				time intervals as he may deem appropriate.
(b) Notwithstanding such effective date for
				coverage as may be fixed by the president and except as provided in this
				subdivision, coverage shall not become effective with respect to the employees
				of an employer unless 40 percent of all persons eligible for coverage as
				employees of such employer shall enroll for such coverage and the employer
				complies with such conditions as the president may prescribe. The president, in
				consideration of certification by the Director of Employee Relations or the
				Public Employment Relations Board, as the case may be, shall make the final
				administrative determination whether the employees set forth in an application
				are eligible for coverage. No coverage shall become effective until premiums
				therefor have been paid into the group term life insurance fund.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.8 - Payments to group term life insurance fund

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The premiums required to insure covered
				employees and retirees for any calendar month or biweekly payroll period shall
				be due and payable to the fund on the last day of the calendar month or
				biweekly payroll period, as the case may be.
(b) The comptroller or the chief fiscal
				officer of the participating employer, as the case may be, shall pay to the
				fund the premium deducted from the salary or wages of covered employees and
				with respect to retirees, premiums deducted from a retirement allowance paid by
				a public retirement system of the State.
(c) Each such payment by an employer shall be
				accompanied by an accounting thereof to be set forth on an appropriate form
				prescribed by the president.
(d)
				Premiums due from employees or retirees eligible for coverage for whom
				deduction pursuant to subdivision (b) of this section cannot be made shall be
				made directly to the fund by such employee or retiree monthly.
(e) No monies in the fund, other than the
				sums received therefor from the employer, shall be committed, encumbered or
				advanced to pay for the coverage of the employees and retirees of such
				employer.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.9 - Inspection of records

Current through Register Vol. 46, No. 28, July 10, 2024
All records in the possession of the employer or its officers
				  or agents which have a bearing on the participation of employees or retirees in
				  the plan, or which otherwise have any bearing on the administration or
				  operation of the plan, shall be open to the inspection of representatives of
				  the president and the insurers at reasonable times.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.10 - Withdrawal from the plan

Current through Register Vol. 46, No. 28, July 10, 2024
If an employer withdraws from the plan, it shall give notice
				  of intention to withdraw to the president and to its covered employees and
				  retirees at least 60 days in advance of the last date for which coverage will
				  be provided. An employer who withdraws or is expelled from the plan shall not
				  be eligible to rejoin the plan for one year following such withdrawal;
				  provided, however, that upon the request of an employer who has withdrawn from
				  the plan, the president may in the exercise of discretion and for good cause
				  shown, reduce or waive such one year waiting period.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 75 - Managerial/confidential Group Term Life Insurance Plan › Section 75.11 - Expulsion from the plan

Current through Register Vol. 46, No. 28, July 10, 2024
The president may expel and employer from the plan upon
				  finding that fraud or abuses in the administration of the plan have been
				  committed or permitted by the acts or neglect of its officers or agents, or
				  that the employer has failed to carry out satisfactorily its duties and
				  responsibilities as required under the plan and by this Part. Such expulsion
				  shall be effective not sooner than two months after notice thereof has been
				  given by the president to the employer.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 76 - Managerial/confidential Group Accident And Sickness Insurance Plan › Section 76.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The term plan
				means the group accident and sickness insurance provided under the contract
				with the insurer and any amendments thereto, including all the benefits
				provided thereunder, and all conditions and limitations applicable thereto
				pursuant to such contracts or as prescribed by the President of the Civil
				Service Commission for employees serving in positions designated
				managerial/confidential pursuant to article XIV of the Civil Service
				Law.
(b) The term insurer means an
				insurance corporation or company subject to supervision by the New York State
				Insurance Department.
(c) The term
				employer shall include the State of New York (in all its departments and
				agencies and those departments and agencies of the State maintained and
				financed from special or administrative funds) and any participating employer.
				The term participating employer shall mean a county, city having a population
				of less than one million inhabitants, town, village or any other political
				subdivision or civil division of the State, a school district or any
				governmental entity operating a public school, college or university, a public
				improvement or special district, a public authority, commission or public
				benefit corporation, or any other public corporation, agency or instrumentality
				or unit of government which exercises governmental powers under the laws of
				this State, which elects, with the approval of the president, to include its
				employees in the plan.
(d) The term
				employee means any person in the service of an employer on or after the
				effective date of the extension of this plan to employees of such employers
				serving in a position designated as managerial/confidential pursuant to article
				XIV of the Civil Service Law. Persons employed on a full-time basis by the
				Public Employment Relations Board shall be deemed designated managerial or
				confidential for the purposes of this Part. The Director of Employee Relations
				with respect to the State of New York shall certify to the President of the
				Civil Service Commission those positions of the State designated
				managerial/confidential pursuant to article XIV of the Civil Service Law. The
				Public Employment Relations Board shall certify to the president positions
				other than positions with the State designated managerial/confidential pursuant
				to article XIV of the Civil Service Law.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 76 - Managerial/confidential Group Accident And Sickness Insurance Plan › Section 76.2 - Eligibility

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Employees.
(1) An employee shall be eligible for
				coverage under the plan subject to the provisions of this Part and to the
				plan.
(2) Coverage for any employee
				shall cease without notice upon termination of his status as an employee as
				defined in section
				76.1 of this Part. The status of
				any person as an employee shall be deemed to terminate upon his severance from
				the payroll, except that for the purpose of continuing his coverage under the
				plan, the status of such person as an employee shall be deemed to continue
				during any period of authorized leave without pay.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 76 - Managerial/confidential Group Accident And Sickness Insurance Plan › Section 76.3 - Premiums

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Premiums for
				coverage of employees whose salaries are paid on a biweekly basis shall be
				payable to the fund established pursuant to section
				76.8 of this Part on a
				corresponding biweekly basis. Premiums for coverage of all other employees
				shall be payable to the fund on a monthly basis. All such premiums are subject
				to change from time to time in accordance with the provisions of the contract
				or otherwise upon amendment of any such contract.
(b) Deduction of premiums.
(1) The premiums required to be paid by an
				employee on account of coverage shall be deducted from his salary or wages by
				the chief fiscal officer of the employer. During any period when an employee is
				not receiving a salary or wages and his coverage is continued pursuant to this
				Part, he shall make the payments required of him on account of such coverage
				directly to the fund.
(2) The sums
				for premiums to be deducted from salaries or wages or otherwise paid by direct
				payment shall be as determined by the president, and shall be in sufficient
				amounts for the full premiums of employees due and payable to the
				insurer.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 76 - Managerial/confidential Group Accident And Sickness Insurance Plan › Section 76.4 - Administrative responsibilities of the employer

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The employer shall be responsible for
				performing the following administrative functions:
(1) enrollment of employees;
(2) preparation and distribution of
				certificates for enrolled employees, and such other materials as may be
				required in connection with the administration of the plan;
(3) maintenance of enrollment and up-to-date
				eligibility records for covered employees;
(4) prompt certification to the insurer of
				eligibility or noneligibility for benefits for the employees;
(5) collection of any unpaid and past due
				employee premiums;
(6) reporting
				such information and data concerning the administration and operation of the
				plan as the president may request.
New York Codes, Rules and Regulations › Title 4 - DEPARTMENT OF CIVIL SERVICE › Chapter V - Regulations Of The Department Of Civil Service (president's Regulations) › Part 76 - Managerial/confidential Group Accident And Sickness Insurance Plan › Section 76.5 - Assessment and payment of administrative expenses

Current through Register Vol. 46, No. 28, July 10, 2024
Assessments of proportionate shares of expenses of
				  administration of the plan shall be made annually on March 31, in accordance
				  with a formula approved by the president. With respect to participating
				  employers, a statement of each assessment shall be sent to the appropriate
				  fiscal officer and shall show the formula used and the actual computation of
				  the assessment. Such assessment shall be payable by a participating employer
				  within 30 days after such statement is rendered, by check made payable to the
				  fund, and forwarded to the president. Failure to pay any such assessment
				  promptly shall constitute cause for expulsion. Assessments of proportionate
				  shares of expenses of administration of the plan for the State shall be
				  submitted to the State Commissioner of Taxation and Finance.