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Summary Program Description (SPD) Health Benefits
Retirees who wish to continue to waive City health benefits must complete a new Retiree Health Benefits Application selecting to Waive Benefits. The
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New York University Retiree Medical Plan
You must return a completed NYU Retiree Benefits Election Form to PeopleLink within 31 days of the date you retire and become eligible for NYU retiree health.
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2019
Apr 1, 2019 (Whole Dollars Only). Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any,
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