PDF
Word
Plan Year Enrollment / Change Form - Medical Spending Conversion (Msc) Premium Conversion Program - New York City
Plan Year Enrollment/Change Form - Medical Spending Conversion (Msc) Premium Conversion Program is a legal document that was released by the New York City Office of Labor Relations - a government authority operating within New York City.
FAQ
Q: What is the Plan Year Enrollment/Change Form?A: The Plan Year Enrollment/Change Form is a form used to make changes to your healthcare plan during the annual open enrollment period.
Q: What is the Medical Spending Conversion (Msc) Premium Conversion Program?A: The Medical Spending Conversion (Msc) Premium Conversion Program is a program in which employees can use pre-tax dollars to pay for certain healthcare expenses.
Q: How can I participate in the Medical Spending Conversion (Msc) Premium Conversion Program?A: To participate in the program, you need to complete the Plan Year Enrollment/Change Form and select the Msc option.
Q: Is the Medical Spending Conversion (Msc) Premium Conversion Program available in New York City?A: Yes, the Medical Spending Conversion (Msc) Premium Conversion Program is available in New York City.
Form Details:
- Released on October 1, 2022;
- The latest edition currently provided by the New York City Office of Labor Relations;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York City Office of Labor Relations.
Download Plan Year Enrollment / Change Form - Medical Spending Conversion (Msc) Premium Conversion Program - New York City
1
2
