Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
EMPLOYEE SELF SERVICE LOGIN
Quick access to your personal, pay, tax, and benefits information
Accessing ESS
from home or
Work
http://cityshare.nycnet/ess or www.nyc.gov/ess
User ID
This is your seven-digit Employee ID number which can
be found on your pay stub in the box called Reference #;
or go to NYCHA Connect, HR, My Pay (NYCAPS).
First Time
Logging in
Enter your User ID
Password - Your initial password consists of the last
two digits of your
social security number, _
(underscore), the first three letters of your birth month
(uppercase), your birth day, and your birth year.
Example - employee with SSN XXX-XX-
XX99 and a
birthdate of January 01, 1910 would be 99_JAN011910
Return User
Log in using your ESS User ID and Password.
Select Sign in
Forgot your
User ID and/or
Password?
Click the “Forgot Your Password?” link to reset your
password.
If you continue to have issues, contact NYCAPS Central
at employees[email protected].gov.
Health Plan
Summary
Select Benefits Benefits Information Health
Plan Summary
What You Can Do in Employee Self Service
View
Add/Update
Submit Pending
Human Resources
Approval
Personal
Emergency Contact Information
Name Change
Pay Stub
Personal Email Address
Life Events
W2 Form Earnings &
Withholdings
Ethnic Group
1127 Form
Tax Withholdings
1095-C Form
Address Change
Health Plan &
Dependent Information
Commuter Benefits
Pension Membership
Information
IRA Deductions
Verification Letters
529 College Savings Plan
Deductions
Leave Statements
Treasury Direct Deductions
Health Plan Dependent
Information
Recruiting Activities
Life Events
Life Event
Effective/Event Date
Documentation Required
Marriage
Date of Marriage
Copy of Marriage Certificate
Birth
Date of Birth
Copy of Birth Certificate
Adoption
Date of Adoption
Copy of Adoption Paperwork
Loss of Other
Coverage
Date of Loss of
Coverage
Proof of Loss of Other Coverage
Change in Waiver Status
Effective/Event Date
Documentation Required
Date of gain of
Coverage
Proof of gain of coverage
Date of Buyout
Enrollment
Medical Spending Conversion
form
Date of loss of
coverage
Proof of Loss of Coverage
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
HIRES OR REHIRES
Enrollment must be completed within 31 days from the date of hire.
1. Log into ESS (www.nyc.gov/ess
. Enter UserID and password.)
2. You should see all the available options. If not, select Employee Self
Service located on top to display menu options.
3. Select Health Benefits to view Benefit menu options
4. Select Health Benefits Enrollment to enroll in benefits the Health
Benefits Enrollment Page displays your Event and status.
5. Click Select to initiate your enrollment for the New Hire Enrollment.
The event Status will indicate
Open You have not submitted an election for this event and it is
ready for data entry
Pending You have entered selections where you must submit
supporting documentation to Human Resources Employee Benefits
Submitted Your pending entry has been approved
6. Your Enrollment Summary will indicate No Coverage.
Click Edit to select your new health benefit coverage. A listing of
plan options will be displayed specific to your eligibility. Click the
scrollbar to view all plan options. Click the plan name link to be
directly connected to the plan’s website.
Click the Waive button to decline being enrolled in a health plan.
7. Click the radio button next to the plan name to select your health plan
If you are electing an Employee ONLY coverage, Click Continue and
go to Step 8
If you are enrolling a dependent, click the Add/Review Dependents
which will display all individuals currently eligible to be your
dependents. Refer to the Summary Program Description booklet at
www.nyc.gov/hbp
for information on who is eligible as a dependent.
a. Click Add a Dependent in your health plan. Enter your
dependent’s personal information. All fields with an Asterisk (*)
are required. If enrolling a spouse, for the Marital status date,
enter your marriage date.
b. Upon entering all dependent’s personal information, click Save. A
confirmation page will display noting that your new dependent’s
personal information has been saved. Your dependent(s) are only
stored at this point. You must continue the process to enroll your
dependent in your health plan.
c. Click OK.
d. The Enrollment Dependent Summary page will display, review
your dependent’s personal information. Use the Edit button to
edit your dependent’s information.
e. If enrolling multiple dependents, repeat steps 7.a. to 7.d. for each
dependent. Once you have added all dependents Click Enrollment
Dependent Summary and select Return to Event Selection to
return to the Health Benefits Enrollment Page to enroll your
dependents in your health plan.
f. Scroll to the bottom of the page, Click Enroll box to enroll your
dependent and click the Continue button.
8. You can now view a summary of your election. Click the OK button to
store your selections.
9. Your health plan coverage will be displayed along with the cost per pay
period.
10. Click Submit to process your selection.
11. Carefully read the Employee Certification to understand the terms
and conditions of your health coverage; Click Submit to finalize your
enrollment election.
12. Your benefit choices have been successfully submitted, Click OK
NOTE: If enrolling dependent(s), your election will be placed in a
Pending Status until supporting documentation is emailed to
HRBenefits@nycha.nyc.gov
; and processed by Human Resources
Employee Benefits. The documentation must include your name and
ID#. If the Benefits Summary does not reflect your new enrollment
changes, this means that your changes have not yet been approved.
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
EXPERIENCE A LIFE EVENT -- Add Newborn Dependent
Enrollment must be completed within 31 days of the date of birth.
If the newborn is older than 31 days, please contact 212-306-8000.
1. Log in to ESS (www.nyc.gov/ess
. Enter UserID and password.)
2. You should see all the available options. If not, select Employee Self
Service located on top to display menu options.
3. Select Benefits Link
4. Select Life Events
5. Select Add Dependent
6. In the Effective Date of Event field, enter the child’s date of birth
7. For the Qualifying Event Type select birth; Click on the Submit My
Event button
8. Review your information carefully and ensure that the Life Event Type
and Event /Effective date are accurate.
9. Your event is now ready for data entry. Click on the Go to My
Enrollment Event. -- The Health Benefits Enrollment Page displays
your Event and status.
10. Click Select to initiate your enrollment for the Event of Family Status
Change The event Status will indicate:
o Open You have not submitted an election for this event, and it
is ready for data entry
o Pending You have entered selections where you must submit
supporting documentation to NYCHA Health Benefits
o Submitted Your pending entry has been approved
13. Your Enrollment Summary will indicate your current Coverage. Click
the Edit button to add the dependent to your health plan.
14. Your current plan will be displayed. If you already have dependents,
a listing showing their names, relationship and if currently enrolled
will appear. Those covered are indicated by a check mark next to
their name.
15. Click the Add/Review Dependents button to add your child in your
health plan. If you have questions regarding who is eligible as a
dependent, refer to the Summary Program Description. Go to
www.nyc.gov/hbp
.
16. Click the Add a Dependent link to add your child in your health plan.
Enter your dependent’s personal information. All fields with an
Asterisk (*) are required.
Note: If your child’s social security number has not yet been issued,
leave blank. However, it must be provided to HR Health Benefits
when available.
17. Upon entering all dependent’s personal information, click Save. A
confirmation page will be displayed noting that your new
dependent’s personal information has been saved successfully. Your
dependent(s) are only stored at this point. You must continue the
process to enroll your dependent in your health plan.
18. Click OK to continue and review your dependent’s information. The
Dependent Personal Information page will display your new
dependent’s personal information. Use the Edit button to review and
edit your dependent’s information. If enrolling multiple
dependents, repeat these steps for each dependent.
19. Once you have added all dependents Click the Enrollment Dependent
Summary link and select Return to Event Selection link to return to
the Health Benefits Enrollment Page to enroll your dependents in
your health plan.
20. Click a Check Mark in the Enroll box in order to enroll your dependent
and click the continue button.
21. You can now view a summary of your election. Click the OK button to
store your selections.
22. Your health plan coverage will be displayed along with the cost per
pay period .
23. Click the submit button to process your selection.
24. Carefully read the Employee Certification in order to understand the
terms and conditions of your health coverage; Click Submit to finalize
your enrollment election.
25. Your benefit choices have now been successfully submitted, Click OK
26. Your election will be placed in a Pending Status until supporting
documentation is emailed to HRBenefits@nycha.nyc.gov
; and
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
processed by Human Resources Employee Benefits. The
documentation must include your name and ID.
Note: If the Benefits Summary does not reflect your new enrollment
changes, this means that your changes have not yet been approved.
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
EXPERIENCE A LIFE EVENT -- Adding Spouse
Enrollment must be completed within 31 days of the date of the marriage.
If the marriage is older than 31 days, please contact 212-306-8000.
1. Log in to ESS (www.nyc.gov/ess
. Enter UserID and password.)
2. You should see all the available options. If not, select Employee Self
Service located on top to display menu options.
3. Select Benefits Link
4. Select Life Events
5. Select Add Dependent
6. In the Effective Date of Event field, enter the date of the Marriage
7. For the Qualifying Event Type select Marriage
8. Click on the Submit My Event button
9. Review your information carefully and en sure that the Life Event
Type and Event /Effective date are accurate.
10. Your event is now ready for data entry. Click on the Prepare My
Enrollment Event. -- The Health Benefits Enrollment Page displays
your Event and status.
11. Click Select to initiate your enrollment for the Event of Family Status
Change The event Status will indicate
Open You have not submitted an election for this even and it is
ready for data entry
Pending You have entered selections where you must submit
supporting documentation to NYCHA Health Benefits
Submitted Your pending entry has been approved
12. Your Enrollment Summary will indicate your current Coverage. Click
the Edit button to add the dependent to your health plan.
Note: If you click on the I Have No Changes button, you are choosing
not to make an enrollment change
13. Your current plan will be displayed. If you already have dependents,
a listing showing their names, relationship and if currently enrolled
will appear. Those covered are indicated by a check mark next to
their name.
27. Click the Add/Review Dependents button to add your spouse in your
health plan. If you have questions regarding who is eligible as a
dependent, refer to the Summary Program Description. Go to
www.nyc.gov/hbp
.
14. Click the Add a Dependent link to add your spouse in your health
plan. Enter your dependent’s personal information. All fields with an
Asterisk (*) are required.
15. Upon entering your dependent’s personal information, click Save. A
confirmation page will be displayed noting that your new
dependent’s personal information has been saved successfully. Your
dependent(s) ore only stored at this point. You must continue the
process to enroll your dependent in your health plan.
16. Click the OK to continue and review your dependent’s information.
The Dependent Personal Information page will display your new
dependent’s personal information. Use the Edit button to review and
edit your dependent’s information. If enrolling multiple
dependents, repeat these steps for each dependent.
17. Once you have added all your dependents Click the Enrollment
Dependent Summary link and select Return to Event Selection link to
return to the Health Benefits Enrollment Page to enroll your
dependents in your health plan.
18. Click a Check Mark in the Enroll box in order to enroll your dependent
and click the continue button.
19. You can now view a summary of your election. Click the OK to store
your selections.
20. Your health plan coverage will be displayed along with the cost per
pay period .
21. Click the submit button to process your selection.
22. Carefully read the Employee Certification in order to understand the
terms and conditions of your health coverage; Click Submit to finalize
your enrollment election
23. Your benefit choices have now been successfully submitted, Click OK
24. Your election will be placed in a Pending Status until supporting
documentation is emailed to HRBenefits@nycha.nyc.gov
; and
processed by Human Resources Employee Benefits. The
documentation must include your name and ID. The documentation
must include your name and ID. Note: If the Benefits Summary does
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
not reflect your new enrollment changes, this means that your
changes have not yet been approved.
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
EXPERIENCE A LIFE EVENT
Drop Dependent Divorce
1. Log in to ESS (www.nyc.gov/ess
. Enter UserID and password.)
2. You should see all the available options. If not, select Employee Self
Service located on top to display menu options.
3. Select Benefits Link
4. Select Life Events
5. Select Drop Dependent
6. In the Effective Date of Event field, enter the date of the Divorce
7. For the Qualifying Event Type select Divorce
Note: When dropping spouse, the change must be completed within
31 days of the date of the divorce. If the divorce is older than 31
days, please contact xx .
8. Click on the Submit My Event button
9. Review your information carefully and en sure that the Life Event
Type and Event /Effective date are accurate. Click on the Prepare
My Enrollment Event.
10. Your event is now ready for data entry. Click on the Go to My
Enrollment Event. -- The Health Benefits Enrollment Page displays
your Event and status.
11. Click Select to initiate your enrollment for the Event of Family Status
Change The event Status will indicate
a. Open You have not submitted an election for this even and
it is ready for data entry
b. Pending You have entered selections where you must
submit supporting documentation to NYCHA Health Benefits
c. Submitted Your pending entry has been approved
12. Your Enrollment Summary will indicate your current Coverage. Click
the Edit button to remove your spouse from your health plan.
Note: If you click on the I Have No Changes button, you are choosing
not to make an enrollment change
13. Your current plan will be displayed. If you already have dependents,
a listing showing their names, relationship and if currently enrolled
will appear. Those covered are indicated by a check mark next to
their name. Click to Uncheck the box next to your former spouse
name.
14. Click continue to update your dependent’s disenrollment.
Note: Your former spouse will be classified as Ex-Spouse
15. You can now view a summary of your election. Click the OK button to
store your selections.
16. Your health plan coverage will be displayed along with the cost per
pay period .
17. Click the submit button to process your selection.
18. Carefully read the Employee Certification in order to understand the
terms and conditions of your health coverage
a. IF you are not ready to submit your elections, click the Cancel
button, no enrollment action will be taken.
b. IF you are ready to submit and finalize your enrollment
election, Click Submit
19. Your benefit choices have now been successfully submitted, Click the
OK button
20. Your election will be placed in a Pending Status until supporting
documentation is emailed to HRBenefits@nycha.nyc.gov
; and
processed by Human Resources Employee Benefits. The
documentation must include your name and ID. Note: If the Benefits
Summary does not reflect your new enrollment changes, this means
that your changes have not yet been approved.
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
EXPERIENCE A LIFE EVENT
Change Waiver Status due to Loss of Other Coverage
1. Log in to ESS (www.nyc.gov/ess
. Enter UserID and password.)
2. You should see all the available options. If not, select Employee Self
Service located on top to display menu options.
3. Select Benefits Link
4. Select Life Events
5. Select Change Waiver Status
6. In the Effective Date of Event field, enter the loss coverage date
7. For the Qualifying Event Type select Enroll Off Waiver
Note: This action must be be completed within 31 days of the
qualifying event . If this action is not completed timely, you will not
be able to change benefits election until the next Transfer Period.
8. Click on the Submit My Event button
9. Review your information carefully and en sure that the Life Event
Type and Event /Effective date are accurate. To prepare your event
for enrollment, click on the Prepare My Enrollment Event.
10. Your event is now ready for data entry. Click on the Go to My
Enrollment Event. -- The Health Benefits Enrollment Page displays
your Event and status.
11. Click Select to initiate your Enroll off Waiver Enrollment The event
Status will indicate
Open You have not submitted an election for this even and it
is ready for data entry
Pending You have entered selections where you must submit
supporting documentation to NYCHA Health Benefits
Submitted Your pending entry has been approved
12. Your Enrollment Summary will indicate Waiver. Click the Edit button
to choose your new health plan.
Note: If you click on the I Have No Changes button, you are choosing
not to make an enrollment change
28. A listing of plan options will be displayed specific to your eligibility.
Click the scrollbar to view all plan options. Click the plan name link to
be directly connected to the plan’s website
29. Click the radio button next to the plan name to select your new
health plan
o If you are electing an Employee ONLY coverage, Click the
Continue Button and go to Step ???
o If you are enrolling a dependent, Click the Add/Review
Dependents button which will display all individuals currently
eligible to be your dependents. This may include dependents
that may not be currently covered but are still eligible. Those
covered are indicated by a check mark next to their name.
If you have questions regarding who is eligible as a
dependent, refer to the Summary Program Description. Go to
NYCHA Connect, HR, Health Insurance Rates, click on
Summary Plan Description.
Click the Add a Dependent link to enroll your dependent(s) in
your health plan. Enter your dependent’s personal
information. All fields with an Asterisk (*) are required.
If enrolling a spouse, for the Marital status date, enter your
marriage date.
Upon entering all dependent’s personal information, click
Save. A confirmation page will be displayed noting that your
new dependent’s personal information has been saved
successfully. Your dependent(s) are only stored at this point.
You must continue the process to enroll your dependent in
your health plan.
Click the OK button to continue and review your dependent’s
information.
Human Resources Employee Benefits Division/90 Church Street, 5
th
Floor, New York, NY 10007
The Enrollment Dependent Summary page will display your
dependent’s personal information. Use the Edit button to
review and edit your dependent’s information.
If enrolling multiple dependents, repeat these steps for each
dependent. Once you have added all your dependents Click
the Enrollment Dependent Summary link and select Return
to Event Selection link to return to the Health Benefits
Enrollment Page to enroll your dependents in your health
plan.
Click a Check Mark in the Enroll box in order to enroll your
dependent and click the continue button.
30. You can now view a summary of your election. Click the OK button to
store your selections.
31. Your health plan coverage will be displayed along with the cost per
pay period .
32. Click the submit button to process your selection.
33. Carefully read the Employee Certification in order to understand the
terms and conditions of your health coverage
o IF you are not ready to submit your elections, click the Cancel
button, no enrollment action will be taken.
o IF you are ready to submit and finalize your enrollment
election, Click Submit
34. Your benefit choices have now been successfully submitted, Click the
OK button
35. If enrolling dependent(s), your election will be placed in a Pending
Status until supporting documentation is emailed to
HRBenefits@nycha.nyc.gov
; and processed by Human Resources
Employee Benefits. The documentation must include your name and
ID. If the Benefits Summary does not reflect your new enrollment
changes, this means that your changes have not yet been approved.