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Health Benefits Program

Welcome to the New York City Health Benefits Program

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.

Cyber-Attack Impacting Empire Blue Cross Blue Shield
Anthem, Inc., the parent company of Empire Blue Cross and Blue Shield, one of the City’s health insurance providers, was the victim of a highly-sophisticated cyber-attack. Anthem has informed us that its member data was accessed, and could include that of City employees. Anthem has created a website –, and a hotline, 1-877-263-7995, for its members to call for more information about the cyber-attack.

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

Health Benefits Application (Not for use by NYCAPS Agencies)

COBRA Form, Notice of Rights and COBRA Rates

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

Domestic Partner Enrollment Information

New York State Marriage Equality Act

Case Management (for GHI-CBP/EBCBS members)

Frequently Asked Questions - Retiree Benefits

Frequently Asked Questions - Medicare Part B Reimbursement

2012 IRMAA Medicare Part B Reimbursement (Instructions & Form)

2013 IRMAA Medicare Part B Reimbursement (Instructions & Form)

2014 IRMAA Medicare Part B Reimbursement (Instructions & Form)

Retiree Change of Address Form (PDF)

Notice - Early Retiree Reinsurance Program

Creditable Coverage Notice (Employees Age 65 or Over)

Form 1054 (For Use By Authorized Personnel Only)

Health Insurance Marketplace (Exchange) Notice