WHATS NEW - ACTIVE
ACTIVE MEMBERS (MARCH 29,2014)
IMPORTANT MESSAGE REGARDING NEW DENTAL PLAN
----->New Dental Plan
1 - YOUNG ADULT OPTION THROUGH AGE 29
Under New York State Law Chapter 240 of the Laws of 2009, sometimes called the "Age 29" law, you have the opportunity to continue health benefits coverage through the City of New York group. Information and enrollment forms are available at www.nyc.gov/olr
Eligible Young Adult children of subscribers covered under group health insurance policies issued in New York State may purchase coverage through age 29. To qualify for the Young Adult coverage, the Young Adult child must meet each of the eligibility requirements listed below. By completing this form, the undersigned subscriber is certifying that the undersigned Young Adult child is eligible for this coverage under the terms listed below and the undersigned Young Adult child is electing this coverage. The Young Adult child's coverage will be the same as the subscriber under the current group policy.
The Young Adult child must: be under age 30; and be unmarried; and be a child of the employee/retiree insured by the City; and not be covered by, or eligible for, employer-sponsored insurance, a self-insured employer plan, or Medicare; and live, work or reside in New York State or in the plan's service area.
Click below for more information and rate table ....
2 - Step-children
Effective January 1, 2011, the SOC will provide benefit coverage for members' stepchildren. To enroll your stepchild (ren) you must complete the "Affidavit of Dependent Stepchild (ren)" and submit to the SOC Health and Welfare Fund Office. Coverage will only be extended to stepchild(ren) who meet the specific criteria outlined on the "Affidavit of Dependent Stepchild (ren)" .
3 - Coverage of Adult Children Up to Age 26
Effective January 1, 2011, Federal Health Care Legislation requires essential health benefits (includes only the prescription drug coverage provided by the Fund) coverage be extended for current active members' qualified adult child(ren) up to age 26 regardless of their financial dependency on the active member, residency with the active member, martial status, student status, or employment status.
Coverage will not be extended for adult children up to age 26 who are eligible for other coverage through another employer sponsored plan, whether it is the adult child's employer or his/her spouse's employer. When a child of an active member turns 26, their coverage will end the day prior to their birth date. (For example, child turns 26 on July 17, 2011, the last day the plan must cover the child is July 16, 2011.)
If your adult child(ren) previously lost Fund prescription drug plan coverage because he/she "aged out", and he/she is not yet 26 years old, you will have an opportunity to enroll your child(ren) during the period of January 1, 2011 through February 28, 2011 with an effective date of January 1, 2011.
To enroll your adult child(ren) up to age 26, you must complete the form (click here ->) "Request for Coverage of Adult Children to Age 26" and submit to the Superior Officers Council Health and Welfare Fund Office.
If you have any questions regarding enrollment for adult dependents to age 26, please contact the Fund Office at 212 964-7500.