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(4) In  cooperation with the State, the Joint Committee on Health

         Benefits will review the implementation and ongoing oversight of an

         Annual Health Insurance Enrollment Opt-out.
               (5) The Joint Committee on Health Benefits will work with the State

         to study the feasibility of an inclusive statewide "carve-out" program for
         prescription drugs.

               (6) The JCHB will work with the State and medical carrier to develop
         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.

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