Council of Supervisors and Administrators
of the City of New York
Welfare Fund
40 Rector Street, 12th Floor
New York, New York 10006-1729
Telephone: (212) 962-6061
Fax: (212) 964-4352
Spring 2012 Pre-Retirement Health
Workshops
Office of Labor Relations - Age 26 Coverage Application for
ACTIVE MEMBERS
Office of Labor
Relations - Age 26 Coverage Application for
RETIREES
Office of
Labor Relations Instructions for IRMAA Reimbursement
NYC Young Adult ( Age 29
) Coverage Application
MEDCO Formulary Drug List
Express Scripts
Direct Reimbursement Form -- for Shingles Vaccination
"When I'm 64..... The CSA Welfare Fund Guide to Becoming Medicare Eligible
Douglas V. Hathaway, Ph.D., Administrator
Glenda Harry, Assistant Administrator,
Finance and Administration
Christie Pastor, Executive Assistant, Office
Manager
Marisa Rodriguez,Claims Manager

Providing Supplemental Health Care Benefits to active and
retired supervisors and administrators in the School District of the City of New
York and to Day Care Center Directors and their assistants