The Management Benefits Fund client service walk-in center remains closed to visitors.
Please submit your forms and documents as follows:
1) Inquiries and questions can be sent via email to the Fund
2) Forms and documents can be submitted electronically to: https://nyc-mbf.leapfile.net
Please do not submit your form/document more than once. This will only delay processing.
You will immediately receive notification stating "Success! Your file has been received" upon completion of your document upload. You will not receive a separate email confirmation.
Please check back periodically for updates.
Download Adobe Scan to convert your hardcopy documents into PDFs. Use your smart phone or tablet camera to take a picture of your paper form and Adobe Scan will convert it to a PDF. Adobe Scan mobile app is available for iPhone and Android.
Effective, April 1, 2018, Group Universal Life, which is a voluntary program paid by the member, will have new rates based on its claims experience. There will be new rates for actives and new rates for retirees. Letters have been mailed to all members who have elected GUL coverage detailing the rate changes.
Read the letters (which include the April 1, 2018 rate charts):
This is an interactive video. Click on various icons and links to jump to specific topics.
The Management Benefits Fund was established on July 1, 1967, to provide supplemental benefits to the non-unionized personnel of the City of New York, which includes all managerial, confidential, and original jurisdiction employees and retirees. The Fund receives on behalf of its members, as do the municipal labor unions, an annual contribution from the City for the provision of these ancillary employee benefits.
Your membership in the Management Benefits Fund (“Fund”) entitles you and your eligible dependents to be eligible for various MBF Benefits Programs. All MBF benefits, with the exception of Group Universal Life Insurance, are fully paid for by the Fund.
The video above describes the various benefits offered by the Fund. However, additional requirements that relate to specific benefit plan eligibility are described within the corresponding MBF benefit plan booklets.
To enroll as a member in the Fund, you must complete the MBF Form 1060. Please contact your agency benefits office to obtain MBF Form 1060, if you are eligible to receive MBF Program benefits.
The following section describes member and dependent eligibility requirements for inclusion in Fund benefit programs.
Please note that the Fund does not provide enrollment cards to members.Read More
Active City employees may enroll for coverage if their:
Retired City employees may enroll for coverage if they:
How to enroll, what to do when you retire, and how to add and remove dependents. Read More
Active City Employees
Active City Employees must submit a completed Application for Membership (Form 1060) to their agency personnel office within 31 days of their appointment. Prompt submission of this application form is required.
The Employer Agency will submit notification to the Fund on behalf of Retiring Employees within 31 days of the employee's retirement by completing Form 1061.
Deferred Retirees must submit a completed Membership Application for Reinstatement, Form 1063, to the Fund office after deferred retirement, within 31 days of becoming pension payable. At which point the Deferred Retirees will be reinstated for retiree fund benefits.
Adding and Removing Dependents
When requesting the addition or deletion of dependents, members must complete a Form 1060 (Application for Membership) and submit necessary documentation within 31 days of the change in dependent status.
Find out when benefits begin for employees, retirees, and deferred retirees, and how coverage works for eligible dependents.Read More
Coverage start date varies depending on the member's status:
Active City Employees: On the date of appointment to an approved title or on the date the employee's title is approved for inclusion in the Fund.
Retired City Employees: On the effective date of retirement (the first day of the period covered by the initial pension check).
Deferred Retirees: On the day the deferred retiree becomes pension payable.
Fund Member's Spouse: Covered unless legally separated from the member. An eligible spouse is covered on the same day the member's coverage begins. If you are married after you become a Fund member, your spouse's coverage commences on the date of your marriage provided the Fund receives the necessary documentation within 31 days of your marriage.
Fund Member's Domestic Partner: Covered if approved as an eligible domestic partner under the City of New York's Employee Health Benefits Program or New York State Health Insurance Program (either plan referred to as the Basic plan). A qualified domestic partner is eligible for Fund Superimposed Major Medical, Dental, Vision Care, and Survivor's benefits as described in those sections of the Fund Booklet.
A qualified domestic partner becomes eligible on the date he or she is approved by the Basic plan, provided that notification has been sent to the Fund within 31 days of the date the member receives Basic plan approval of domestic partner coverage. If the Fund receives a late request with documentation for the addition of a domestic partner, the effective date of coverage, if approved, is the date the Fund membership application form is signed by the member.
A domestic partner is defined as a person of the same or opposite sex who:
In addition, the member and the domestic partner will be considered to have met the terms of this definition as long as neither the member nor the domestic partner:
The member and the domestic partner must have registered as domestic partners, if they reside in a state that provides for such registration.
Fund Member's dependent children (natural or adopted) to age 26 (effective January 1, 2011): Dependent children include natural or adopted children, and children for whom you are the legal guardian. Please note there are no financial dependency, residency students status or marital status requirement for dependents. Dependent children are covered on the same day the member's coverage begins. However, a dependent child who is not the member's natural child is covered at the earliest of the following dates:
From and after the moment the child is placed in the physical custody of the member when a court of law accepts a consent to adopt and the member enters into an agreement to support the child. However, coverage for the child's initial hospital stay is not provided if the natural parent has insurance coverage available for the child's care.
When A court of law makes the member legally responsible for the support and maintenance of the child.
Unmarried Disabled Dependent Children: If the member's child is unable to support himself/herself due to mental illness, developmental disability, mental retardation, or physical handicap when insurance would end due to the child's age, insurance may be continued. This continuation applies only to children continuously covered by the Fund prior to attainment of age 26.
The Fund office should be contacted to obtain the appropriate continuation of coverage form for completion by the member and physician at least 31 days before the date the child's insurance would normally end. The determination of approval or denial of coverage continuation for disabled dependents is made by the Fund's Superimposed Major Medical Plan Administrator.
Unmarried dependent children age 26 through age 29: Dependent coverage terminates at attainment of age 26. Coverage may be extended through age 29 under the Direct Pay Coverage Continuation (DPCC) for eligible dependent children of MBF members through age 29 (Young Adult Dependent) for the continuation of (1) Superimposed Major Medical Plan (SMMP), and Dental & Vision Care Programs, (2) Dental & Vision Care Programs only, or (3) SMMP only. MBF will charge a monthly premium based on the type of coverage that the Young Adult Dependent elects.
To be eligible for MBF DPCC, the Young Adult Dependent does not have to live with an MBF Member, be financially dependent on an MBF Member, or be a student. However, the Young Adult Dependent must meet the following requirements:
You must be an active MBF member in order for your Young Adult Dependent to be eligible for DPCC.
If you would like to enroll your Young Adult Dependent to receive DPCC, you must complete a DPCC Enrollment Form within 60 days following the date coverage would otherwise terminate due to age or within 60 days after meeting the definition of dependent child.
Dependents Who Are City Employees
If any dependent is eligible for Fund benefits as an employee or retiree, that person is not eligible for coverage as a dependent. If both the member and his or her spouse are covered for Fund benefits as employees or retirees, their children may only be enrolled as dependents of either member.
Changes in Dependent Status
The Fund must be notified if a member acquires a dependent through marriage, domestic partnership, birth or adoption, or loses a dependent due to death, divorce, legal separation, or termination of domestic partnership.
Active employees should submit written notice of such changes to their personnel office along with the required documentation. Retirees should write to the Management Benefits Fund Office regarding any changes in dependent status and include the necessary documentation.
Active employee or retiree coverage ends for a member when any of the following events occur:
Dependent coverage ends for dependents when any of the following events occur:
Where applicable, special provisions for extension of benefits or conversion to private coverage are specified in the individual benefit sections of the Fund Booklet.
Fund members are eligible for coverage under COBRA if their benefits terminate due to a reduction in hours of employment, termination of employment for reasons other than gross misconduct, and deferred retirement. Read More
Under the Federal Consolidated Omnibus Budget Reconciliation Act of 1985, called COBRA, a Management Benefits Fund member and his/her spouse or domestic partner and dependent children have the right to continue Fund benefits in certain instances where the coverage would otherwise terminate.
Fund members are eligible for coverage under COBRA if their benefits terminate due to a reduction in hours of employment, termination of employment for reasons other than gross misconduct.
On termination of Fund membership, members have the option to continue medical coverage under COBRA.
If you have a 457 and/or a 401(k) Deferred Compensation Plan account, an amount equal to your current deferral percentage will be deducted from your Managerial Lump Sum Payment as a contribution to your Deferred Compensation Account(s), subject to the 457/401(k) annual contribution limit and required payroll deductions, provided that the Managerial Lump Sum payment is received by the Deferred Compensation Plan by the latter of two and one-half months after separation from City service, or the end of the year in which you separated from City Service. Any payments received after that time are not eligible for deferral to the Deferred Compensation Plan, in accordance with IRS regulations.
You may begin withdrawing from your 457 account as soon as 45 days after you have severed from City service and are no longer on payroll. However, you are not required to begin withdrawing your Deferred Compensation account until you are age 72. If you are interested in rolling your DCP account(s) into an IRA, consider the NYCE IRA.
Visit the Deferred Compensation Plan website for more information about withdrawing your funds.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Read the Notice