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



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




bluelegalscaleNYSUT Legal Services Plan   




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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