Enroll for Benefits
You must enroll in person at our Central Administration office (305 West 44th Street, Manhattan) before you or your dependents are eligible for health benefits.
See the eligibility rules. Not all members are eligible for all benefits.
Members must show a valid, original driver’s license or state ID with photo.
Social Security Card
Getting a Social Security Card
If you cannot get a Social Security Card
An original marriage certificate must be shown to enroll your spouse. This is in addition to an original Social Security Card.
An original birth certificate or original adoption papers must be shown to enroll each child. This is in addition to an original Social Security Card.
Proof of Address
If you do not have a utility bill in your name
After you enroll for benefits, you will receive a hospital/healthcare ID card in the mail. This card identifies your hospital insurer and states the type of plan you are covered under. Always carry your hospital/healthcare ID card in case of emergencies or hospital admissions.
See more about hospital coverage.
Dependents must be enrolled in person at our Central Administration office.
Newborns may be enrolled at either one of our Health Centers or Central Administration. Their original birth certificate still must be shown at the time of enrollment. In order to maintain continuous coverage, newborns should be enrolled within 30 days of birth.
As an eligible member or Hotel Industry Retiree, your covered dependents may include:
Children are covered until they reach age twenty-six unless they have other employer-sponsored health coverage available except through either parent.
Your stepchildren and adopted children
This includes children legally placed for adoption. Stepchildren and adopted children are also covered until they reach age twenty-six unless they have other employer-sponsored health coverage available except through either parent.
Your disabled children
Regardless of age, disabled children who are unable to support themselves due to mental illness, developmental disability, mental retardation or physical handicap as defined in the New York Mental Hygiene Law, may be covered. They must have been incapacitated before reaching age nineteen and remain unmarried.
Your newborn grandchildren
Eligible grandchildren — which are children born to unmarried eligible dependents of a covered employee, eligible spouse, retiree, or domestic partner — receive coverage for thirty days from birth. Separate arrangements outside of the Health Benefits Fund must be made to continue coverage for the grandchild beyond that time.
Your domestic partner and their dependent children
See the domestic partner requirements, which include a 90-day waiting period.
If you divorce, your spouse will lose coverage for benefits unless a court order states otherwise. However, your spouse has the option to continue health coverage through COBRA for up to thirty-six months.
Within thirty days of a divorce, you must provide a court-ordered final decree granting divorce to the Central Administration office.
After a divorce, you should review your choices for life-insurance beneficiaries that we have on file.
Your divorce settlement may name who will provide health coverage for your children. Alternately, you may be required to provide coverage for your children under federal law. A Qualified Medical Child Support Order (QMCSO) may require the Health Benefits Fund to provide coverage for your children.
See Frequently Asked Questions for information about making changes to your enrollment and other topics.
Acceptable Birth Certificates
- A member who is eligible as a spouse of another member
- A member who is also eligible as a dependent of another member
- A child who is eligible as a dependent of two eligible members
In these cases, it’s in your best interest for each dual-eligible person to be enrolled for benefits in each scenario. This will ensure that if you lose eligibility under one scenario you may still be eligible under another.
|A member, John, is married to another member, Mary. When John is hired, he enrolls Mary as his spouse. However, when Mary is hired, she enrolls only herself. If Mary loses eligibility under her own health coverage policy, she will still be eligible as an enrolled spouse under John’s policy as long as he is still eligible. However, if John loses eligibility under his own policy, he cannot have eligibility under Mary’s policy because he is not enrolled as her spouse.|
Note that dual-eligibility does not entitle a person to doubling or “additive” benefits. Using the above example, if John receives eye glasses once per twelve-month period, he cannot combine his vision benefit as a spouse in order to double benefit.