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Changes in Status
Flexible Spending Accounts Programs
Effective Dates of Coverage
Health Plan Premiums
Transfer to Another City Agency
Change Union/Welfare Fund
Termination and Reinstatement
Leave of Absence Coverage
COBRA
Special Continuation of Coverage
Disability Benefits
Medicare-Eligible Employees
Coordination of Benefits (COB)

Health Benefits Videos

Attend a Health Benefits Seminar

Forms and Downloads

Responsibilities & Health Benefits Assistance

Choosing a Health Plan

Enrollment

PICA

Changes in Status

Flexible Spending Accounts Programs

Effective Dates of Coverage

Health Plan Premiums

Transfer to Another City Agency

Change Union/Welfare Fund

Termination and Reinstatement

Leave of Absence Coverage

COBRA

Special Continuation of Coverage

Disability Benefits

Medicare-Eligible Employees

Coordination of Benefits (COB)


NYC Health Benefits Program

Changes In Family Status - Adding/Dropping Dependents. Extension of the 30-day period to request to add/drop dependents. Employees should report all changes in family status to their 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) not later than 30 days after the end of the Outbreak Period. Changes include adding a dependent due to marriage, domestic partnership, birth or adoption of a child, and to drop dependents due to death, divorce, termination of domestic partnership, or a child reaching an ineligible age.

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Changes In Family Status - Adding/Dropping Dependents

Employees should report all changes in family status within 30 days after the event.Read More

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Employees should report all changes in family status to their 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) within 30 days after the event.

Changes include adding a dependent due to marriage, domestic partnership, birth or adoption of a child, and to drop dependents due to death, divorce, termination of domestic partnership, or a child reaching an ineligible age. If a covered dependent loses eligibility, that person may obtain benefits through the COBRA Continuation of Benefits provisions.

For NYCAP Central agencies, employees should enter their family status change directly in Employee Self Service (ESS). NYCAPS Central will mail the employee the necessary paperwork, including a request for any required documentation, if applicable.

For assistance in using ESS, employees should contact their HR department or NYCAPS Central directly. Employees in need of a password for ESS should contact NYCAPS at (212) 487-0500 or email their request to nycapscentral@dcas.nyc.gov.

Health Benefit Changes - Annual Fall Transfer Period

The employee Health Benefits Transfer period is held once per year.Read More

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A Health Benefits Transfer Period is held once each year. During this period, all employees may transfer from their current health plan to any other plan for which they are eligible, or they may add or drop Optional Rider coverage to their present plan.
If you do not apply for an Optional Rider when you first enroll, you may add these additional benefits only during a Transfer Period, upon retirement, or if there is a change in your union or welfare fund coverage.

Procedures for Employee Health Plan Transfers — In order to transfer from one plan to another or to add Optional Rider coverage, and to obtain the effective date of the change, the employee must contact their 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) during the Annual Transfer Period.

Once your transfer request is submitted your change is Irrevocable.

Required Documentation for Dependent Changes

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If you are including a spouse on your coverage, and you have been married for more than one year, you must submit a Government issued Marriage Certificate AND Federal Tax Return from the last two years, (only send the first page of your tax return which shows your spouse) OR Proof of Joint Ownership issued within the last six months (with both names) such as a mortgage statement, lease agreement, utility bills, bank statement, credit card statements and property tax statements.

If you are including a domestic partner on your coverage, and you have been registered for more than one year, you must submit a Government issued Certificate of Domestic Partnership AND Proof of Joint Ownership issued within the last six months (with both names) such as a mortgage statement, lease agreement, utility bills, bank statement, credit card statements and property tax statements.