What they call their work
What they do
-
Union and Association Benefit Funds 8 activities
- Administer health and welfare benefits for nurses and healthcare professionalsProvides comprehensive health and welfare benefits including hospitalization, medical, dental, prescription drug, optical, life, accidental death and dismemberment (AD&D), short- and long-term disability, and paid family leave to registered nurses and other healthcare professionals covered under collective bargaining agreements. The fund administers these benefits under 45 collective bargaining agreements, covering approximately 18,000 active healthcare professionals and 22,000 dependents in New York.
- Administer pension benefitsAdministers a pension plan requiring employment in a covered position with one of 29 participating employers. Provides information on pension calculation methods, portability, retirement options, and issues monthly pension payments to approximately 9,000 retired nurses or beneficiaries.
- Conduct annual benefits enrollmentManages an annual open enrollment period for benefits coverage each year from November 1 to December 31.
- Offer retiree and continuation health coverageProvides retiree health insurance options for Medicare-eligible and early retirees. Offers COBRA continuation coverage for medical, vision, prescription drug, and dental benefits to qualified beneficiaries who lose group health coverage due to a qualifying event, including up to 18 months of federal COBRA and an additional 18 months of state continuation coverage for medical benefits only. Premiums for COBRA are based on plan type and eligibility, with 2025 rates ranging from $1,383 to $1,436 per person per month.
- Provide dental benefitsCovers two dental cleanings per year at in-network providers at no cost to participants. Also includes coverage for other dental services as part of the overall health benefits package.
- Provide long-term disability benefitsProvides long-term disability benefits to participants who become totally disabled due to injury, illness, or pregnancy after completing a six-month qualifying period and obtaining Social Security disability determination.
- Provide paid family leave benefitsOffers job-protected, paid family leave at no cost to participants for bonding with a new child, caring for a seriously ill family member, or addressing family needs during a loved one's military deployment.
- Provide vision care benefitsCovers routine eye exams every two years (annually for children under 18) and a complete pair of eyeglasses or contact lenses every two years with a $10 copayment for participants and dependents through Davis Vision. Benefits also include services beyond basic exams as part of the vision plan.
-
-
Retirement Benefits Education & Support 1 activity
- Deliver participant support and outreachProvides in-person and phone-based support to participants on healthcare and pension concerns, including scheduled visits and call-in hours at participating facilities. Notifies participants of upcoming events via social media, text messages, and email. Offers downloadable forms for enrollment, claims, and authorizations, and maintains an Information Directory to locate in-network providers and submit claims.
-
-
Pharmacy Access and Medication Assistance 1 activity
- Provide prescription drug benefitsOffers 90-day supplies of maintenance medications for chronic conditions through a mail-order pharmacy (Express Scripts) or at Walgreens and Duane Reade retail locations. Includes both retail and mail-order access to prescription drugs as part of the health benefits plan.
-
-
Uncategorized 1 activity
- Produce benefits communications and disclosuresPrepares and distributes key plan documents including Summary Plan Descriptions (effective July 1, 2024), Summaries of Material Modifications, Summaries of Benefits and Coverage for Plan A and B, Annual Reports, Summary Annual Reports, Privacy Notices, and surprise billing protections notices. Also discloses negotiated rates between Empire and network providers to meet transparency requirements.
-
Who runs it
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| RONALD F LAMY | CEO | 18 | $412K |
| CHRISTOPHER ROSETTI | COO | 18 | $314K |
| DAVID STUTSRIM | IT MANAGER | 18 | $211K |
| LINDA WHELTON | BENEITS DEPT MGR | 35 | $183K |
| ALICIA BUCHAN | CONTROLLER | 18 | $181K |
- ALLYSON SELBY — TRUSTEE
- ARI MOMA — TRUSTEE
- BARBARA LOGAN — TRUSTEE
- DENNIS ZGODA — TRUSTEE
- GUY MENONNA — TRUSTEE
- JASON LIMSON — TRUSTEE
- JEFFREY COHEN — TRUSTEE
- JENNA HAYES — TRUSTEE
- JOHN BARRETT — TRUSTEE
- MARC KRAMER — TRUSTEE
- NANCY HAGANS — TRUSTEE
- NANCY KALEDA — TRUSTEE
- PATRICIA KANE — TRUSTEE
- ROBERT OLIVER — TRUSTEE
- STACIE WILLIAMS — TRUSTEE
- TRACEY KAVANAGH — TRUSTEE
Who they work with
- 29 participating employers Partner — Employers whose covered positions allow nurse participation in the pension plan
- Aetna Partner — Administers dental benefits and determines usual and prevailing charges for out-of-network services.
- Aetna Partner — Administers medical and prescription drug benefits for plan participants.
- Aetna Partner — Provides benefits to fund participants.
- Anthem BlueCross BlueShield Partner — Provides medical benefits and network services for participants outside Suffolk County, NY.
- Anthem BlueCross BlueShield Partner — Provides medical insurance coverage and processes claims for participants.
- Anthem BlueCross BlueShield Partner — Provides medical, vision, prescription drug, and dental benefits to fund participants.
- Carelon Health Services Partner — Provides preauthorization services for radiology, physical therapy, and occupational therapy.
- Davis Vision Partner — Administers vision care benefits and maintains in-network provider relationships.
- Davis Vision Partner — Administrative and service partner for eyeglasses and contact lens benefits
- Davis Vision Partner — Provides vision care benefits and processes vision-related claims.
- Empire Government — Negotiates healthcare rates with participating providers as part of the Fund's network arrangements.
- Empire PPO Partner — Provides medical benefits and network services for participants residing in Suffolk County, NY.
- Express Scripts Partner — Administers prescription drug benefits, including mail-order and retail pharmacy services.
- Express Scripts Partner — Manages prescription drug home delivery and reimbursement services.
- Facebook Partner — Platform used for communication and outreach
- MetLife Partner — Administers Paid Family Leave coverage for Benefits Fund participants.
- MetLife Partner — Administers short-term disability benefits and related claims processing.
- MetLife Partner — Enables conversion of life insurance coverage to individual policies under certain circumstances.
- MetLife Partner — Provides benefits to fund participants.
- NEW YORK STATE NURSES ASSOCIATION Network — Primary membership organization for nurses covered by the pension plan
- NEW YORK STATE NURSES ASSOCIATION Partner — Collaborates with the New York State Nurses Association to provide benefits to members covered under collective bargaining agreements.
- NYSNA Network — Member organization through which individuals must be affiliated to access benefits.
- New York State Nurses Association Partner — Negotiates collective bargaining agreements that the Benefits Fund administers for healthcare professionals.
- U.S. Department of Labor’s Employee Benefits Security Administration Government — Provides regulatory oversight and guidance for COBRA continuation coverage administration.
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Collective Bargaining-Based Benefits Provisionmethodology: collective-bargaining-based benefits provisionBy negotiating benefits through collective bargaining agreements, the fund secures standardized, affordable, and comprehensive health and retirement coverage for nurses, because union-negotiated contracts leverage group power to achieve better terms and broader access than individual enrollment would allow.
- Direct Participant Engagement for Benefits Utilizationmethodology: direct-participant-engagementBy offering in-person visits and direct phone access, the fund improves participant understanding and use of healthcare and pension benefits, because personalized support increases trust, clarifies complex options, and reduces administrative barriers to enrollment and retention.
- Gap-Filling Supplemental Coverage Designmethodology: gap-filling_supplemental_coverageBy designing retiree health benefits to fill gaps in Medicare coverage through supplemental and Medigap insurance, the fund ensures continuous and comprehensive care for aging nurses, because layered coverage reduces out-of-pocket costs and prevents coverage disruptions during retirement transitions.