Your waiver will remain in effect unless you file an MSC Enrollment/Change Form indicating a Qualifying Event to withdraw from the Program.
Similarly, employees who have not enrolled in the Health Benefits Buy-Out Waiver Program may waive City health benefits coverage mid-year only if they incur a Qualifying Event.
The events listed below qualify you for mid-year changes:
Note: Participants will not be allowed to make changes inconsistent with the Qualifying Event.
- A change in family status such as marriage, divorce,
annulment, or legal separation;
- The death of a participant, spouse/domestic partner or dependent;
- The birth or adoption of a child who will be the
- The participant becomes divorced and is required
under court order to provide health insurance coverage for eligible dependent
- The termination of the participant's employment for
any reason including retirement (forms must be submitted to terminate the
Health Benefits Buy-Out Waiver Program);
- A change in spouse's/domestic partner's coverage that is significant and
outside the control of the spouse, e.g., benefit reduction (See Reinstatement
of City Health Benefits Section);
- The participant's spouse/domestic partner has a change in employment
status that results in a change of health insurance coverage, either acquiring
or losing eligibility for coverage (See instructions for reinstatement);
- A change in employment status from part-time to
full-time or vice-versa by the participant or the participant's spouse/domestic
partner (increase above 20 hours or reduction below 20 hours in regular hours worked
The taking of, or returning
from, an approved unpaid leave of absence by the participant or the participant's
- An increase in the non-City group health insurance premium by more than 20% .
If you experience a Qualifying Event, contact your benefits or personnel officer within 30 days after the Qualifying Event to obtain the appropriate forms. Completed forms must be received by the MSC Administrative Office within that time period.
Download FSA Program Forms &
Read the Health Benefits Buy-Out Program FAQ
Learn more about reinstatement of benefits