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•  (July 2024)
•  (2024) - this must be returned with health benefits enrollment application, proof of non City health coverage, and marriage/birth certificates (if applicable)

Enrollment Form 

Death Benefit Beneficiary Designation Card (for PSC-CUNY Members)

Guardian Dental

• (by frequency or age)

Delta Dental Plan

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.

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