WTABT Benefit Resources and Forms

 

toothDental Benefits 845-883-3284
Annual Enrollment Update Form
Delta Dental Brochure     Group # 17958
Delta Dental Claim Form
WTA Dental Benefits Handbook

 

 

piggybankStacey Braun Associates Financial Services Program
1-
888-949-1925

 

 

big eyechartDavis Vision 1-800-283-9374
Davis Vision Benefits Booklet
Davis Vision Out-of-Network Claim Form

 

 

 

bluelegalscaleNYSUT Legal Services Plan   
1-800-832-5182

 

 

 

Additional Forms HIPAA and Other Forms

HIPAA Frequently Asked Questions

Personal Representative Form

Change of Dependents

Change of Address

Domestic Partner Enrollment Information

WTA Benefit Trust Reimbursement Form

WTA Reimbursement Form

 

 

 

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