NYCE IRA Beneficiary Withdrawal FormThe following forms and publications are in PDF format. Follow the link at left to download Acrobat Reader if you don't already have it.
New York City Employee Individual Retirement Account (NYCE IRA), Brochures & Forms
NYCE IRA Brochure (includes Application)
NYCE IRA Deposit Form
NYCE IRA Transfer/Rollover Form
NYCE IRA Personal Information Change Request Form
Traditional NYCE IRA Withdrawal Form
Roth NYCE IRA Withdrawal Form
NYCE IRA Beneficiary Withdrawal Form
Single Life Expectancy Table
Joint Life Expectancy Table
The Uniform Table
NYC Deferred Compensation Plan Guides, Brochures & Forms
Please Note: To request a pension rollover packet, including the Final Pension Payment Rollover Form, please call (212) 306-7760.
Summary Guide of 457 & 401(k) Plan Provisions
457/401(k) Plan Enrollment Form
Pre-Arranged Portfolio Fact Sheet
457/401(k) Plan Change Form
457/401(k) Plan Transfer of Funds Form for Incoming Plan Transfers
457 Plan In-Service Distribution Form for Purchase of Permissive Service Credits
457 Plan DAR Form
457 Plan Emergency Withdrawal Application
401(k) Plan Hardship Withdrawal Application
457/401(k) Loan Guide and Applications
457/401(k) Loan Change Form
457/401(k) Loan Offset Form
Participant Distribution Guide/Form
Beneficiary Distribution Guide/Form
Electronic Funds Transfer (EFT) Form
NYC Deferred Compensation Plan Newsletters
March 31, 2009
June 30, 2009
September 30, 2009
Special Edition February 2009
December 31, 2008
NYC Deferred Compensation Plan 2008 Annual Report
2008 Annual Report
City Health Benefits
Health Benefits Application with Instruction Sheet
Basic Plan and Optional Rider Costs for Employees
Plan Costs for Non-Medicare Retirees and Medicare-Eligible Retirees
Flexible Spending Accounts Program
Plan Year 2010 Brochures and Enrollment/Change Forms
Plan Year 2010 Flexible
Spending Accounts Program Brochure
Plan Year 2010 FSA
Enrollment/Change Form
Plan Year 2010 MSC Health Benefits
Buy-Out Waiver Enrollment/Change Form
Plan Year 2010 MSC Premium
Conversion Enrollment/Change Form
Plan Year 2010 HCFSA/DeCAP
SPD
Plan Year 2010 MSC SPD
Plan Year 2010 DeCAP
Qualifying Event Mid-Year Change Form
Plan Year 2010 HCFSA
Qualifying Event Mid-Year Change Form
Plan Year 2010 HCFSA HIPAA
Form
Plan Year 2009 Brochures and Enrollment/Change Forms
Plan Year 2009 Flexible Spending Accounts Program Brochure
Plan Year 2009 FSA Enrollment/Change Form
Plan Year 2009 MSC Health Benefits Buy-Out Waiver Enrollment/Change Form
Plan Year 2009 MSC Premium Conversion Enrollment/Change Form
Plan Year 2009 HCFSA/DeCAP SPD
Plan Year 2009 MSC SPD
Plan Year 2009 DeCAP Qualifying Event Mid-Year Change Form
Plan Year 2009 HCFSA Qualifying Event Mid-Year Change Form
Plan Year 2009 HCFSA HIPAA Form
HCFSA Medical
Necessity Form
Medical Necessity
Form
FSA Direct Deposit Form
FSA Program Direct Deposit
Form
FSA Claims Forms
2010
DeCAP Claims Form
HCFSA Claims Form
2009
DeCAP Claims
Form
HCFSA Claims
Form
Long Term Care Insurance Program
Long Term Care Insurance Program Change Form
Management Benefits Fund
COBRA Application
Healthplex Dental Claim Form
Dependent Student Certification Form
Health Club Reimbursement Claim Form - Updated 8/1/07
Superimposed Major Medical Claim Form
Vision Care Claim Form
MBF HIPAA Form
MBF Booklet Sections
General Information
Basic Life Insurance and AD&D
COBRA
Dental Benefits - Updated 8/1/08
Family and Medical Leave Act (FMLA)
Fund Eligibility and Membership
GHI Senior Care Drug and Medicare Supplement Health Plan Rider Subsidy Benefit
Group Universal Life (GUL) Insurance - Updated 8/1/08
Health Club Reimbursement Program - Updated 8/1/07
Long-Term Disability (LTD) Insurance
Retiree Medicare HMO Drug Benefits
Special Leave of Absence Coverage (SLOAC)
Superimposed Major Medical Plan (SMMP) Benefits
Survivor Benefits
Vision Care Benefits - Updated 1/2009
MBF Voice Newsletters
Winter 2009
May 2007
December 2006
June 2006
April 2005
Lost Check Claim
To submit a claim for a lost check from the Deferred Compensation Plan, the Management Benefits Fund, the Dependent Care Assistance Program, or the Health Care Flexible Spending Program.
Lost Check Claim Form
