Important benefit and eligibility deadlines for Fund participants

 

Fund participants should be aware of the following deadlines related to your benefits coverage:

  • Because medical coverage through the Benefits Fund changed from Oxford to Empire BlueCross BlueShield on October 1, 2021participants have until September 30, 2022 to submit claims to Oxford. You won’t be able to submit claims, have claims reprocessed, or file appeals with Oxford after October 1, 2022.
  • Benefits Fund 2022 Open Enrollment will run November 1, 2022 through December 31, 2022 for an effective date of coverage of January 1, 2023.

 

The New York State Nurses Association Benefits Fund

  • Is a nonprofit organization formed to provide NYSNA members and participating employers an affordable, comprehensive, and efficient plan of health insurance.
  • Provides medical, vision, prescription drug, dental, short- and long-term disability, life, paid family leave, and accidental death and dismemberment benefits to its participants
  • Administers benefits pursuant to the terms of 45 NYSNA-negotiated contracts with participating facilities covering nearly 18,000 Registered Nurses and other healthcare professionals across New York. Some 22,000 spouses and children of participants also receive coverage through the Benefits Fund.

Benefits Fund implements changes to protect participants from surprise billing

Beginning January 1, 2022, the New York State Nurses Association Benefits Fund is implementing changes to its plan of benefits as required by the No Surprises Act, a new federal law that protects healthcare consumers from receiving surprise bills from Out-of-Network Providers in certain situations.


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