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PLAN YEAR 2015 ENROLLMENT/CHANGE FORM Employee (Participant) return completed from to: HEALTH BENEFITS BUY-OUT WAIVER PROGRAM Agency Benefits Office, NYCAPS Central or HR Shared Services Office. See.

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As always, you can speak with a Customer Service Representative about the Plan and your account(s) on the phone by calling at (212) 306-7760. Please submit your documents as follows: 1) Inquiries and questions can be sent via email to the Plan.

NYCAPS ESS allows CUNY's Community College employees to view paystubs and tax information online. CUNY Community College employees must claim their NYCAPS ESS accounts in order for the accounts to become active.

This is your seven-digit City Employee ID # which can be found on your pay-stub.

This is your seven-digit City Employee ID # which can be found on your pay-stub.

To sign up, use one of the links below or see your agency's Transit Benefit Coordinator. City of New York Employees. Use NYCAPS Employee Self Service (ESS). DOE Employees. Get the Enrollment form for DOE employees to sign up, or enroll through the DoE payroll portal. CUNY Employees. Visit CUNY's Transit Benefit page.

New York City employees can access ESS using your seven-digit Employee ID number (found on your pay stub, in the box labeled “Reference #”), at work (http://cityshare.nycnet/ess) or at home (.nyc.gov/ess). Employees can contact NYCAPS Central at nycapscentral@dcas.nyc.gov or 212-457-0500.

For those currently enrolled in SeniorCare, the city-funded plan that supplements traditional Medicare, prescription drug coverage under the new Aetna plan will begin later, in January 2024. SeniorCare will ultimately be discontinued.

To enroll, you must obtain and file a Health Benefits Application at your payroll or personnel office or NYCAPS Central. The form must be filed within 30 days of your appointment date (for exceptions, see Effective Dates of Coverage section).

If You Need Assistance Contact your agency health benefits or payroll office or NYCAPS Central at (212) 487-0500.

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© Copyright 1997-2025
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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