Benefits Information for Separated Full-Time Employees

Medical, Dental, and Vision Coverage End Date Options Available Upon Separation
If you were covered by one or more of the University-sponsored medical, dental, and/or vision plans, your coverage will cease as of the last day of the month in which your separation occurs. You and your eligible, covered dependents may be eligible to obtain continuation of coverage for a period of time after your group coverage terminates through the Consolidated Budget Reconciliation Act of 1985 (COBRA) by returning an election form and paying required premiums on a timely basis. Details regarding COBRA coverage will be sent to you from Employee Benefit Plan Administration (EBPA), NYU's COBRA administrator. For more information about COBRA, contact EBPA COBRA Services at 888-232-3203.
Flexible Spending Account Coverage End Date  
If you were participating in the Health Care and/or Dependent Care Flexible Spending Account (FSA) plan(s), participation ends on the date your employment ends. Eligible expenses incurred through the end of the month of your termination date may be submitted to HealthEquity for reimbursement through March 31st of the following Benefit year after your participation ends. If you do not submit claims for reimbursement before that time, you will forfeit any remaining funds in the FSA. If you have a Health Care FSA, you may continue contributing for the remainder of the plan year on an after-tax basis through COBRA. For FSA questions on your balances, contact HealthEquity at 877-924-3967. If you elect COBRA, contact EBPA at 800-258-7298 with questions.
Health Savings Account Coverage End Date  
If you were participating in the High Deductible Health Plan and established a Health Savings Account (HSA), you will continue to own the account. If you have questions regarding future withdrawals from or contributions to your HSA through Optum Bank, please contact an Optum Bank Customer Service Professional at 866-234-8913.
Life Insurance Coverage End Date  
Basic Life Insurance and Supplemental Life Insurance coverage will cease on your last day of employment. You are entitled to convert or port your basic and supplemental (if applicable) life coverages to a private policy with Prudential. If you are interested in converting your life insurance coverage, contact Prudential at 877-697-7888 within 31 days of your last day of employment to request a Prudential conversion form.
Disability Coverage End Date  
Basic and Optional Long-Term Disability coverage ends on your last day of employment.
No continuation of benefit is available.
Group Legal Coverage End Date  
If you participated in the Group Legal Plan, your coverage will terminate on your last day of employment. If you are currently utilizing the benefit for a specific case, the benefit will continue, for that case only, through the completion of the case. If you wish to continue your legal plan benefit after terminating employment, you must contact Hyatt Legal for portable enrollment within 30 days of your last day of employment. For more information, call MetLife Legal Plans at 800-821-6400.
Commuter Benefit Coverage End Date  
If you participate in the commuter benefit through HealthEquity, any scheduled or recurring orders will terminate on the last day of employment. If you have unused funds on your HealthEquity Commuter Transit Card, you have ninety (90) days from the date of termination of your employment to use the funds on your HealthEquity Commuter Transit Card for eligible expenses. Post-tax funds will be refunded to you after ninety (90) days from the date of your termination of employment. Commuter Parking benefits are terminated on your last day of work. For information on the commuter benefit, contact HealthEquity at 877-924-3967.
Tuition Remission Coverage End Date  
Tuition Remission benefits end on your last day of employment. No continuation of benefits is available. If currently enrolled in a course at the time of separation, you will be entitled to a pro-rated benefit.
Voluntary Benefits Coverage End Date  
Last day of Auto / Home Insurance, Pet Insurance, Identity Theft, and Group Legal coverage varies based on your current policy(ies). Last day of coverage varies based on your current policy(ies). You may choose to continue your existing voluntary benefit(s) by contacting Mercer at 866-486-1945 to convert your policy(ies).
Retirement Plans Coverage End Date  
If you participated in the 403(b)  NYU Retirement Plan and / or Supplemental Tax Deferred Annuity (STDA) Plan, your participation in the Plan(s) end on your last day of employment. Upon separation, you can receive your Plan accounts at any time. You may:   
1) Elect a full or partial distribution.
2) Rollover your account balance to an Individual Retirement Account (IRA) or another eligible retirement plan.
3) Keep your account invested through the Plans.
It is recommended that you seek professional tax advice before you initiate a distribution from the Plan. For more information or to request a distribution, contact TIAA at tiaa.org/nyu or 844-NYU-TIAA (844-698-8422).
Staff Pension Plan Coverage End Date  
If you participated in the NYU Staff Pension Plan, your participation in the Plan ends on your last day of employment. Vested balances below $5,000 will be distributed as a lump sum payment. You may elect lump sum payment if the present value of your benefit is more than $5,000 but less than $50,000. It is recommended that you seek professional tax advice before receiving a distribution. For more information or to request a distribution, contact Aon at 855-632-5016.  
Retiree Medical Plan  
Retiree Medical Plan coverage begins for eligible employees on the 1st of the month following the date of termination. You may be eligible for retiree medical benefits if:
1) your age plus years of continuous, full-time service equals 70 or more, and you are at least age 55 with at least ten years of service; or 
2) if you have 10 or more years (or 15 or more years, depending on your eligibility) of continuous, full-time service and you are found eligible for Long-Term Disability.
For more information, call PeopleLink at 212-992-LINK (5465).

Benefits Information for Separated Part-Time Employees

Medical Options Available Upon Separation
If you were covered by the University-sponsored medical plan, your coverage will cease as of the last day of the month in which your separation occurs. You and your eligible, covered dependents may be eligible to obtain continuation of coverage for a period of time after your group coverage terminates through the Consolidated Budget Reconciliation Act of 1985 (COBRA) by returning an election form and paying required premiums on a timely basis. Details regarding COBRA coverage will be sent to you from Employee Benefit Plan Administration (EBPA), NYU's COBRA administrator. For more information about COBRA, contact EBPA COBRA Services at 888-232-3203.
Health Savings Account Coverage End Date  
If you were participating in the High Deductible Health Plan and established a Health Savings Account (HSA), you will continue to own the account. If you have questions regarding future withdrawals from or contributions to your HSA through Optum Bank, please contact an Optum Bank Customer Service Professional at 866-234-8913.
Commuter Benefit Coverage End Date  
If you participate in the commuter benefit through HealthEquity, any scheduled or recurring orders will terminate on the last day of employment. If you have unused funds on your HealthEquity Commuter Transit Card, you have ninety (90) days from the date of termination of your employment to use the funds on your HealthEquity Commuter Transit Card for eligible expenses. Post-tax funds will be refunded to you after ninety (90) days from the date of your termination of employment. Commuter Parking benefits are terminated on your last day of work. For information on the commuter benefit, contact HealthEquity at 877-924-3967.
Voluntary Benefits Coverage End Date  
Last day of Auto / Home Insurance, Pet Insurance, and Identity Theft coverage varies based on your current policy(ies). Last day of coverage varies based on your current policy(ies). You may choose to continue your existing voluntary benefit(s) by contacting Mercer at 866-486-1945 to convert your policy(ies).
Retirement Plans Coverage End Date  
If you participated in the 403(b) NYU Retirement Plan and / or Supplemental Tax Deferred Annuity (STDA) Plan, your participation in the Plan(s) end on your last day of employment. Upon separation, you can receive your Plan accounts at any time. You may:   
1) Elect a full or partial distribution.
2) Rollover your account balance to an Individual Retirement Account (IRA) or another eligible retirement plan.
3) Keep your account invested through the Plans.
It is recommended that you seek professional tax advice before you initiate a distribution from the Plan. For more information or to request a distribution, contact TIAA at tiaa.org/nyu or 844-NYU-TIAA (844-698-8422).
Staff Pension Plan Coverage End Date  
If you participated in the NYU Staff Pension Plan, your participation in the Plan ends on your last day of employment. Vested balances below $5,000 will be distributed as a lump sum payment. You may elect lump sum payment if the present value of your benefit is more than $5,000 but less than $50,000. It is recommended that you seek professional tax advice before receiving a distribution. For more information or to request a distribution, contact Aon at 855-632-5016.

Provider Contact Information

Benefit / Service Contact Phone
General Questions NYU PeopleLink 212-992-5465
Medical Plan UnitedHealthcare
Group: 175396
866-633-2474
Prescription Drug Plan CVS Caremark
Group: NYUNV, Plan: 610029
800-421-5501
Dental Plan MetLife
Group: 84542
800-438-6388
Vision Plan VSP
Group: 30010223
800-877-7195
Retirement Accounts TIAA   844-698-8422
Staff Pension Plan Aon 855-632-5016
Life Insurance Prudential
Group: 50312
800-778-3827
Long-Term Disability Lincoln Financial 888-339-6830
Portable Tuition Plan (Google Doc) EBPA Benefits
Secure Document Submission Instructions (PDF)
888-678-3457
Commuter Benefits
HealthEquity 877-924-3967
Flexible Spending Accounts (FSA) HealthEquity 877-924-3967
Health Savings Account (HSA) Optum Bank 800-791-9361
Auto, Home, Pet Insurance Mercer 866-486-1945
Group Legal MetLife
Access Code: 6120018
800-821-6400
Identity Theft ID Watchdog 866-513-1518
Health Care Advocacy Health Advocate 866-695-8622 
LiveSmart Wellness Program NYU PeopleLink 212-992-5465
Employee Assistance Program (EAP) Optum
888-980-8740
Working Family Solutions - Bright Horizons Bright Horizons
Register Online: User: NYU, Password: Benefits4You
877-242-2737
529 Savings Plan (Google Doc) New York's 529 College Savings Plan 877-697-2837
Direct Billing for Adjunct and Retiree Premiums EBPA Benefits 800-258-7298
COBRA: Medical, Dental, Vision EBPA Benefits 888-232-3203
Medicare
Medicare 800-633-4227
UnitedHealthcare Group Medicare Advantage PPO Pre-Enrollment 877-714-0178
UnitedHealthcare Group Medicare Advantage PPO Post-Enrollment 800-457-8506
Social Security Administration
Social Security Administration 800-772-1213