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Action Required to Maintain Health Insurance Coverage for Your Dependents

Dear City Employee/Retiree,

The New York City Health Benefits Program has partnered with an independent firm, Health Management Systems, Inc. (HMS) to verify that all dependents enrolled in the NYC Health Benefits Program meet the City’s eligibility guidelines for City health insurance benefit coverage. Eligible dependents are defined in the City’s Health Benefits Summary Program Description (SPD) as:

  • Your legally married spouse,
  • Your registered Domestic Partner,
  • Your child* up to age 26, and
  • Coverage may be continued for an unmarried child of any age who is incapable of self-support due to a mental or physical disability.

To ensure your dependent(s) maintain their coverage under the NYC Health Benefits Program, action will soon be required by you.


Step 1 Step 2 Step 3 Step 4

Get Ready

Gather Required Documents* and Confirm Address on File With Your Health Plan

Look for Your Letter from HMS

This Will Be Mailed to Your Home Address Within the Next 12 Months and Will Detail the Steps Required to Continue Coverage for Your Enrolled Dependent(s)

Submit Documents to HMS

Mail, Fax, and Online Upload Will Be Available

Finish

Await Final Confirmation from HMS on Dependent Verification

*Please see below for resources available to obtain vital records:

City of New York and HMS logos with the words Dependent Eligibility Required Documents

National Center of Health Statistics


Spouse
  • A copy of your government-issued marriage certificate AND
  • One of the following:
    • A copy of the front page of your 2025 federal tax return confirming this dependent is your spouse.
    • A document dated within the last 90 days showing current relationship status. The document MUST list your spouse's name, the date and your mailing address.
      • Note: Healthcare bills will not be accepted as proof of eligibility as healthcare coverage is being verified.
      • EX. Recurring monthly household bill or statement of account.
Domestic Partner
  • A copy of your government-issued certificate of domestic partnership AND
  • A document dated within the last 90 days showing current relationship status. The document MUST list your partner's name, the date and your mailing address.
  • Note: Healthcare bills will not be accepted as proof of eligibility as healthcare coverage is being verified.
  • EX. Recurring monthly household bill or statement of account.
Child
  • A copy of the child’s government-issued birth certificate or adoption certificate naming you or your spouse/partner* as the child's parent. The document MUST list the first and last names of the child and parent(s), OR
  • A copy of the Court order naming you or your spouse/partner* as the child’s legal guardian.

*Note for a stepchild: If you are covering a stepchild or child of your domestic partner, you must also provide documentation of your current relationship to your spouse or domestic partner.


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