Nyc employee benefits leapfile com 2026

1. Click ‘Get Form’ to open the Retiree Transfer Application in the editor.
2. Begin by filling in your personal information, including your last name, first name, middle initial, home address, and social security number. Ensure all details are accurate for a smooth processing.
3. Next, indicate your date of birth and the agency you retired from. This information is crucial for verifying your eligibility.
4. Select the health plan you wish to transfer to by placing an 'X' in the appropriate box. Remember, you can only choose one plan; selecting multiple will invalidate your request.
5. If applicable, decide whether to enroll in Optional Rider Benefits by checking 'Yes' or 'No'.
6. Finally, sign and date the application at the bottom. Review all entries for accuracy before submission.

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