Plan Year Enrollment / Change Form - Medical Spending Conversion (Msc) Premium Conversion Program - New York City

Plan Year Enrollment / Change Form - Medical Spending Conversion (Msc) Premium Conversion Program - New York City

Plan Year Enrollment/Change Form - Medical Spending Conversion (Msc) Premium Conversion Program is a legal document that was released by the New York City Office of Labor Relations - a government authority operating within New York City.

FAQ

Q: What is the Plan Year Enrollment/Change Form?
A: The Plan Year Enrollment/Change Form is a form used to make changes to your healthcare plan during the annual open enrollment period.

Q: What is the Medical Spending Conversion (Msc) Premium Conversion Program?
A: The Medical Spending Conversion (Msc) Premium Conversion Program is a program in which employees can use pre-tax dollars to pay for certain healthcare expenses.

Q: How can I participate in the Medical Spending Conversion (Msc) Premium Conversion Program?
A: To participate in the program, you need to complete the Plan Year Enrollment/Change Form and select the Msc option.

Q: Is the Medical Spending Conversion (Msc) Premium Conversion Program available in New York City?
A: Yes, the Medical Spending Conversion (Msc) Premium Conversion Program is available in New York City.

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Form Details:

  • Released on October 1, 2022;
  • The latest edition currently provided by the New York City Office of Labor Relations;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York City Office of Labor Relations.

Download Plan Year Enrollment / Change Form - Medical Spending Conversion (Msc) Premium Conversion Program - New York City

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