Employees who transfer from one agency to another within the City must notify the FSA Administrative Office at least 30 days prior to the transfer.

Employees who take an approved unpaid leave of absence must complete the MSC Health Benefits Buy-Out Waiver Program Enrollment/Change Form to withdraw from the Health Benefits Buy-Out Waiver Program. Returning employees who wish to be reinstated into the Program must re-enroll by completing an MSC Health Benefits Buy-Out Waiver Program Enrollment/Change Form and submitting it within 30 days after returning to work.

Download the Health Benefits Application (PDF) 

Download FSA Program Forms & Brochures

Read the Health Benefits Buy-Out FAQ