Benefits eligibility

Benefits eligibility is determined by a combination of the employee's job title, number of hours worked, expected duration of employment, Welfare Benefits Code (WBC) and address. To be eligible for participation in the City Health Benefits Program, employees must meet the following criteria:

  • Work, on a regular schedule, at least 20 hours a week

  • Work in a position that is expected to last for more than 6 months

  • Work in an eligible title

When employees log into ESS, they are presented with the benefit options that are available to them, based on their eligibility.

Note: If an employee has recently experienced a qualifying event or if it is during the transfer period, ESS will allow him or her to make changes associated with that event.

Employees should refer to the Summary Program Description (SPD) for more information. Employees may also contact their agency benefits representative or NYCAPS Central, whichever is applicable, with any questions regarding eligibility and options.


2006
Last revised: March 9, 2009