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  • New York State Ps 404 Form

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State of New York Department of Civil Service The State Campus Albany, NY 12239 EMPLOYEE BENEFITS DIVISION NYS HEALTH INSURANCE TRANSACTION FORM PS-404 (8/01L)(w) INSTRUCTIONS: READ AND COMPLETE BOTH.

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Some part-time employees may be covered for Paid Family Leave benefits, while others may qualify to waive coverage. Who is covered under Paid Family Leave? Most employees who work for private employers in New York State are covered under Paid Family Leave.

Employees' rights and benefits may depend on whether they are employed full time or part time. Generally, Employers define full-time Employees as those who work at least 35-40 hours during a seven-day workweek. Employers may choose to provide benefits, such as paid time off, only to full time Employees.

The Affordable Care Act (ACA) requires employers to offer health insurance to employees working at least 30 hours per week (or 130 hours per month) to avoid paying penalties. See Identifying Full-time Employees.

“An employee who by request or permission of the employer reports for work on any day shall be paid for at least four hours, or the number of hours in the regularly scheduled shift, whichever is less, at the basic minimum hourly wage.”

Some federal laws also require that benefits be offered to part-time employees: The Affordable Care Act (ACA) requires employers to offer health insurance to employees working at least 30 hours per week (or 130 hours per month) to avoid paying penalties. See Identifying Full-time Employees.

Health insurance in New York While health insurance isn't required by state law, federal law requires employers with 50 or more full-time equivalent employees (FTEs) to provide insurance with minimum essential coverage (MEC).

Use to enroll, decline, change, or opt-out of coverage. Health Insurance Transaction Forms (PS-404 & PS-409)

Eligible employees must include those working 30 or more hours per week. Employers may also offer coverage to part-time employees who work, on average, 20 hours per week or more. However, it is not required.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232