Health Plan Rate Chart - updated October 2022
NYC Health Benefits Program - Summary of Benefits and Coverage (SBC)
NYC Health Benefits Program - Summary Plan Description (SPD)
Dependent Eligibility Required Documentation
Domestic Partner Enrollment Information
Young Adult Option, Through Age 29 - updated October 2022
COBRA Form, Notice of Rights and COBRA Rates - updated October 2022
Flexible Spending Accounts (FSA) Program
The Flexible Spending Program allows City employees to deposit a portion of their pre-tax income into accounts maintained for certain health and dependent care expenses not covered by insurance. Employees covered by a non-City group health plan can enroll in the MSC Buy-Out Waiver Program and waive City health benefits to receive an incentive payment, up to $1,000 per year.
Flexible Spending Accounts Program Brochure - Plan Year 2023
FSA Enrollment/Change Change Form - Plan Year 2023
Health Care Flexible Spending Account (HCFSA)
Catastrophic Sick Leave Bank Program
The Catastrophic Sick Leave Bank (CSLB) is a pool of sick leave and annual leave voluntarily donated by individuals who are employed full-time on an annual salary basis for potential use as sick leave by eligible full-time employees who are also donors to the bank.
Dedicated Sick Leave Program
The Dedicated Sick Leave Program enables individuals who are employed full-time on an annual salary basis to donate sick leave and/or annual leave for use as sick leave by a seriously ill or injured eligible employee who has been designated by the donor.
Transit Benefits - Edenred Commuter Benefits Solutions
Under the provisions of Internal Revenue Code (IRC) Section 132, CUNY offers eligible employees the opportunity to use pre-tax earnings to cover certain public transportation costs through the Commuter Benefits Program.
Do You Commute? You can save through the Commuter Benefits Program.
Commuter Benefits Program Overview
Family Medical Leave Act (FMLA)
The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. FMLA is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons.
Certification of Health Care Provider (HCP) for Employee's Serious Health Condition
FMLA Fitness for Duty Certification
Certification of Family Relationship Form
Certification of Health Care Provider (HCP) for Family Member’s Serious Health Condition
Military Family Leave - Certification for Serious Injury or Illness of a Current Service Member
Military Caregiver Leave - Certification for Serious Injury or Illness of a Veteran
Certification of Qualifying Exigency for Military Family Leave
New York State Paid Family Leave (NYS PFL): Classified Staff
New York State Paid Family Leave Benefits (PFL) are available for certain Classified Staff Titles and PSC members through Collective Bargaining Agreements. PFL is an employee-funded insurance policy that provides job protected, paid time-off for certain events. Eligible employees who work at Senior Colleges (on New York State Payroll) are covered under a Paid Family Leave Insurance Policy provided by the Standard.
PFL may entitle employees to take up to twelve weeks of Paid Family Leave (PFL) for one of the following events:
- Bond with a newly born, adopted or fostered child
- Care for a family member with a serious health condition, or
- Assist loved ones when a spouse, domestic partner, child or parent is deployed abroad on active military service.
As of March 1, 2021, members of the Classified Staff in certain titles became eligible for Paid Family Leave (PFL) Benefits.
2022 Statement of Rights for PFL - Classified Staff
Insurance Coverage Notice to Employees - Classified Staff
Claim Form: Bonding with Children - Classified Staff
Claim Form: Care for Family Member - Classified Staff
New York State Paid Family Leave (NYS PFL): PSC Employees
Pursuant to bargaining between the City University of New York (CUNY) and the Professional Staff Congress (PSC) PFL benefits will be available for PSC members at Senior Colleges beginning March 8, 2021.
2022 Statement of Rights for Paid Family Leave – PSC Represented Employees
Insurance Coverage Notice to Employees – PSC Represented Employees
Paid Family Leave Guidelines - PSC Represented Employees
Claim Form: Bonding with Children - PSC Represented Employees
Claim Form: Care for Family Member - PSC Represented Employees
New York State Paid Family Leave (NYS PFL): ECP and CSM Employees
Paid Family Leave benefits are available for ECP and CSM members beginning March 1, 2022.
2022 Statement of Rights for Paid Family Leave
Insurance Coverage Notice to Employees
Claim Form: Bonding with Children
Claim Form: Care for Family Member
Paid Parental Leave (PPL): Full-Time Instructional/Non-Instructional Staff
Retirement: Classified Staff
Designation of Guardian – When Designating a Minor as a Beneficiary
Designation of Primary and Contingent Beneficiary – Tier 3, Tier 4, and Tier 6
Buy-Back – Purchasing Credit for Service Rendered Prior to NYCERS Membership
Retirement: Full-Time Teaching and Non-Teaching Instructional Staff
Last Updated: 01/17/2023 00:03