CCNY Benefits Forms

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.

FSA FAQs

Flexible Spending Accounts Program Brochure - Plan Year 2023

FSA Enrollment/Change Change Form - Plan Year 2023

Health Care Flexible Spending Account (HCFSA)

Dependent Care Assistance Program (DeCap)

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.

Catastrophic Sick Leave Bank Program

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.

Dedicated Sick Leave Program

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

Transit Plans Enrollment Form

Access-A-Ride Enrollment Form

Park-n-Ride Enrollment Form

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

PFL Waiver Notice

Claim Form: Bonding with Children - Classified Staff

Claim Form: Care for Family Member - Classified Staff

Claim Form: Military - Classified Staff

New York State Paid Family Leave (NYS PFL): PSC Employees

New York State Paid Family Leave (NYS PFL): ECP and CSM Employees

Paid Parental Leave (PPL): Full-Time Instructional/Non-Instructional Staff

Last Updated: 01/17/2023 00:03