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HEALTH BENEFITS

A. Basic Health Plans

All health plans are listed in The City of New York Health Benefits Program (NYCHBP) Summary Program Description (SPD) booklet. The SPD gives a detailed description of each health plan being currently offered. 
http://www1.nyc.gov/site/olr/health/healthhome.page

Aetna U.S. Healthcare EPO
-
WWW.AETNAUSHC.COM

CIGNA Healthcare - WWW.CIGNA.COM/SP

Empire HMO - WWW.EMPIREBLUE.COM

GHI-CBP/EBCBS - WWW.GHI.COM

GHI HMO - WWW.GHIHMO.COM

HIP Prime HMO - WWW.HIPUSA.COM

DC 37 Med-Team/Choice - NO WEBSITE(1-800-662-5193)

Vytra Health Plans -
WWW.VYTRA.COM

An employee is eligible for health benefits and may enroll in the (NYCHBP) if:

A. He/she works on a regular schedule at least 20 hours per week;

B. His/her appointment is expected to last for more than 6 months.

Full-time Employees

Full-time civil service and faculty titles are eligible for health benefits immediately.

Provisional civil service employees are eligible for health benefits after 3 months of employment from the appointment date.

Part-time Employees

Part-time civil service titles are eligible for health benefits after 3 months if:

A. He/she is assigned to work a regular schedule of at least 20 hours per week;

B. His/her appointment is for at least 500 hours for the fiscal year.

Adjunct Employees

Adjuncts - SEE ADJUNCT BENEFITS SECTION

(Click on "Benefits At A Glance" and then select "Adjunct Staff (Teaching and Non-Teaching)")

Eligible Dependents

The following dependents, as defined in the SPD, may be included in an eligible employee's health care coverage.

A. Legally married husband or wife. (An ex-spouse is not eligible for coverage under NYCHBP regardless of the provisions of any legal settlement).

B. A domestic partner. (SEE DOMESTIC PARTNER SECTION).

C. Children under age 26 (whether married or un-married).

D. Unmarried children who cannot support themselves because of mental illness, developmental disability, mental retardation or physical handicap.

Double City Coverage

If the, employee and spouse/domestic partner are both employed by the City of New York, double city coverage is not allowed. Each person may have individual coverage or one person may cover both people. The health benefits application should be completed indicating waiver of coverage.

Qualifying Events

Qualifying events that may change the status of an employee's health benefits are outlined in the SPD. Such events include marriage, divorce, birth etc. The qualifying event date will be the effective coverage date provided health benefits application is returned within 31 days of the event.