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an enhanced network of urgent care facilities.

                   (7) The JCHB will work with the State to implement a direct debit

                vehicle or electronic submission to enhance the Medical Flexible
                Spending  Account  by  January  1,  2019,  or  as  soon  as  practicable

                thereafter.
                   (8) The JCHB shall study the feasibility of a  two-person premium

                structure.
                   (9) The procurement process conducted by the Department of Civil

                Service regarding contractual services for the Empire Plan will include
                CSEA Joint Committee on Health Benefits involvement as follows:

                       •  Review and comment on the draft RFP before it is released
                       •  Attendance at the pre-bidders conference

                       •  Sufficient time for the Joint Committee to access and review the

                          technical proposals prior to management interviews
                       •  Participation in Management Interviews and Site visits

                       •  Attendance at a formal cost proposal briefing

                       •  Recommendation of a vendor
                   Due to the proprietary nature of the materials  included  in the cost

                proposals, the Joint Committee on Health Benefits will not have access
                to the actual cost proposal.  The State reserves the right to make the final

                selection of a vendor after discussion with and consideration of CSEA’s
                recommendation.

                   (10) The JCHB and the State will oversee and monitor a network of
                participating hearing aid providers.

             (e) The Joint Committee shall work with appropriate State agencies to
           review and oversee  the various health plans  available  to employees

           represented by CSEA.

             (f) The Joint Committee on Health Benefits shall work with appropriate
           State agencies to monitor future employer and employee health plan cost
           adjustments.

             (g) The Joint Committee shall be provided with each carrier rate renewal

           request upon submission and be briefed in detail periodically on the status
           of the development of each rate renewal.

             (h) The State shall require that the insurance carriers for the State Health
           Insurance Plan submit claims and experience data reports directly to the

           Joint Committee on Health Benefits in the format and with such frequency

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