Get Introduction Questions And Answers About The Health Benefits Buy-out Waiver Program Questions And

This guide provides users with a clear, step-by-step approach to completing the Introduction Questions and Answers About The Health Benefits Buy-Out Waiver Program online. Whether you are familiar with digital document management or exploring this process for the first time, this guide will support you through each section of the form.

Follow the steps to accurately complete your application.

1. Click ‘Get Form’ button to obtain the Health Benefits Buy-Out Waiver Program form and open it for editing.
2. Carefully read the introduction section of the form, which outlines the purpose and benefits of the Health Benefits Buy-Out Waiver Program.
3. In the 'Eligibility' section, provide the necessary personal information to confirm your eligibility for the program, ensuring you include details regarding your current health coverage.
4. Fill out the incentive payment section by indicating whether you are waiving family health coverage or individual/domestic partner health coverage. Carefully note the amounts: $1,000 for family coverage and $500 for individual/domestic partner coverage.
5. Complete the documentation section, ensuring you submit proof of your coverage under a non-City of New York health benefit plan.
6. Review all completed sections for accuracy. Confirm that you have answered all questions and provided any required documentation.
7. Submit your completed form to your agency Human Resources Department or, if applicable, to NYCAPS Personnel for approval. Make sure both forms required for your application are submitted.
8. After submission, save changes to your form. You can also download a copy for your records or print it directly.

Complete your application for the Health Benefits Buy-Out Waiver Program online today.