Unified Court System
Vision Benefit(Unified Court System Part Time employees only receive the UCS Dental Plan)
The Vision Care Plan offers quality services at no cost to the members within the designated plan when using a participating provider.This includes:
- Routine eye exam. This includes dilation if professionally indicated.
- Eyeglasses OR contact lenses
- You are allowed one full service (exam and eyewear) each calendar year.
- Fixed Co-pays may be available at the time of the eligible service through a participating provider, members and eligible dependents who wish to purchase lenses and coatings not currently covered under the plan may be entitled to a set co-pay, resulting in substantial out-of-pocket savings. Please note that Fixed Co-pays are not refundable.
If you choose to get eyeglasses, there are select lenses and frames covered under the plan:
Covered Lenses include, Single vision, Bifocal and Trifocal Lenses, Photogray Lenses (Glass), Blended Invisible Bifocals, Standard Progressive Addition Lenses, Premium Progressive Addition Lenses, and High Index Lenses. Scratch proofing is covered on plan lenses.
The frame collection includes a large selection in multiple styles and is updated periodically. If you opt for a frame that is not part of the collection, you will be given a $150 allowance from the plan and you must pay the difference to the provider.
If you choose to get contacts:
Plan contacts consist of soft planned replacement or disposable lenses. For plan contacts, a contact lens formulary is used which allows for an initial supply of the most popular and commonly prescribed brands of soft contact lenses. You are allowed $125 toward non-plan contacts. For non-plan contacts, the $125 allowance will be applied toward the total cost of the contacts. Please note that the duration of the initial supply may vary depending on the lens type, wearing habits and prescribing doctor’s instructions regarding replacement schedule.
You can view the full plan details by downloading the UCS Summary Plan Description through the link above.
Dental Plan(Full and Part Time employees)
This plan is for employees in the Unified Court System Full and Part Time bargaining unit represented by CSEA. If you were an employee of the CSEA represented State of New York UCS Full Time bargaining unit and retired on or after April 1, 1998 you may be eligible for continued UCS benefits. Whenever the estimated cost of a recommended dental treatment exceeds $500.00 it must be submitted to the Employee Benefit Fund before work begins.
Legal Services Benefit
This benefit provides assistance with meeting legal expenses for members of the UCS Full Time bargaining unit. Members are free to choose any attorney according to individual needs and type of case. Reimbursement is sent directly to the member.
Limitations and Exclusions
- $1,000 per calendar year (January 1 - December 31) per family.
- Members are reimbursed for legal expenses only to the extent of fees charged and up to the identified maximum for each service. It is important that you discuss with your attorney the estimated charges before you commence any legal work. Charges over the allowances are the responsibility of the member.
- Once you decide to retain legal counsel, you may be required to make an initial payment.
- If a court awards full or partial payment for legal fees, the Fund's payment of allowances shall be reduced by that amount awarded-total will not exceed the amount charged by the attorney.
- Costs of document reproduction, filings, court fees, etc. are not covered nor are second opinion fees.
- Only matters specified in this brochure are covered. Additional exclusions are listed in the General Exclusion section of this Plan.
- You cannot claim services if your represent yourself.
The Attorney's original bill must be attached to the voucher and forwarded to the Fund Office. Write or call the Fund Office for a legal voucher (800) 323-2732 or CSEA EBF, 1 Lear Jet Lane, Latham, NY 12110.
A member of the UCS Full Time bargaining unit can receive the $200 benefit if either the member or the member's wife/domestic partner has a child. Write or call the Fund Office to obtain a Maternity Benefit Claim Form.
Prescription Drug Co-Pay Benefit/Physician Co-Pay Benefit
The Prescription Drug Co-pay and Physician Co-pay benefit allows the member of the UCS Full Time bargaining unit and UCS Retirees to combine co-pays for covered prescription and physician office visits. This means you can submit a maximum of $350 in Prescription Drug Co-pays or $350 in Physician Co-pays or any combination of both with a maximum annual reimbursement of $350. Only one claim will be processed per calendar year.
Complete the claim form and submit it with your itemized pharmacy printout and/or Explanation Of Benefits (EOB) from your health insurance carrier in one combined claim, when you have reached the maximum benefit of $350 for the current calendar year. If you do not accumulate the maximum allowed, submit your claim after December 31 for what you did pay. Deadline for claim submission is March 31 of the following year.
Hearing Aid Benefit
Members of the UCS Full Time bargaining unit can submit for up to $150 per ear once every three calendar years towards the cost of a hearing aid, including charges for its fitting upon the recommendation of a physician or otologist. Submit your completed form with your paid bill and a copy of your doctor's prescription to the Fund Office. The fund does not pay for any repairs, replacement batteries or any appliances or expenses not recommended or approved by a physician or otologist.
Workplace Security UCS Full and Part Time
All CSEA members in good standing who are covered by the Employee Benefit Fund for one or more benefits are automatically enrolled in this program at no cost to the member or employer. Administered by Pearl Insurance, this program insures the member for trauma experienced during specific incidents while in pursuit of their occupational duties; i.e., criminal assault on the job, hostage situations, and accidental death related to an assault. There are specific benefit amounts paid dependent upon conditions explained in the program booklet.
Criminal Assaults while in pursuit of his/her occupational duties and resulting in at least 10 consecutive workdays absent from work immediately following the incident. Submit a completed Workplace Security claim form along with copies of the filed police report signed by the investigating officer which has been reported, in person, within 48 hours of incident, a medical statement certifying the extend of injuries and proof of immediate medical attention. The plan will use the NYS Penal Law, Article 120 as the guidelines for determining assault for all claims.