What is the MSC Health Benefits Buy-Out Waiver Program? View the Answer
The MSC Health Benefits Buy-Out Waiver Program allows City of New York employees to receive an annual incentive payment for waiving their City of New York health benefits when non-City of New York group health coverage is available to them.
How can I benefit by joining this program? View the Answer
For Plan Year 2019 an employee will receive $1,000 annually for waiving family health coverage or $500 annually for waiving individual health coverage. Payments are made semi-annually in June and December and will be taxable to the recipient.
Who is eligible? View the Answer
Any employee who is eligible to receive City of New York health benefits may participate. Employees may waive their health benefits if they are insured through:
Who is NOT eligible? View the Answer
An employee is not eligible to waive City of New York health benefits if retired or if his or her spouse, domestic partner, or parent is an employee of the City of New York or a City of New York-related agency. An employee is also excluded if he/she is covered by an individual direct payment health plan, including enrollment in COBRA as a result of losing coverage through a non-City of New York group health plan; covered by Medicaid; covered by Medicare; on Worker's Compensation leave; or covered by New York State Health Care Exchange.
How can I enroll? View the Answer
To enroll in the program, an employee must complete and submit the Health Benefits Application and the MSC Health Benefits Buy-Out Waiver Program Enrollment/Change Form to his/her agency benefits officer or NYCAPS personnel/HR Shared, if applicable. Along with these forms, the employee must also submit a copy of the employee's non-City group health insurance card as proof of other coverage. Each year the Open Enrollment Period for the following calendar year will generally be held in September and October.
New employees may enroll within 30 days after becoming eligible to receive City of New York health benefits coverage. Enrollment during the Plan Year is possible only if a Qualifying Event occurs. After initial enrollment, annual re-enrollment is not required.
What is a Qualifying Event? View the Answer
A Qualifying Event is a change in family or employment status. Examples of family status changes are:
Examples of employment status changes are:
For enrollment of less than six months, the incentive payment is pro-rated by the number of days of enrollment in the Buy-Out Waiver Program.
Once I enroll, can I reinstate my City health benefits? View the Answer
Yes. As an active employee, you may withdraw from the program during the annual Open Enrollment Period. To withdraw at any other time, you must experience a Qualifying Event and provide proof of loss of coverage within 30 days after that loss.