Children Under 26 On 26th birthday, Union Benefits end. At end of month of birthday City Benefits end. Spouse Medicare Health Benefits Program 22 Cortlandt St, New York, NY 10007 Spouse has to correspond with Health Insurance, Union and the NYC Health Benefits Program. Need Medicare card. Retiree 65 Medicare/Spouse is not Spouse stays with retiree Insurance until the spouse turns 65. Retiree = City pays. Spouse = Paid by Retiree. 713 EN-05-10031-2020