June 1979 Volume 8. No. 4

3 Execs BlockCIR Conlrocf

The Execut ive Directors of threeCity hospi ta ls recent ly urged HHCpresident Hoffman to stop negot iat ingwith CIR on i ts pat ient care demands.

Frank Hays, Len Picol l i and Marvin. , Durel l of Coney ls land, Bronx-

Municipal and Elmhurst Hospi ta lsrespect ively each tr ied to just i fy theirposi t ion of no more talks just as Mr.Hoffman seemed more wi l l ing to workout some agreement wi th ClR.

At stake is over $2. mi l l ion that CIRwould put into the HHC in return forminimum standards for nursing, pat ientt ransporters and laboratory staf f ing.

Jonathan House, CIR president said,"These execut ives have proven theirlack of concern for pat ients. God help

- th is c i ty should decentral izat ion beput into ef fect ."

CIR is cal l ing on the publ ic, com-munity bpards, medical staf f and theBoard of Est imate to look into why anexecut ive director of a non-ClR ci tyhospi ta l was even involved in th isdiscussion.

"How can these adminlstrators turndown money when they are facingcr ippl ing cuts," cont inued House. " lguess we wi l l have to select ivelyrespond to th is new form of indi f fer-ence to the needs of our pat ients."

The CIR is planning to take severalsteps to get these administrators tomeet wi th CIR and central HHC staf f .Should these ef for ts fa i l , more directact ion to get contract ta lks movingagain wi l l resume.

I I I I I I I I I ITI I I I I I

NOTICECIR 1978 Financial Report ,

Page 5

t l l l r r t l r r l l r l l l l

More than 10,000 demonstrators-pr imari ly hospi ta l workers and com-munity members who use themunicipal hospi ta ls-showed up atCi ty Hal l at noon on May 1st to protestMayor Koch's proposed plan to makemassive cuts in the publ ic hospi ta lsysrem.

Thir ty labor unions and more than60 community groups of f ic ia l ly en-dorsed the ral ly, represent ing aformidable coal i t ion of workers,providers and consumers.

Speakers included DC 37 Execut iveDirector Victor Gotbaum; Congress-man Charles Rangel; Rev. HerbertDaughtry, Black Uni ted Front; Dr.Jonathan House, CIR President; DavidBryan, Execut ive Director, New YorkCity 's NAACP; Alma Robinson, Local144, SEIU; Margaret Rooney, N.Y.State Nurses Associat ion; Natal ieDavis, Black Economic Survival ; Dr.

Donald Meyer, Doctors Counci l ; JoseRivera, Uni ted Tremont Trades;Marshal l England, New York Coal i t ionfor Community Heal th and TheresaFuniciel lo, Downtown Welfare Advo-cate Center.

The major focus of the ral ly wasthat the basic human r ight to heal thcare was being attacked by arbitraryplans to shut the very hospi ta ls whichserve the people whose other opt ionsfor hospi ta l care are the most l imi ted.

A charge frequent ly voiced at theral ly, that the Mayor 's plan to cutback the municipals discr iminatesinordinately against the poor andminor i t ies, was given further credenceby the announcement three days laterthat HEW Secretary Joseph A. Cal i -fano had ordered an Off ice of Civ i lRights invest igat ion of the inrpact ofmunicipal hospi ta l c losings here.(See story, page 2).

MAYD,AY RALLY DRAWS THOUSANDS

David Bryan, Executive Directot of the City's NAACP branches, address-ing the May Day rally for City Hospitals.

Hospital workers and community people demonstrating in tront of City Hall.

Page 2

Wins Fed InvestigotionThe perseverence of New York

City 's branches of the Nat ionalAssociat ion for the Advancement ofColored People has succeeded insecur ing a federal c iv i l r ights invest i -gat ion of the lawfulness of the Ci ty 'sproposed municipal hospi ta l cuts. Inihe process, however, the NAACP alsosucceeded in unearthing what appearsto be an attempt by HEW SecretaryCal i fano's of f ice to squelch or fore-sial l the invest igat ion.

In January of th is year, David Bryan,Jr., the City's NAACP ExecutiveSecretary, wrote to Califano request-ing that HEW's c iv i l r ights of f ice lookinto the quest ion of whether theproposed hospi ta l c losings violatedTit le Vl of the Civ i l Rights Act bydepr iv ing minor i t ies of heal th careservices.

Bryan received a negative responseon February 16th. The NAACP wasadvised in a let ter f rom the Directorof l- lEW's Office of Civil Rights thats ince the closings of the municipalhospi ta ls in New York were only"proposed," such an invest igat ionwould be "premature."

Two months later, however, leakeddocumehts revealed that the NAACPwas gett ing the run-around. An in-ternal memorandum from HEW'sOff ice of General Counsel to the Civ i lRights department had advised inJanuary that there rvas c lear jur isdic-t ion to invest igate prospect ive c los-ings, s ince the regulat ions of Ti t le Vlcover " threatened fai lures to comply"with the provis ions of the Act.

Obligated to lnvestigate

Further evidence of cover-up wasan HEW staf f report ent i t led "Ti t le VlPre- lnvest igat ion of ,Ant ic ipated Re-duct ion of Hospi ta l Services in NewYork Ci ty, dated February 15, in whichi t was stated expl ic i t ly that "minor i t ieswill be adversely affected by theclosures in suclr a manner as to con-st i tute a ' r io lat ion of Ti t le Vl" and that"we are obl igated to invest igate."

Subsequently, the NAACP wasadvised that a decis ional memorandumhad been del ivered to SecretaryCal i fano recommending an immediateinvestigation of the New Yorksi tuat ion.

By this t ime the Counci l of Metro-politan tsranches of the l. lAACP hadi ts "snrokinE gun."

of Hospi to l ClosingsNAACP head Bryan charged Secre-

tary Cal i fano with an "at tempt toimpede, delay and obstruct a lawful lymandated civ i l r ights invest igat ion"in a let ter to Attorney General Bel l .Senator Kennedy and CongressmanRangel were also informed of thesuspected cover-up.

The outcome? In ear ly May, theNAACP was informed that the HEWOff ice of Civ i l Rights invest igat ion wi l lbe going forward. CIR and otherunions have been working closely wi ththe NAACP on this invest iqat ion.

aoo

Excerpts from HEW documentson the subject of

the appropriateness ot a Civil Rights

. investigation ot plans lor NYCmunicipal hospital crosures

Department of Health Education andWelfare, Region ll Memorandum fromOffice of General Counsel to Officeot Civil Rights (HEW) Jan. 18, 1979.

"You have asked whether Ti t le Vl andi ts regulat ions establ ish jur isdict ionfor you to invest igate act iv i t ies whichare prospect ive in nature to determinewhether they may create Ti t le Vl v io la-t ions. The answer is yes."

aaa

" ln our opinion these regulat ions makei t c lear that OCR may invest igate com-plains of a i leged violat ions which areprospect ive only."

caa

From: "Title VI Pre-lnvestigation otAnticipated Reduction ot Hospital

NAACP CHARGES CALIFANO COVER.UP Servlces in New York City" DHEWOffice ot Civil Rights February 15,1 979"Based in our pre- invest igat ion re-view, several potent ia l Ti t le Vl v io la-t ions have been raised. The informa-i ion col lected thus far indicates thatminor i t ies wi l l be adversely af fectedby the closures in such a manner asto const i tute a v io lat ion of Ti t le Vl ."

aaa

" . i t is possible that the currentant ic ipated closures are part of anongoing process and that that processis the t ransf er of hospi ta l servicesfrom minor i ty to non-minor i ty areas.

aaa

"Analysis of a 1973 OCR survey ofMedicare hospi ta ls shows that thecombined pat ient load of the munici-pal hospi ta ls was 687o minor i ty, whi lethe pat ient load of voluntary hospi ta lstaken together was only 26Y" minor-i ty. Clear ly, a change in themunicipal hospi ta l system would havea substant ia l impact on minor i t ies."

a a. a

"We could not learn what cr i ter ia arebeing used to determine which hospi-ta ls should be closed or reduced in.- \s ize and which should remair ,open. . . . One source we contactedbrought to our at tent ion the possibi l i tythat minor i t ies have not been includedin the planning process."

aao

"We are concerned by the drast ic re-duct ion in hosoi ta l services contem-plated for Har lem. l t wi l l mean thatwithin the span of a few years threeout of four municipal hospi ta ls servingthe area wi l l be c losed."

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". . . we are obligated to investigatethesi tuat ion. . . "

ll99 Profests Voluntqry Hospitol CutsOn May 23rd at 4 p.m., CIR again

found i tsel f in f ront of Ci ty Hal l pro-test ing projected hospi ta l c losings.This t ime, however, CIR was jo in ingwith Local '1 199 of the represent inghospi ta l workers in the Ci ty 's volun-tary sector. Though some of thepai't icipants were different, the goalswere ident ical to those of the May 1strally - to resist the destruction ofbasic and i r replaceable heal th ser-

v ices which the hospi ta ls are providingin the communit ies. Off ic ia l ly repre-sent ing CIR at the 1199 ral ly wereDavid Stolow, senior contract admin-istrator, and Dr. Gary Myerson, CIRDeiegate f rom Brooklyn Jewish. CIRis hopeful that a l l the major hospi ta l - .1workers unions wi l l get together soonin the struggle to maintain al l servicesunt i l a rat ional heal th plan is devei-oped for New York City.

Page 3

el iminated in accordance with lastyear 's const i tut ional changes. The newDelegates wi l l be seated in June andwi l l cont inue unt i l replaced next year.

Coney ls land (743-4100)

Ashok GidwaniJerome Mathias

Elmhurst (830-1823)

Vincent MaroneAvi BarbashJoseph Solomito

Englewood Hospital (201-568-3400)

Lucas LewinMauric io Demelo

Harlem (694-8127)

Linnea Lacef ie ldEric BuffongAriy ie Manu

Jersey City Medical Center(201-451-9800)

, Richard Hay'sKiran Patel

Kingsbrook (756-9700)

Rajat Mukher j iBabu Jasty

Kings county/SUNY(735-3131 270-240r)

Concha MendozaStuart LewisFred BraunsteinMark GrebenauVincent Pesir iSteven Kaner

Lincoln/ Miser icordia(663-3000 578-5000)

Dino Delapor iasAldy Castor

Long fsfand Jewish (470-260L)

Al len Perelson

NEW DELEGATES ELECTEDMay is always elect ion month for

ClR. This year, however, there is onemajor change. Al l those elected tooff ice are fu l l Delegates, the posi t ion

of Alternate Delegate having been

Albert Einstein/Bronx Municipal(430-2000 430-5000)

Al lan EgelmanKaren HopenwasserAndrew BreimanTerry FitzgeraldWil l iam Greenberg

Bel levue/ NYU(561-4141 697-3200)

Zandla Rios-RiveraMichael GraffBarney SpivakRichard BaronJa.n Horn

Beth lsrael (420-2OOO)

John Anol ikKatka HorskaDavid Mann

Bronx-Lebanon (588-70OO)

Robert Morel loRaiful Tompkins

Brookdale (240-5000)

Mark ScheierSteve SimonsToni Fields

BrooklynT Gumberland(27O-440O 62s-1880)

Charles Sul l ivanP.K. Chemit igant i

Brooklyn Jewish/ GreenPoint(240-1000 387-3010)

Gary MyersonSteven Fi nk

Cathol ic Medical Center (291-3300)

Emil Levine

As we go to press, we are st i l lwait ing for returns from several hos-pi ta ls where bal lot ing is being con-ducted through the mai ls. The l is tto date fol lows:

Maimonides (270-7600)Jakow ShaniStuart Baine'Corrado Marini

cMDNJ (201-643-8800)Susan GrossmanKenneth CaseyJenna RuddJohn M. KramerDavid Lin

Metropol i tan/Coler/NY Medical Col lege(.360-6262 688-9400 679-3200)

Neal Mit tmanSandy TurnerAmy Robbins

Montefiore/ NGB(92O-532L 920-717t)

Donald SchochDavid FinleyJanet StrainTimothy Doran .Mark Linzer

Mt. Sinai (650-6500)Jeffrey JacobsonStephanie SeremetisDavid Cohen

New Rochelle (914-632-5000)Marino Ruiz

Statenls land (390-9000)Douglas MenikheimCharles Vonfrol ie

Westchester (914-347-7000)Howard HoffmanCynthia Lawrence

Wyckoff Heights (936-72721K.V.S. ChowdaryNiranjan Shah

HOFFMAN FIGHTS KOCH ON ATTRITION split Reveoled by tnternol /vlemoI t has come to l ight that HHC

President Joseph Hoffman is at oddswith Mayor Koch over the stated pol icyto cut $20 to $30 mi l l ion dol lars f romihe 1980 City budget through ai t r i t ionof municipal hospi ta l staf f ing. ln aMay 1Sth memorandum from the l - lHCPresident to the Mayor, obtained bYDC 37's Public EmPloYee Press,Hoffman coniends that past attrit ion

r.* ' - pol ic ies have already ser iously dam-aged the City hospi ta ls, and that anyfurther pursuing of th is pol icy wi l lundermine the viabi l i ty of the munici-pal system as a whole.

In the memo, Hoffman warns theMayor that "corporat ion hospi ta ls are

already understaf fed to the pointwhere this at t r i t ion program cannotbe implemented without destroyir lgthe hospi ta ls ' capaci ty to del iver safemedical care."

The at t r i t ion pol icy should be"abated," argued Hoffman, and theCity 's energy be put into increasingrevenues rather than cutt ing services.

Al though the Mayor gives no indi-cat ion of having responded to th isHoffman's memo in terms of changinghis own pol icy on at t r i t ion, i t appearsthat pressure is mount ing on him todeal wi th the grave qual i ty-of-careissues which have been raised beforeHoffrnan and the general pubi ic

by Commit tee of lnterns and Resi-dents, DC 37 and the NAACP andmany others.

Public Employee Press has notedthat some observers refer to theattrit ion program as a deliberatepol icy of " internal col lapse," wherebythe municipals are al lowed to s lowlystarve to death unt i l deter iorat ingcondi t ions orovide a rat ionale forc losing or giv ing away the inst i tut ions.

Hoffman has publ ical ly c let t ied thatthe memo is his, and argr:ed furtherat Budget i- learings that the rnemowas never sent to ihe it layor. As thiscont i ic t proceeds the qual i ty of careand training cont lnue to deter iorate.

Page 4

Every Third Night . . . Contrqct Closed . . . Dentists WinSlqve Lqbor Endsot WCMC

CIR was contacted by two WCMCneurology residents who were sched-uled to work in excess of the every-third-night on-cal l duty set for th asa maximum by the CIR contract . Agr ievance was f i led wi th WestchesterCounty demanding that the Countyf ind other physic ian coverage, so thatthe on-cal l schedule for the tworesidents would be contract-compl iant .

The County fa i led to provide theaddi t ional staf f and the two residentswere forced to work every other nightior March and part of Apr i l , 1979. CIRf i led for arbi t rat ion demanding thatthe residents be paid as moonl ightersfor each hour they worked in excessol one night in three. On the day thearbi t rat ion was scheduled to takeplace, the County informed CIR thati t uras wi l l ing to discuss a set t lement.After several hours of negot iat ing, theCounty agreed to: (1) pay each ofthe residents $1500, computed by anhour ly moonl ight ing rate for each ofthe hours they worked in excess ofevery th i rd night, and (2) that neurol-ogy residents work pu,rsuant tocontract no more frequent ly than onenight in three.

Bronx Lebqnon WinsMinirnum StundordsFor Potient Cqre

The Bronx Lebanorr housestaffrecenttry rat i t ied a new contract whichis precedent-sei t ing in i ts inclusionof minimum standards of staf f ing andequipment. The hospi ta l , recogniz ingthe rnutual concern of housestaffand adrninistrat ion to provide the bestcare possible for Bronx Lebanonpatients, agreed to create a PatientCare Commit tee which wi l l be re-sponsible for establ ishing rninimumstandards for staf f ing and equipment.The standards musi be approved bythe Medical Board. The hospi ta l wi l lbe requirerJ to give not ice of anyproposed changes, and the Pat ientCare Commit tee rv i l i make the f inaldecis ion on such proposals. Repre-sented on the Commit tee wi l l behousestaff, ai:teirdings, nurses and wil linclude, at the very least , s iEni f icantinp'ul t f r r : rn anci l lary personnel . CIR

VOLUNTARY UPDATEapplauds Bronx Lebanon Hospi ta l forshowing concern and commitment forits patients.

The contract wi l l be in ef fect fortwo years commeric ing October 1,1978. Housestaf f wi l l receirre a 7.5"/"wage lncrease on February 1, 1979,and a 7oh increase on January 1, 1 980in exchange for the two-month delayin the wage increase for the f i rst yearof the contract (other voluntary hos-pitals settled on 7.5o/o effectiveDecember 1, 1978). The hospi ta l wi l la lso s igni f icant ly improve the dentalbenefits available to housestaff.

Other demands agreed to in pr in-ciple were as follows: 24 hour-a-day,7 day-a-week access to all x-ray fi lesand medical record rooms; pastpract ice wi th regard to subst i tutecoverage for housestaff officers whomiss work due to long-term i l lnessand predicable absences ( includingl icensure exams and pregnancies);receipt by housestaff of medical exam-iner reports on a timely basis;7Vzmonths wr i t ten not ice of non-renewalof an indiv idual 's contract ; access byhousestaf f to personnel f i les; provis ionof on-cal l schedules 30 days pr ior torotat ional per iod; no discr iminat ionagainst any housestaff officer basedon disabi l i ty or solely on place oimedical educat ion; past pract ice wi thregard to educat ional leave t ime andreimbursement; no unreasonabledenial of t ime of f wi th pay to takel icensure, special ty, immigrat ionexams or job interviews; beepers foral l housestaf f wi th pr imary careresponsibi l i t ies; greater var iety ofmeals (kosher and vegetar ian) at noadditional cost, hot breakfast sevendays a week; and greater variety ofmidnight snacks with cof fee and teaavai lable at n ight in housestaf f lounge.

Bronx lebqnon DentislsWin Full RecognitionAs Housestoff

In February, 1979, CIR was informedof the practice of the Dental Programat Bronx Lebanon Hosoi ta l whicheffect ively excluded el ig ib le CIRmembers f rom the benef i ts ( includingvuages) which are provided to house-staff under contract. The Dentaldepartment nad created a "paral le ldenial t ra!ning program" which"paral le led" the program for general

pract ice dental interns in al l aspectsexcept wages, benef i ts and r ights.Each of the three "paral le l" dent istswere being paid $5,000 per year, incontrast to a PGY-1 salary of $16,736.After a fu l l invest igat ion, CIR discov-ered that the three dent ists in theparal le l program had rotat ions ident i -cal to those of the dental interns,were appointed as housestaff officers,and were to receive cert i f icatesident ical to those of the dental interns.They were, in fact, housestaff otficersent i t led to al l the benef i is af forded toother housestaf f at Bronx Lebanon.CIR immediately f i led a gr ievancedemanding ful l recogni t ion of thethree dent ists as housestaf f , including,but not l imi ted to wages, benef i ts,working condi t ions and due processr ights set for th in the CIR/BronxLebanon contract .

The hospi ta l denied the gr ievanceat the f i rst step and a hear ing washeld at the second stbp before theHouse Staf f Af fa i rs Commit tee. TheHSAC ruled that the three "oaral le l"dentists were housestaff officersident ical to those recognized as dentalinterns, and were therefore fu l lyent i t led to al l r ights and benef i tsafforded other housestaff. The hospitalthen at tempted to negot iate a set t le-ment. Recogniz ing the f inancialproblem facing the hospi ta l and theamount of t ime that might be involvedin going to arbi t rat ion, the threedentists agreed to accept PGY-1salary retroact ive to October 1, 1978,instead of our or ig inal demand askingfor payment retroact ive to theirappointment date of July 1, 1978. Inaddi t ion, a l l of the dent ists hired {orthe next year wi l l be fu l ly recognizedas housestaff officers and wil l receivewages and benef i ts in accoroancewith the CIR/Bronx Lebanon contract .

Residenf DoctorslThose who leave the City sys-

tem should leave a forwardingaddress for possible refunds dueto f ines, delayed paychecks oradjustmenis. Addresses should begiven to your hospi ta l , the HHGand the C!R. Thanks.

Page 5

1978 FINANCIAL REPORT OF CIRNOT|cE: ln accordance with New York State laws regulat ing labor unions, wereproduce herewith c lR's f inancial statement for 7978. A copy of the fu l l audi tedf inancial report is avai lable to members upon wri t ten request or at the c lRoff ice,386 Park Avenue South, N.Y., N.Y. 10016, f rom 9 a.m. to 5 p.m., Mondaythrough Friday.

COMMITTEE OF INTERNS AND RESIDENTSStatement of Cash Received and Disbursed

For the Year Ended December 31. 1978Cash ReceiptsDues $428,391fnterest on savings account 796Dividends 600Reimbursements - HSBP 10,743Reimbursement-Project Help . . 1,904NAEBM-Rent Reimbursement . . . 15,364PostageandMai l ingReimbursement. . . . 3,010Travel Reimbursement 1,040Subscr ipt ions to Bul let in 140Legal Disbursement Fund 50Cleaning Expense Refuno 18Insurance Refund 100

Total Receipts. . . . . $46rJ56

Gash DisbursedPNHA Dues $ 58.700GrossSalar ies. . . . 154,705Off ice and Administrat ive Expenses 1,20,026Educat ional and Publ ic i ty 11,502Professional Fees . . 62,919Employee Benefi ts 14,61.9Purchases of Fixed Assets . 3,767Payrol l Taxes Paid . . 13,062Convent ions, Delegates & Meet ing Expenses 11,351Farbs and Travel . 11,581Subscr ipt ions t ,892Rental Commission . 2,000Dues Refunded . . . . 150Donat ions 7E

Total Disbursements $466J43

ExcessofDisbursementsoverReceiptS.. ' . ru

Cash in Bank/January I , Ig78 re

Cash in Bank/December 31, 1978 re

Lett to right: Dr. Kenneth Casey,Senator Harrison Williams, CIRAshok Modh.

Dr. David Lin. Dr. Janet Lin. Dr. Kiran Patel,contract administratot Doreen Coppes, Dr.

WRITE FORLABOR LAW COVERAGE!

Housestaff 's right to be covered bynat ional labor law is of ten chal lengeddespi te the c lear intent of the or ig inalNLRA legislation to protect housestaffas hospi ta l employees.

Senator Harr ison Wil l iams of NewJersey (pictured with CIR Delegatesand staf fers) is a supporter of a bi l lwhich amends the NLRA in order tospeci f ical ly c lassi fy voluntary hospi ta lhousestaff as employees with rightsto organize and bargain under Sect ion7 of the Act.

This bi l l , l ike i ts companion bi l l inthe House of Representat ives, H.R.2222, sli l l needs your support.

Voice your support for the SenateBi l l by wr i t ing Senators Daniel Moyni-han and Jacob Javi ts of N.Y. andHarr ison Wil l iams of N.J. , c/o U.S.Senate, Washington DC 2051 5.

N.J. HousestoffGrows in Pines

Contract negotiations betweenCMDNJ and CIR resumed June 16.A series of housestaff meetingsthroughout the CMDNJ system haveresul ted in some changes in ourin i t ia l bargaining posi t ion. l t is hopedthat the conci l iatory approach byHO/ClR wi l l be met by a more openatt i tude on the part of the Col legeand that negot iat ions wi l l f inal ly beginmaking some headway.

Jersey City housestaff have heldtheir f i rst bargaining session for anew contract and have presentedproposals to the Administrat ion. Chiefamong the Jersey City proposals isthe cal l for addi t ional housestaf f .

Englewood Hospi ta l a lso begannegot iat ions th is month and the hos-pi ta l and CIR have held one meet ingat Englewood. Housestaff are primar-i ly concerned with the qual i ty of theteaching program and a more equi t -able systems for processing non-renewals.

Final ly, the newest New Jersey CIRhospi ta l Bergen Pines County Hospi ta l ,is prepar ing for a representat ionelect ion June 15. At a recent hear ingbefore PERC the hospi ta l and CIRagreed to the uni t , the place, t imeand date for the elect ion. The BergenPine housestaf f commit tee tel l us thehousestaf f is strongly behind CIR andawait inq their chance to go to thebargaining table.

Page 6

|.ISBP NIEYVSBrush Up On Dentql Benefits!

by DONALD RUBIN, HSBP Administrator

As the new benef i ts plan admin-istrator, I am struck by one glar ingfact about our pattern of insuranceclaims-our dental benef i ts arestr ik ingly underused. l t is d i f f icul t toknow whether the busy schedules ofhousestaff causes them to delaycare or whether they have simplyneglected to f i le c la ims on care theyhave received because they don' trealize they are covered for payment.

In any case, you should know thatCity-payroll housestaff, spouses andchi ldren can each be reimbursed forup to $1000 per year (July 1st throughJune 30th) for dental services. Thedental p lan is provided througha commercial insurance carr ier . Pay-ment is based on a schedule which

I

T0: House Staff Benefits PlanCommittee of Interns and Residents386 Park Avenue South 11th Floor"New York NY 10016

Please send a dental claim form to;

pays fees for each procedure. Al-though the plan gf ten does rrot p ickup 100% of the dent ist 's charge,many pract i t ioners wi l l , i f asked inadvance, accepted the plan's reim-bursement as payment in fu l l .

We plan to develop, over the nextfew months, a panel of dent ists wi l l ingto work wi th in the fee schedule, sothat members who are concernedabout having to pay the di f ferencebetween the schedule and the actualcharge wi l l have the opt ion of beingcovered in fu l l for services providedby one of the cooperat ing dent ists.

lf you have used the services of adent ist s ince September 1, 1977 whi leon the City payrol l and haven' t soughtreimbursement, contact the HSBP

ottice (212-725-5504) for a claims form,or send in the coupon on this page.The HSBP Trustees are concernedthat you make the ful lest use of thebenef i ts to which you are ent i t led!

I AddressII cityL_____

Notice. toCity-Pqid Housestuff

Housestaff officers who are onthe City payrol l and who wi l l com-plete their t ra in ing on June 30,1979, have the opt ion of convert-ing their CIR group insurance toan indiv idu: t Prudent ia l pol icy i fthey so desire.

The r ight to convert expires 45days from June 30th.Those housestaf f who wish to takethis opt ion should cal l Mr. John C.Lipsey, Prudential, (212\ 697-7595.

Name

State Zip -I

@TTT]TNCommittee of Interns and Residents

386 Park Avenue Southl lew York, NY 10016

Address Corroction Requost€dRetum Postage Guaftntsed

NON-PROFIT ORG.U.S. POSTAGE

PAID

NEW YORK, N.Y.Permit No. 9621

"€mF!,o'