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                AMERICAN FEDERATION OF STATE, COUNTY & MUNICIPAL EMPLOYEES / AFL-CIO

 

 

 

 

 

 

 

 

 


HEALTH AND PENSION SERVICES UNIT

 


 

  Health and Pension Services Unit (the “Unit”) assists and responds to members’ questions and inquiries pertaining to the various health insurance plans under the City’s Health Benefits Program; the various pension tiers under the New York City Employees’ Retirement System (NYCERS); and Med Team/Choice health insurance benefits.

Health

The Unit assists members in resolving health insurance related matters resulting from the rejection of claims; problems with balance billing and reimbursement issues with providers; incorrect payroll deductions; termination of health insurance coverage; submitting claim forms; enrollment and eligibility; and interpreting explanation of benefit statements.

In addition, the Unit explains the various health insurance benefits and any benefit modifications/adjustments under the City’s Health Benefits Program; optional rider coverage (if applicable); coverage upon retirement and the process to retire; Medicare; continuation of coverage under COBRA or SLOAC (Special Leave of Absence Coverage).

If you have a health insurance question or need assistance with a health insurance related matter, please visit, write, or call the Unit at 212-815-1200.

Pension

The Unit assists members with questions and inquiries pertaining to the various pension tiers and pension options under NYCERS.

In addition, the Unit provides pension-counseling services where members may receive an estimate of their pension retirement allowance and an explanation of the different pension options with a pension counselor. An appointment must be scheduled in advance for this pension counseling service - which is scheduled for every Tuesday and Wednesday. It is advisable to schedule an appointment within one year of the planned retirement date.

If you have a pension question or need assistance with a pension related matter, please visit, write or call the Unit at 212-815-1200.


Med Team/Choice (available to DC 37 members only)

The Unit assists members in resolving Med Team/Choice health insurance related matters resulting from the rejection of claims; problems with balance billing and reimbursement issues with providers; termination of Med Team/Choice health insurance coverage; submitting claim forms; enrollment and eligibility; and interpreting explanation of benefit statements.

In addition, the Unit explains coverage upon retirement and the process to retire; Medicare; continuation of coverage under COBRA or SLOAC (Special Leave of Absence Coverage).

If you have a Med Team/Choice health insurance question or related matter, please visit, write, or call the Unit at 212-815-1313.

 

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