Network-Based Cost Control

Provides and administers group benefits including Delta Dental PPO, VSP Vision Plan, and long-term disability insurance through Unum Provident for TAP and CSEA members and administrators of the Pleasantville School District. Benefits include coverage for in- and out-of-network providers, COBRA continuation for dental benefits, and monthly disability payments for those unable to work due to covered disabilities.

Processes changes to benefit enrollments and coverage within 30 days of qualifying life events for members of the Pleasantville School District benefit plans.

Provides comprehensive dental and vision coverage to eligible CSEA members, their families, and dependents across New York State, including through multiple plan options with varying annual maximums and coverage features. Dental plans include orthodontic coverage and allowances for implants, while vision plans offer no-cost routine exams, eyeglasses, or contact lenses through a national network of providers.

Provides dental and vision benefits to retirees from New York State bargaining units and the Unified Court System, including an annual dental maximum of $2,000, allowances for dental implants, and annual vision benefits covering one exam and one pair of glasses or contact lenses.

Makes Marketing Representatives available at workplace events and delivers educational presentations at membership meetings, health fairs, and information days to support CSEA members and assist in contract negotiations with benefit comparisons and detailed plan presentations.

Provides workplace security insurance and trauma benefits for members experiencing criminal assault, hostage situations, or assault-related accidental death during occupational duties, with tiered payouts of up to $10,000 depending on incident severity.

Runs customer service operations for benefit inquiries and claims during business hours, maintains online portals for members and dental providers, offers digital access to Explanation of Benefits (EOBs), plan materials, and forms, and provides tools for benefits administrators and supply requests.

Produces an annual report documenting organizational activities and financials, and implements strict data privacy protections, limiting access to personal information to authorized personnel and contracted partners only.

Offers annual reimbursement for prescription drug and physician co-pays up to $400 per family, contingent on minimum out-of-pocket spending thresholds, and provides similar support for full-time members and retirees as part of its benefit package.

Provides a $300 maternity benefit to full-time members upon the birth of a child and offers up to $150 per ear every three years toward the cost of hearing aids for full-time members.

Provides comprehensive medical, prescription drug, dental, and vision benefits to eligible members through third-party administrators including Aetna, CVS Caremark, Davis Vision, GVS General Vision Services, and Vision Screening. Benefits are funded by mandatory employer contributions under collective bargaining agreements.

Provides pension benefits based on employer contributions mandated by collective bargaining agreements, with benefits calculated by years of credited service and applicable accrual rates. Participants are immediately 100% vested in employer contributions and can access pension estimates, applications, and direct deposit forms through online systems.

Provides members with online access to personal information, fund status, work history, plan documents, beneficiary details, enrollment forms, eligibility history, annuity account balances, payment history, and hardship withdrawal rules through a digital Member Portal.

Operates an office for members to drop off forms during business hours and provides access to a Member Advocate through scheduled phone or email appointments for personalized assistance.

Offers weekly accident and sickness payments, New York State Paid Family Leave, annual vacation accounts for Local 78 and 79 members, and death and gravesite benefits to eligible participants.

Offers a free, confidential Member Assistance Program through Spring Health, including personalized care, substance use disorder support, and the Weight & Wellness Journey program focused on therapy, coaching, and clinician-designed content for eating behaviors, body image, and health habits.

Offers round-the-clock telemedicine access for medical and behavioral health care at no cost to members and their covered dependents.

Provides a death benefit to eligible active members and a $1,000 dependent death benefit for spouses, domestic partners, or dependent children when included in collective bargaining agreements.