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The open enrollment period for the Flexible Spending Accounts Program (FSA) Plan Year 2008 is currently being held through November 16, 2007. There are 4 programs under the FSA Program umbrella: the Health Care Flexible Spending Account (HCFSA) Program, the Dependent Care Assistance (DeCAP) Program, the Medical Spending Conversion Health Benefits Buy-Out Waiver Program and the Medical Spending Conversion Premium Conversion Program. For more information on the FSA Program you may visit:

• 2008 FSA Program Brochure-
http://www.nyc.gov/html/olr/downloads/pdf/fsa/2008_FSA_ProgramBrochure.pdf
• 2008 FSA Program Enrollment/Change Form-
http://www.nyc.gov/html/olr/downloads/pdf/fsa/2008_FSA_EC_Form.pdf
• 2008 FSA Program Direct Deposit Form-
http://www.nyc.gov/html/olr/downloads/pdf/fsa/directdepositfrm.pdf
• 2008 MSC Health Benefits Buy-Out Waiver Enrollment/Change Form-
http://www.nyc.gov/html/olr/downloads/pdf/fsa/2008_MSCfrm.pdf
• 2008 MSC Premium Conversion Program-
http://www.nyc.gov/html/olr/downloads/pdf/fsa/2008_PremConvFrm.pdf

Employees currently enrolled in the Flexible Spending Account Program will automatically be mailed a 2008 FSA Program Brochure and Enrollment/Change Form to their address on record. For those employees who were not participating during 2007, you may obtain a brochure and 2008 enrollment application on the websites cited above. You may also call the City’s Benefits Program at 212-306-7760. In addition, participation will continue automatically each plan year for those currently enrolled in the MSC Buy-Out Waiver and Premium Conversion Programs. Therefore, it is not necessary to re-enroll in these two programs unless you have a change in status.

Please note, only employees hired during the period of September-November 2007 may enroll in the 2007 FSA within 30 days after their starting date of employment. For more information regarding the Flexible spending Accounts Program for Plan Year 2007 you may visit:

• 2007 FSA Program Brochure- http://www.nyc.gov/html/olr/downloads/pdf/fsa/2007_FSA_ProgramBrochure.pdf
• 2007 FSA Program Enrollment/Change Form- http://www.nyc.gov/html/olr/downloads/pdf/fsa/2007_FSA_EC_Form.pdf
• 2007 FSA Program Direct Deposit Form- http://www.nyc.gov/html/olr/downloads/pdf/fsa/directdepositfrm.pdf
• 2007 MSC Health Benefits Buy-Out Waiver Enrollment/Change Form- http://www.nyc.gov/html/olr/downloads/pdf/fsa/2007_MSCfrm.pdf
• 2007 MSC Premium Conversion Program-http://www.nyc.gov/html/olr/downloads/pdf/fsa/2007_PremConvFrm.pdf

**The New York City Employee Benefits Program will not accept any Plan Year 2007 Enrollment/Change Forms during the month of December 2007.
The 2007 open enrollment period for the New York City Health Benefits Program will be from November 1 and ends November 30. During this time, employees may change plans, add or drop a rider and/or dependents. Any changes made during the transfer period will be effective the first day of the first full pay period in January 2008. For more information regarding the NYCHBP you may visit:

• Health Benefits Application and Instructions: http://www.nyc.gov/html/olr/downloads/pdf/healthb/erbapp.pdf
• Current Health Plan Rates:
http://www.nyc.gov/html/olr/downloads/pdf/healthb/emp_rates.pdf
• Comparison Chart of Health Plans: http://www.nyc.gov/html/olr/downloads/pdf/healthb/non_medicare_charts.pdf
• Employee/Retiree Responsibilities: http://www.nyc.gov/html/olr/html/health/employee_retiree_response.shtml


Last Updated 10/10/07