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CUNY Bulletin No. CU-326
… will be reflected in the paycheck of February 14, 2008 for Aetna HMO and Aetna QPOS participants. This request from … in advance to implement the reduced health insurance rate for the paycheck of January 17, 2008. The adjustment is the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-326-health-insurance-rate-adjustment-aetna-hmo-and-aetna-qposCUNY Bulletin No. CU-597
… Purpose To notify agencies of health benefits rate changes. Affected Employees CUNY employees with health insurance coverage through the City of New York Employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-597-city-new-york-health-insurance-rate-changesEmpire Plan Drug Rebate Revenue
… Payments for Repackaged Drugs Dispensed Under the Empire Plan (2010-S-38) United HealthCare: New York State Health … Payments for Repackaged Drugs Dispensed Under the Empire Plan (2012-F-13) … To determine if United HealthCare …
https://www.osc.ny.gov/state-agencies/audits/2014/09/26/empire-plan-drug-rebate-revenueUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… Objective To determine the extent of implementation of the four recommendations included in our initial audit report, UnitedHealthcare Insurance Company of New York: … therapy. We issued our initial audit report on October 27, 2021. The audit objective was to determine whether United …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… of Civil Service (Civil Service) administers NYSHIP. In carrying out its responsibilities, Civil Service contracts … E/M services. Key Findings Improvements are needed in United’s method for monitoring out-of-network providers …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… United more than $6.2 million for 52,485 claims submitted by Davis Ethical. During this period, Davis Ethical was owned and operated by William Davis, a licensed pharmacist. Pursuant to … there have been several investigations of Davis Ethical by oversight authorities, including the Nassau County …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyOyster Bay Water District – Payments in Lieu of Health Insurance (2017M-43)
… to review payments in lieu of health insurance coverage for the period January 1, 2015 through October 31, 2016. Background The Oyster Bay Water District is located in the Town of Oyster Bay in Nassau County and provides water to about 8,800 customers. The District is …
https://www.osc.ny.gov/local-government/audits/district/2017/06/02/oyster-bay-water-district-payments-lieu-health-insurance-2017m-43CUNY Bulletin No. CU-748
… Dates Effective in paychecks dated November 03, 2022, for current and lag employees. OSC Actions OSC will automatically …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-748-city-new-york-health-benefit-rate-changesCUNY Bulletin No. CU-745
… health insurance coverage through the City of New York Employee Benefits Program are affected. Effective Dates: … bulletin should be directed to the University Director of Employee Benefits at CUNY Central Office. … The purpose of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-745-city-new-york-health-benefit-rate-changesCUNY Bulletin No. CU-716
… The purpose of this bulletin is to notify agencies of health benefit rate changes. Affected Employees CUNY employees with health insurance coverage through the City of New York Employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-716-city-new-york-health-benefit-rate-changesCUNY Bulletin No. CU-670
… The purpose of this bulletin is to notify agencies of health benefits rate changes. Affected Employees CUNY employees with health insurance coverage through the City of New York Employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-670-city-new-york-health-insurance-rate-changesCUNY Bulletin No. CU-687
… The purpose of this bulletin is to notify agencies of health benefits rate changes. Affected Employees CUNY employees with health insurance coverage through the City of New York Employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-687-city-new-york-health-insurance-rate-changesNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members
… Objective To determine whether UnitedHealthcare Insurance Company of New York paid claims for Empire Plan … December 31, 2019. About the Program The New York State Health Insurance Program (NYSHIP) provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesUnited HealthCare – Overpayments for Services Provided by Hudson Valley Bone and Joint Surgeons, LLP
… provided to Empire Plan members. United contracts with in-network (participating) providers who agree to accept … co-insurance) when they use non-participating providers. In accordance with the Empire Plan’s requirements, when … will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/08/united-healthcare-overpayments-services-provided-hudson-valley-bone-and-joint-surgeons-llpDiNapoli Proposes Option to Help State & Local Governments Pay for Retiree Health Care
… Comptroller Thomas P. DiNapoli today announced legislation to create an optional investment pool to help the state and … the president of the Civil Service Commission as the trustee of the state’s OPEB trust and the governing boards as … for local governments; and Allow school districts to transfer certain excess reserve balances to an OPEB trust …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-proposes-option-help-state-local-governments-pay-retiree-health-careUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebate … Revenue ( 2013-S-41 ). Background The New York State Health Insurance Program (NYSHIP) provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followUnited HealthCare Insurance Company of New York – Empire Plan Drug Rebates (Follow-Up)
… made in our audit report, United HealthCare Insurance Company of New York: Empire Plan Drug Rebates (Report 2014-S-62). Background The New York State Health Insurance Program (NYSHIP) provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/united-healthcare-insurance-company-new-york-empire-plan-drug-rebates-followDiNapoli: Former Village of Chatham Clerk-Treasurer Pleads Guilty to Defrauding Village
… Police Investigator Mathew Reilly and Deputy Chief ADA Ryan Carty for their hard work and dedication in this complex …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-village-chatham-clerk-treasurer-pleads-guilty-defrauding-villageSelected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
… July through December 2012. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to active and retired State, participating …
https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empireCUNY Bulletin No. CU-791
… The purpose of this bulletin is to notify agencies of health benefit rate changes. Affected Employees: City University of New York (CUNY) employees with health insurance coverage through the City of New York …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-791-city-new-york-health-benefit-rate-changes