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Form 1054 Health Benefits Report / Inquiry - New York City
What Is Form 1054?
This is a legal form that was released by the New York City Office of Labor Relations - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 1054 Health Benefits Report/Inquiry?
A: Form 1054 is a document used to report or inquire about health benefits in New York City.
Q: Who can use Form 1054?
A: Anyone who is eligible for health benefits in New York City can use this form.
Q: What information is required on Form 1054?
A: The form requires information such as personal details, health benefit plan information, and any changes or inquiries.
Q: How do I submit Form 1054?
A: You can submit Form 1054 by mail, fax, or in-person at the designated city agency.
Q: What is the purpose of filing Form 1054?
A: Filing Form 1054 helps individuals report changes, inquire about health benefits, or resolve any issues related to their health benefit plans.
Form Details:
- Released on April 1, 2020;
- The latest edition provided by the New York City Office of Labor Relations;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 1054 by clicking the link below or browse more documents and templates provided by the New York City Office of Labor Relations.
