To reinstate health benefits mid-year, the employee must provide proof of a Qualifying Event. If proof and notice are received within 30 days after the event, reinstatement into the City's Health Benefits Program will be retroactive to the date of the Qualifying Event.

Any change must be consistent with and on account of a valid Qualifying Event.

When covered for a portion of the benefit period, the amount of the incentive payment will be pro-rated for any period less than six months by the number of days the employee is in the Health Benefits Buy-Out Waiver Program.

The employee must complete a Health Benefits Application and an MSC Health Benefits Buy-Out Waiver Program Enrollment/Change Form. Both forms must be submitted to his/her agency benefits officer.

Reinstatement at Retirement
Access to benefits at retirement will be unaffected by participation in the Health Benefits Buy-Out Waiver Program.

To reinstate City health benefits at retirement, the employee must complete a Health Benefits Application and an MSC Health Benefits Buy-Out Waiver Program Enrollment/Change Form to withdraw from the Health Benefits Buy-Out Waiver Program.

Download the Health Benefits Application (PDF)

Download FSA Program Forms & Brochures

Learn more about Qualifying Events

Read the Health Benefits Buy-Out Program FAQ