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Health Benefits Program

Welcome to the New York City Health Benefits Program

Health Benefits Program Fall Transfer Period
The 2014 Health Benefits Program Fall Transfer Period will take place this year for both employees and retirees.

Active employees will be able to participate throughout the month of October.

Retirees can participate in a Transfer Period every other year, in even numbered years, and will be able to do so this year throughout the month of November.

During a Transfer Period, employees and retirees will have the opportunity to change plans. Employees will also be able to add or drop a rider, add a dependent, and make other changes that are not normally permitted during the rest of the year. Changes made during this Transfer Period will take effect in January 2015.

 
This Summary Program Description (SPD) provides you with a summary of your health benefits under the New York City Health Benefits Program.  It includes general program information concerning your benefits and responsibilities as well as important details that you must know about eligibility, enrollment and health plans available to employees and retirees. 

You can print the entire Summary Program Description Booklet or a specific section you are interested in.   

Below are links to other important information related to your health benefits.

Health Benefits Application (Not for use by NYCAPS Agencies)

Frequently Asked Questions - Retiree Benefits

Frequently Asked Questions - Medicare Part B Reimbursement

2010 IRMAA Medicare Part B Reimbursement (Instructions & Form)

2011 IRMAA Medicare Part B Reimbursement (Instructions & Form)

2012 IRMAA Medicare Part B Reimbursement (Instructions & Form)

2013 IRMAA Medicare Part B Reimbursement (Instructions & Form)

COBRA Form, Notice of Rights and COBRA Rates

Retiree Change of Address Form (PDF)

Notice - Early Retiree Reinsurance Program

Young Adult Coverage To Age 26 (Federal PPACA)

Young Adult Option Through Age 29 (NYS Law Chapter 240)

New York State Marriage Equality Act

Domestic Partner Enrollment Information

Creditable Coverage Notice (Employees Age 65 or Over)

Form 1054 (For Use By Authorized Personnel Only)

Health Insurance Marketplace (Exchange) Notice