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Health Benefits Program

Welcome to the New York City Health Benefits Program

Retiree Health Inquiries
Beginning Monday, January 14, 2013 retirees can contact the Health Benefits Program at:

City of New York Health Benefits Program
40 Rector Street-3rd Floor
New York, New York 10006
(212) 306-7600

Retirees can visit the office between 9 a.m. and 3 p.m.

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.  In addition, 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

2011 IRMAA Medicare Part B Reimbursement (Instructions & Form)

2010 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)


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