Eligibility
Employees eligible to participate in the HCFSA Program must be covered by:

• New York City health insurance, and
• the Citywide contract, or
• the Management Benefits Fund.

Agencies include:

• Mayoralty
• Health and Hospitals Corporation (HHC)
• Housing Authority
• City University of New York (CUNY)
• School Construction Authority (SCA)
• Off-Track Betting (OTB)
• Department of Education (DOE)

Employees of cultural institutions, libraries and DOE charter schools may be offered an HCFSA Program through their individual institutions. Please contact your Benefits Manager for additional information.

Calculate your potential savings under the HCFSA program

Annual Open Enrollment Period
The HCFSA Program annual Open Enrollment Period will be September 21, 2009 through November 13, 2009 for Plan Year 2010.

Elections will be effective January 1st, or the date of your first payroll deduction if you become eligible after the beginning of the Plan Year. Newly eligible employees may participate as soon as they become eligible for City health benefits.

To participate, newly eligible employees must submit a Flexible Spending Accounts (FSA) Program Enrollment/Change Form and an HCFSA Qualifying Event Mid-Year Change Form with documentation within 30 days after becoming eligible for city health benefits. Your annual election will be prorated over the remaining pay periods.

Enrollment is not automatic from year to year. You must re-enroll each year during the annual Open Enrollment Period.

Download FSA Program Forms and Brochures


How to Enroll
To enroll in the HCFSA Program, you must obtain an FSA Enrollment/Change Form for Plan Year 2010 and if applicable, an HCFSA Qualifying Event Mid-Year Change Form from this site, from the FSA Program Administrative Office, or from your agency's benefits office.

If you do not enroll in the HCFSA Program within 30 days after becoming eligible, you must wait until the next annual Open Enrollment Period before you can enroll.

To request that the above-mentioned forms or the Program Brochure be faxed to you, call the FSA Administrative Office at (212) 306-7760 or leave your information to have them mailed to you.

Download FSA Program Forms and Brochures

Completed forms must be returned during the annual Open Enrollment Period to:

Flexible Spending Accounts Program
40 Rector Street, 3rd Floor
New York, NY 10006

Should you require assistance in completing the Enrollment/Change Form, please call the FSA Administrative Office at (212) 306-7760 between 9:00 am and 4:00 pm, Monday through Friday. In-house counseling is available by appointment only. 

See the Flexible Spending FAQ