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Health Benefits Application Health Benefits Program 40 Rector Street 3rd Floor New York, NY 10006 (212) 5130470 TTY/TDD: (212) 3067753 www 2025

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The document is a Health Benefits Program Application/Change Form for employees and retirees of New York City. It outlines the process for enrolling in or making changes to health benefits, including adding or dropping coverage for spouses, domestic partners, and dependent children. The form requires personal information, reasons for submission, and includes instructions for completing the application. It also lists available health plans for both non-Medicare and Medicare-eligible retirees.

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See more Health Benefits Application Health Benefits Program 40 Rector Street 3rd Floor New York, NY 10006 (212) 5130470 TTY/TDD: (212) 3067753 www versions

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2019	4.8 Satisfied (206 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I contact NYC DOE health benefits?

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. For questions regarding deductions for health benefits.

How do I contact NYC retiree health benefits?

Once enrolled in the Health Benefits Buy-Out Waiver Program, you will receive your cash incentive payments in two taxable installments each year, one in June and the other in December. For Plan Year 2023, the annual incentive payments are: $1,000 for waiving family coverage. $500 for waiving individual coverage.

Do NYC retirees pay for health insurance?

Medicare Part B Reimbursement The City reimburses retirees and their eligible dependents for Medicare Part B premiums paid, excluding any penalties. You must be receiving a City pension check and be enrolled as the contract holder for City health benefits in order to receive reimbursement for Part B premiums.

What is the NYC health benefits buy out waiver program?

Office of Labor Relations Health Benefits Program When you start receiving a pension from NYCERS, you may be eligible for City-paid health insurance benefits. Health benefits are not offered or administered by NYCERS.

How do I contact the NYC retirement system?

Contact NYCERS Call Center at (347) 643-3000 to ask a question about your pension account or to report an issue. Please have your Member or Pension number ready. For callers outside the New York City area, NYCERS toll-free number is (877) 669-2377.

40 rector street phone number

health benefits program retiree application/change form NYC DOE health benefits enrollment www.nyc.gov olr health benefits HR Connect NYC DOE health benefits NYCAPS NYC DOE health insurance Open Enrollment 2024 NYC gov OLR forms Health Benefits Buy-Out Waiver Program

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How do I contact via benefits?

Via Benefits can help you find ways to control health care expenses for your company or business. Contact us today at 1-866-322-2824 (TTY: 711) or go to wtwco.com.

Do NYC employees get health insurance after retirement?

The Essential Plan: Has no deductible, so the plan starts paying for your health care right away. Covers comprehensive benefits, including dental and vision, inpatient and outpatient hospital care, prescription drugs and more. Covers free preventive care like routine exams and screenings.

Health Benefits Application Health Benefits Program 40 Rector Street 3rd Floor New York, NY 10006 (212) 5130470 TTY/TDD: (212) 3067753 www 2025

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How to rapidly redact Health Benefits Application Health Benefits Program 40 Rector Street 3rd Floor New York, NY 10006 (212) 5130470 TTY/TDD: (212) 3067753 www online

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How do I contact NYC DOE health benefits?

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Do NYC retirees pay for health insurance?

What is the NYC health benefits buy out waiver program?

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