Find out what causes a termination of health coverage.Read More
If both spouses, or your domestic partner, are eligible for City health coverage as either an employee or a retiree, and one is enrolled as the dependent of the other, the person enrolled as dependent may pick up coverage in his/her own name within 30 days if the employee/retiree leaves City employment or dies.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that the plan administrator issue certificates of group health plan coverage to employees upon termination of employment that results in the termination of group health coverage. Each individual, upon termination, will receive a certificate of coverage from the plan administrator.
Get information about reinstating health coverage.Read More
If you have been on approved leave without pay, or have been removed from active pay status for any other reason, your health coverage may have been interrupted.
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) within 31 days of your return to work.
If you have waived or cancelled your City health plan coverage and subsequently wish to enroll or reinstate your benefits, your coverage will not start until the beginning of the first payroll period 90 days following the date you submit your Health Benefits Application unless the enrollment or reinstatement is the result of a loss of other group coverage. For an application, 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).
Employees and covered dependents may be able to purchase individual health coverage through their health plan.Read More
Employees and covered dependents may purchase individual health coverage through their health plan if their City group coverage ceases for any of the following reasons:
Unlike COBRA, benefits under this type of policy do not automatically terminate after a limited time, and may vary from the City’s “basic” benefits package in both the scope of benefits and in cost.
The Federal Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires that the City offer employees, retirees and their families the opportunity to continue group health and/or welfare fund coverage in certain instances where the coverage would otherwise terminate. The monthly premium will be 102% of the group rate. All group health benefits, including Optional Riders, are available. The maximum period of coverage is 36 months.