Get the up-to-date Instructions for completing a Health Benefits Application - NYC gov - nyc 2024 now

Get Form
Instructions for completing a Health Benefits Application - NYC gov - nyc Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit Instructions for completing a Health Benefits Application - NYC gov - nyc online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

With DocHub, making adjustments to your documentation requires just a few simple clicks. Make these quick steps to edit the PDF Instructions for completing a Health Benefits Application - NYC gov - nyc online for free:

  1. Sign up and log in to your account. Log in to the editor using your credentials or click on Create free account to evaluate the tool’s features.
  2. Add the Instructions for completing a Health Benefits Application - NYC gov - nyc for editing. Click the New Document option above, then drag and drop the file to the upload area, import it from the cloud, or via a link.
  3. Adjust your template. Make any adjustments required: insert text and pictures to your Instructions for completing a Health Benefits Application - NYC gov - nyc, highlight information that matters, erase parts of content and replace them with new ones, and add symbols, checkmarks, and areas for filling out.
  4. Finish redacting the form. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and effective. Give it a try now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
NYC Health Benefits Program All current health plans remain in effect. No retiree will be moved into the new Medicare Advantage PPO Plan. No opt-out requests made through Aetna via their call center or website will be processed at this time.
You can docHub NY State of Health by calling us toll free at 1-855-355-5777 (TTY: 1-800-662-1220). If you have questions about health plans, financial assistance, or anything else about NY State of Health please contact our Customer Service Representatives at 1-855-355-5777.
Log into your NY State of Health account at nystateofhealth.ny.gov. Meet with an enrollment assistor to receive assistance with updating your account. Call the NY State of Health Customer Service Center at 1-855-355-5777.
Contact your agency health benefits or payroll office or NYCAPS Central at (212) 487-0500. Department of Education employees should contact HR Connect at (718) 935-4000: For questions concerning eligibility and enrollment.
The MSC Health Benefits Buy-Out Waiver Program allows eligible employees who can obtain non-City group health benefits to waive their New York City health benefits in return for an annual cash incentive payment.

People also ask

The Health Benefits Retiree Client Service Center is open for in-person meetings on Wednesdays only, by appointment only. It remains closed to walk-in visitors. To make an appointment to meet with a Client Service Representative call (212) 513-0470.
To enroll, you must obtain and file a Health Benefits Application at your payroll or personnel office or NYCAPS Central.

Related links