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2024 PBA Supplemental Fund Open Enrollment & Application

Open enrollment for the 2024 Plan Year is now underway. To apply, please click here to access the application. The deadline to submit your application is September 30, 2025. You may be eligible if you retired between 4/1/2008 and 12/31/2023 and you were a full-time member (excluding time as an associate member) of a bargaining unit within the PBA.

**Please note: After submitting your application, a confirmation screen will appear with the message “Thank you! Your submission has been received.” Additionally, you will receive a separate email verification from noreply@jotform.com. If you do not receive this verification email, please contact us at pbafund@nystpba.org.

As a reminder, the majority of questions regarding the Supplemental Fund can be answered by visiting the FAQs page on our website.   For any questions not addressed there, please contact us at pbafund@nystpba.org.