The City of New York offers its employees a Flexible Spending Accounts (FSA) Program,which is allowable under Internal Revenue Code (IRC) Section 125. The Program allows City employees to deposit a portion of their pre-tax income into accounts maintained for certain health and dependent care expenses. Employees covered by a non-City group health plan can enroll in the MSC Program and waive City health benefits to receive an incentive payment up to $1,000 for Plan Year 2019.

To enroll, you must complete the MSC Health Benefits Buy-Out Waiver Program Enrollment/Change Form and a Health Benefits Application and provide proof of other coverage.

The Medical Spending Conversion (MSC) Health Benefits Buy-Out Waiver Programallows eligible

employees who can obtain non-City group health benefits to waive their New York City health benefits in return for an annual cash incentive payment.

For questions about theMSC Buy-Out Waiver Program, please call: (212) 306-7760.

MSC Health Benefits Premium Conversion Program

The Medical Spending Conversion (MSC) Premium Conversion Program enables eligible employees to pay for their health plan premium deductions on a pre-tax basis, thereby reducing their gross income for tax purposes.

Learn More about the Premium Conversion Program

DeCAP allows City employees to pay for eligible dependent care expenses on a pre-tax basis, with deductions taken directly from paychecks. These deductions reduce an employees gross income on his/her Form W-2 for federal and Social Security tax purposes.

The Health Care Flexible Spending Account (HCFSA) Programis a way to pay for eligible medical expenses (not covered by insurance), dental, vision, and hearing expenses (not covered by the Welfare Fund or Union) with before-tax dollars.

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