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Special Health Benefits Transfer Period, April 1-30

The Special 2019 Health Benefits Program Transfer Period begins April 1, 2019, and ends April 30, 2019. Health plan changes requested during this Transfer Period will be effective the first day of your first full payroll period in July 2019.

During the Special Transfer Period, members may transfer into any health plan listed below for which they are eligible, add or drop the Optional Rider, or add or drop dependent(s). To make changes, complete a Health Benefits Application and submit it to your college or workplace Benefits Officer.

Welfare Fund members may also transfer from their Guardian or Delta dental benefits providers. To switch providers submit a Change of Status form to your college or workplace Benefits Officer.

Please use this time to review your health care and prescription drug needs. Visit the Summary Program Description (SPD) at nyc.gov/olr for plan summaries.

For more information about health plans, see the list of phone numbers and websites below. Each health plan has prepared a Summary of Benefits and Coverage (SBC) as required by the Patient Protection and Affordable Care Act. To review the SBC of a particular plan, please visit the Health Benefits Program website or contact
the health plan directly.

Health Maintenance Organizations

CIGNA HealthCare (888) 992-4462 www.cigna.com
Empire HMO (800) 767-8672 www.empireblue.com/nyc
GHI HMO (877) 244-4466 www.emblemhealth.com/city
HIP PRIME HMO (800) 447-6929 www.emblemhealth.com/city
MetroPlus Gold (800) 303-9626 www.metroplus.org
Vytra Health Plans (800) 447-8255 www.emblemhealth.com/city 

Point of Service, Exclusive Provider Organization, and
Participating Provider Organizations/Indemnity Plans

Aetna EPO (800) 445-8742 www.aetna.com
DC37 Med-Team (DC37 members only) (212) 501-4444 www.emblemhealth.com/city
Empire EPO (800) 767-8672 www.empireblue.com/nyc
GHI-CBP/Empire BlueCross BlueShield Group Health Incorporated: (212) 501-4444 www.emblemhealth.com/city
Empire BlueCross BlueShield: (800) 433-9592 www.empireblue.com/nyc
HIP Prime POS (800) 447-6929 www.emblemhealth.com/city

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