Once the deductible is satisfied, this plan provides benefits for eligible expenses that your basic plan may not fully cover. Coverage includes but is not limited to:
Please note: This coverage is not long-term care or nursing home insurance.
How Can I Enroll in the CMM Plan?
NYSUT members cannot currently enroll in the CMM Plan. However, an open enrollment period will be held September 1, 2020 – September 30, 2020, for coverage effective January 1, 2021. Eligible NYSUT members and their eligible family members may enroll in the CMM Plan during open enrollment. In addition, current CMM Plan participants may add eligible family members who are not currently enrolled in the CMM Plan during this time. Please refer to the CMM Plan Highlights document for more details..
Current CMM participants also have the ability to add dependents through a "life event" process which is outlined in the CMM Plan Document. Newly acquired dependents can be added within 60 days of the "life event." Contact us for details.
You may select from the following convenient payment options:
If your benefit period effective date is December 31, 2017, or before, please contact Mercer Consumer regarding claims processing. This applies to individuals who are submitting claims under the $15,000 or $25,000 deductible CMM plans. Please refer to the following details for claims under this plan:
These form(s) and documents are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.
|CMM Plan Document - Voluntary Plan|
|CMM Plan Highlights - Voluntary Plan|
|Catastrophe Major Medical Plan – Certificate $15,000|
|Catastrophe Major Medical Plan – Certificate $25,000|
|Catastrophe Major Medical Plan – Plan Document $15,000|
|Catastrophe Major Medical Plan – Plan Document $25,000|
|Catastrophe Major Medical Plan – Change Form|
|Catastrophe Major Medical Plan – Notice of Privacy Practices|
|Catastrophe Major Medical Plan - Domestic Partner Affidavit|
|Summary of Benefits and Coverage (SBC) - 2020|
|Glossary of Health Coverage and Medical Terms|
|Payroll Deduction Card|
|Pension Deduction Card|
The Claim Administrator for benefit periods prior to 1/1/18:
M-F 9a-9p ET, Saturday 9a-2p ET
For claims filed with a benefit period effective date of January 1, 2018, or beyond: