City Of New York Employee Benefits Program Continuation Of Coverage Application printable pdf download

City Of New York Employee Benefits Program Continuation Of Coverage Application

FFICE OF

ABOR

ELATIONS

MPLOYEE

ENEFITS

ROGRAM

40 Rector Street, 3

Floor, New York, N.Y. 10006

nyc.gov/olr

ROBERT W. LINN

BETH KUSHNER

Deputy Director, Administration

Commissioner

SANG HONG

RENEE CAMPION

Deputy Director, Operations

First Deputy Commissioner

MICHAEL BABETTE

Director, Financial Management Unit

GEORGETTE GESTELY

Director, Employee Benefits Program

Important Information Concerning Coverage Under COBRA in the State of New York

The attached information concerns coverage that may be available to you through the Federal

Consolidated Omnibus Reconciliation Act (“COBRA”) which provides access to continuing

health coverage for a period of 18 months to 36 months depending on the reason for COBRA

eligibility.

The State of New York enacted legislation intended to provide continued access to group

health insurance for all persons eligible for COBRA or state continuation (“mini-COBRA”)

coverage up to a total of 36 months of coverage. For more information concerning how this

may impact your coverage under COBRA please use the following link:

City Of New York Employee Benefits Program Continuation Of Coverage Application