New York Employee Benefit Plan Document Checklist

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US-DD01105
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Employee Benefit Plan Document Checklist

How to fill out Employee Benefit Plan Document Checklist?

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In order to cover a domestic partner on your City health benefits coverage, you must have a Domestic Partnership Registration Certificate issued by the Office of the City Clerk and complete a Health Benefits Application (if you are already registered as domestic partners through another municipality or governmental

Once you begin teaching full-time, you can enroll as a union member with the UFT. As a UFT-represented employee, you will be entitled to premium-free health insurance and an array of UFT Welfare Fund-administered supplemental health benefits that include prescription drugs, dental care, optical coverage, and more.

Obtain a domestic partner instruction sheet from your personnel office or the Office of Labor Relations if you wish to include a domestic partner on your medical coverage. If you are adding or dropping a dependent or changing plans, this form should be submitted within 31 days of the qualifying event.

Obtain a domestic partner instruction sheet from your personnel office or the Office of Labor Relations if you wish to include a domestic partner on your medical coverage. If you are adding or dropping a dependent or changing plans, this form should be submitted within 31 days of the qualifying event.

It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions.

Optional Riders All health plans, except DC 37 Med-Team have an Optional Rider consisting of benefits that are not part of the basic plan. You may elect Optional Rider coverage when you enroll and pay for it through payroll deductions. Each rider is a package and you may not select individual benefits from the rider.

If You Need Assistance Contact your agency health benefits or payroll office or NYCAPS Central at (212) 487-0500. Department of Education employees should contact HR Connect at (718) 935-4000: For questions concerning eligibility and enrollment.

Changes In Family Status - Adding/Dropping Dependents Employees should report all changes in family status to their agency health benefits or payroll office or NYCAPS Central at (212) 487-0500 (Department of Education employees should contact HR Connect at (718) 935-4000) within 30 days after the event.

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New York Employee Benefit Plan Document Checklist