Eligibility for Health and Other Benefits for Greater New York Members
Members are generally eligible for benefits after they have been working for a contributing employer for 90 days or more, and the employer has made contributions to the Fund for 30 days or more.
Wage Class
- Eligibility Class I — Family Coverage
If you work full-time, your benefit level is generally Eligibility Class I. If you are in Eligibility Class I, you are eligible for family coverage. This means that you, your spouse and your children, if eligible, can receive benefits from the Benefit Fund.
If you work part time, your benefit level is either:
- Eligibility Class II — Family Coverage
If you work part time, on average more than 60 percent, but less than 100 percent, of a full-time schedule (generally three or four days per week) your benefit level is generally Eligibility Class II. If you are in Eligibility Class II, you are eligible for family coverage. This means that you, your spouse and your children, if eligible, can receive benefits from the Fund. - Eligibility Class III — Member Only Coverage
If you work on average more than 20 percent, but less than 60 percent, of a full-time schedule (generally one or two days per week), your benefit level is generally Eligibility Class III. If you are in Eligibility Class III, only you (the Member) can receive limited benefits. Your spouse and your children are not eligible for coverage from the Benefit Fund.
Note: Contributions are made into the Benefit Fund monthly by Genesis Employers on a per capita basis. Eligibility for Genesis employees is established using four tiers (Member only; Member and Spouse; Member and dependent Children; or Member, Spouse and dependent Children), based upon your Family’s composition and the amount that you elect to contribute toward these benefits through payroll deductions. All Genesis Members are considered Eligibility Class I for purposes of establishing eligibility for benefits.
If you have questions about your eligibility, call the Fund at (646) 473-9200.