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RETIREE FUND
Eligibility

The benefits provided by the Retiree Health and Welfare Fund of the Patrolmen’s Benevolent Association of the City of New York are available to retired New York City Police Officers (Members) and their eligible dependents.  Temporary continuation of coverage is available, at a cost, to dependents who lose coverage due to a qualifying event through COBRA. 

Member

A “member” is a retired New York City Police Officer for whom the City of New York is required to make a contribution to the PBA Retiree Health and Welfare Fund.  Participation in the Fund, and eligibility for benefits, begins as of the first day for which the City of New York is required to make a contribution to the Fund.  In general, participation in the Fund ceases when one of the following events occurs:

  • Death of the member;
  • The City of New York is not required to make contributions to the Fund for the member.

Dependents

A Member’s eligible dependents include the Member’s:

  • Spouse
  • Domestic Partner
  • Dependent Children

A “spouse” is a Member’s legally married spouse.  If a Member and spouse are already legally married on the Member’s first day of participation, eligibility for coverage for the Member’s spouse begins as of the Member’s first day of participation.  If the marriage occurs after the Member’s first day of participation, eligibility for coverage for the Member’s spouse begins on the date of the marriage.

A “domestic partner” is a Member’s domestic partner who has been approved for coverage as such by the City of New York Health Benefits Program.  Written approval of domestic partner coverage by the City of New York Health Benefits Program must be provided to the Fund in order to enroll a domestic partner.  There may be tax consequences associated with enrolling a domestic partner.  For more information, please contact the Office of Labor Relations Domestic Partnership Liaison Unit at 212-306-7605.

A Member’s “dependent children” include the Member’s natural or legally adopted children, children for whom the Member has court-appointed guardianship or custody, children required to be covered pursuant to a qualified medical child support order, and stepchildren living in the Member’s home.  Dependent children are generally covered through the end of the calendar year during which they attain the age of nineteen (19).  Coverage may be extended through the end of the calendar year during which the dependent child attains the age of twenty-three (23) if he or she is a full-time student.

Extension of Coverage as a Full-Time Student

To be eligible for dependent student coverage, a student must meet the following criteria:

  • Student is unmarried
  • Member supplies at least 50% of the student’s support and student is an eligible dependent of the member
  • Must be enrolled
    • as a full-time student as defined by the school
    • in an Associates or Bachelors degree program (trade schools and correspondence/on-line courses of study do not qualify)
    • at an accredited College or University in the state in which the school is located
  • Must have filed a PBA Dependent Student Certification Form.   This form must be filed every verification period. 

Note:  In lieu of the PBA Dependent Student Verification Form, the Funds Office will accept a current Enrollment Verification Certificate from the National Student Clearinghouse http://www.studentclearinghouse.org.

If your dependent has graduated, or is otherwise no longer enrolled as a full-time student, coverage will terminate at the end of the verification period (January 31 or September 30) for which a PBA Dependent Student Certification Form has been completed. For example, if your dependent child’s full-time student status has been verified for the spring verification period ending September 30, 2015 and graduates on May 25, 2015, coverage will terminate as of September 30, 2015.

Separate Enrollment Processes for PBA and City of New York Benefits

It is important to note that the Fund and the City of New York Health Benefits Program do not share enrollment information.  You must submit enrollment and dependent status change information separately to both the PBA Retiree Health and Welfare Fund and to the City of New York Health Benefits Program.  Updating information with one plan does not update information with the other.  This includes, but is not limited to the following:

  • Address changes
  • Adding dependents
  • Removing dependents
  • Providing information regarding other coverage for Coordination of Benefits (COB).

To update your information with the PBA Health & Welfare Fund, use the PBA Enrollment Form.

To update your information with the City, visit the City of New York Health Benefits Program website.