Business Details
36 Years
experience
Trusted Health Insurance for School Employees in Patchogue, NY
Established in 1990, East End Health Plan has been dedicated to providing comprehensive health insurance benefits for school employees across the East End of Long Island. Our consortium model, governed by a Board of Trustees representing both employers and employees, ensures cost-effective solutions tailored to the unique needs of educational institutions. With over 2,000 participants, we offer medical, prescription drug, and vision coverage, supported by a flexible benefit plan for participating districts.Our administration team maintains partnerships with specialized vendors to streamline claims processing and deliver targeted wellness programs. Through transparent governance and a focus on long-term sustainability, we remain committed to safeguarding the health and financial well-being of educators and their families.
Services
Health Insurance
Prescription Drug Plan
Vision Coverage
Flexible Benefit Plan
Wellness Programs
Medical Claims Processing
Employer Group Waiver Program
Details
- Year established: 1990
Highlights and features
- We offer cost-effective health insurance solutions specifically designed for Long Island school districts.
- Our consortium model provides access to comprehensive medical, prescription, and vision coverage.
- Flexible benefit plans are available to participating districts through our structured administration.
- Governed by a balanced Board of Trustees representing both employers and employees.
- We maintain partnerships with specialized vendors to ensure efficient claims processing and service delivery.
Services
Health Insurance
East End Health Plan provides comprehensive health insurance for school employees across eastern Long Island. Our plans cover hospitalization, outpatient care, and preventive services through a preferred provider network. With structured governance and cost-effective pricing, we ensure educators receive reliable medical coverage tailored to their professional needs.
Prescription Drug Plan
Our prescription drug program offers mail-order and retail pharmacy options for plan participants. Administered through ProAct pharmacy services, the plan provides competitive pricing on medications with streamlined claims processing. This service ensures convenient access to essential pharmaceuticals for covered employees and dependents.
Vision Coverage
Vision care benefits include coverage for eye exams, glasses, and contact lenses through Davis Vision. Participants receive access to a network of vision care providers with standardized reimbursement rates. This service simplifies vision health management while maintaining cost controls for the plan.
Flexible Benefit Plan
The flexible benefit program allows employees to customize their coverage through pre-tax spending accounts. Administered by JJ Stanis Company, this option includes healthcare and dependent care reimbursement accounts. It provides financial flexibility while helping participants maximize their benefits package.
Wellness Programs
Our wellness initiatives promote preventive care and healthy lifestyle choices among plan members. Programs include flu shot clinics, health screenings, and educational resources on medical conditions. These services aim to improve overall health outcomes while supporting long-term cost containment for the plan.
People
Frank Perry
Operations Administrator
Frank Perry oversees day-to-day operations and serves as the primary contact for plan participants. With extensive experience in health plan administration, he manages vendor relationships and ensures compliance with regulatory requirements for the consortium.
Lauren Porter
Chairperson
As Chairperson of the Board of Trustees, Lauren Porter represents East Quogue UFSD teachers. She brings over 15 years of educational leadership experience to guide policy decisions and ensure balanced governance between employer and employee interests.
Paulette Ofrias
Vice Chairperson
Paulette Ofrias serves as Vice Chairperson representing Southold UFSD school board. Her background in educational administration informs strategic decisions about benefit structures and financial sustainability for the health plan.
Courtney Rocklein
Principal Office Assistant
Courtney Rocklein provides administrative support for plan operations and documentation. She assists with communication between trustees, vendors, and participating districts to maintain efficient plan management.
Questions
Who is eligible for East End Health Plan coverage?
Active and retired employees of participating Long Island school districts qualify for coverage through our consortium model.
How do I submit medical claims?
Medical claims should be submitted directly to Anthem BlueCross at the specified mailing address for processing.
What prescription drug coverage options exist?
Our pharmacy benefits include retail and mail-order options administered through ProAct pharmacy services.
What vision care benefits are included?
Vision coverage includes eye exams, glasses, and contact lenses through Davis Vision's provider network.
Are flexible spending accounts available?
Yes, the Flex Plan Benefit Program allows pre-tax spending for healthcare and dependent care expenses.
