Mymta.info

Health Benefits Summary

WEBFor 2024, the individual opt-out incentive payment is $1,000. For 2024, the family opt-out incentive payment is $3,000. Active employees must opt-out for the entire calendar year …

Actived: 8 days ago

URL: https://www.mymta.info/cs/groups/public/documents/authored/mda2/oty3/~edisp/mtabscdmprd2492473.pdf

Summary of Benefits Agreement Employees

WEBPage 5 of 16 ELIGIBILTY FOR HEALTH AND WELFARE BENEFITS You are eligible for health and welfare benefits if you are a full-time employee. Our benefits program …

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Summary of Benefits and Coverage

WEBThe Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered …

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2024 Open Enrollment

WEBINTRODUCTION. Open Enrollment Period: November 1 – December 31. *Plan changes will be effective January 1, 2024*. Reminderto remain in your current medical plan, no …

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HR BEN 070 FMLA Certification of Health Care Provider Family …

WEBHuman Resources Department 1 Robert Moses Building Randall’s Island, NY 10035 Attn: Leave Administration Fax: 646-252-7911 Phone: 212-360-2946/2950. MTA Long Island …

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STATEMENT OF HEALTH FORM GROUP CUSTOMER …

WEBMetropolitan Life Insurance Company, New York, NY are applying for coverage was issued. Before signing this Statement of Health form, please read the warning for the state …

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New York City Transit

WEB2023 Open Enrollment November 1 - November 30, 2022 Health Benefits Summary New York City Transit ATU Local 726 Retired Employees MTA Business Service Center

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THE LONG ISLAND RAIL ROAD COMPANY

WEB1-877-769-7447. For Pre-Admission/MRI: 1-877-769-7447. Network Benefits: You pay only applicable copayments for services/supplies provided by a facility that is part of the …

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EMPLOYEE BENEFITS DIVISION NYSHIP Health Insurance …

WEBNYSHIP Health Insurance Transaction Form. INSTRUCTIONS: READ AND COMPLETE BOTH PAGES. PLEASE PRINT, CHECK THE APPROPRIATE CHOICES AND …

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MTA NYCT NYSHIP Rates as of January 1, 2023 Bi-Weekly …

WEBIndividual Family Individual Family 001 NYS EMPIRE PLAN (All States) $6.00 $23.00 $6.00 $23.00 310 CDPHP (Dutchess, Orange and Ulster counties) $6.00 $23.00 $6.00 $23.00 …

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Health Insurance Enrollment/Change Form

WEBThe purpose of this form is to enroll in or change health insurance. Please submit a complete and signed copy of this form via: Fax: 212-852-8700. Email: …

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2024 Open Enrollment FAQs for Active NYSHIP Employees

WEB2024 Open Enrollment FAQs for Active NYSHIP Employees GENERAL BENEFIT QUESTIONS 1) Question: When is the “last day” that I can submit medical and/or dental …

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PREFERRED DENTAL BENEFITS PLAN

WEBCAT 9E1, 9E2 E5 PREFERRED DENTAL BENEFITS PLAN MTA-New York City Transit For the most up-to-date listings of participating dentists, visit emblemhealth.com, click on …

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Finding Your Benefits Plan on NYSHIP Online

WEBParticipating Employees Select your health insurance plan to access targeted information about your benefits. Choose Your Plan: O Empire Plan Enrollee

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DOMESTIC PARTNER PACKAGE

WEBEmail: [email protected]. Fax: 212-852-8700 If you are currently a New York City Transit employee or retiree and determine that your domestic partner may qualify for …

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2023 Open Enrollment November 1

WEBHealth Benefits Summary 2023 Open Enrollment November 1 - November 30, 2022 New York City Transit NYSHIP, Non-NYSHIP, and TWU Local 106 (TSO Career & Salary) …

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Retiree Health Benefits Enrollment/Change Form

WEBRetiree Health Benefits Enrollment/Change Form For NYCTA/MaBSTOA/MTA Bus Retirees Except ATU 1056/SIRTOA/ Spring Creek (ATU …

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HR-BEN-069 FMLA Certification of Health Care Provider …

WEBDate. FMLA Certification of Health Care Provider Employee’s Serious Health Condition. HR-BEN-069. Section 7 - Instructions for Submitting Medical Certification Form to MTA …

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2024 Open Enrollment October 15

WEBComplete the HR-BEN-810A 2024 Open Enrollment/Change Form for Active NYCT TWU Local 100 & MTA Bus TWU Local 100 Employees, and submit to the. BSC, by …

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