NFTA Elements - Health Insurance

The NFTA offers medical insurance through Blue Cross Blue Shield of Western New York. If you are interested in learning about your plan option(s) and employee premium(s), please contact Christine Hart, Benefits Coordinator, 716-855-7652.

My Health

Improve your health and fitness with this free online resource, visit www.bcbswny.com.

Summary of Benefits Coverage (SBC)

NFT Metro - 205 Plan
NFTA POS 205 Plan
NFTA PPO HDHP Plan
SBC Uniform Glossary

Forms

The most commonly used forms are all here:
BCI HRA Debit Authorization Form
Blue Cross Blue Shield Claim
Blue Cross Blue Shield Enrollment
Dental Claim
EyeMed Enrollment Form
GHI Claim Form
GHI Enrollment
Health Now Claim Form
HRA Enrollment
Nova Flexible Spending Account Claim Form

Annual Notifications

Notice of Creditable Coverage for Medicare Part D
Notice of Grandfathered Status
Notice of Special Enrollment Rights
Women’s Health and Cancer Rights Act

Documents

BCI HRA Debit Authorization Form
Blue Cross Blue Shield Claim
Blue Cross Blue Shield Enrollment
Change of Address Form
Children’s Health Insurance Program Reauthorization Act (CHIPRA)
Dental Claim
EAP Free Consultation Services
EAP Summary of Benefits
Emergency Contact Information
Employee Certification Form
EyeMed Enrollment Form
Family Member Certification Form
GHI Claim Form
GHI Enrollment
Health Now Claim Form
Holiday Schedule
HRA Enrollment
NFT Metro - 205 Plan
NFTA Family and Medical Leaves of Absence Request Form
NFTA Policy - Family and Medical Leaves of Absence
NFTA POS 205 Plan
NFTA PPO HDHP Plan
Notice of Creditable Coverage for Medicare Part D
Notice of Grandfathered Status
Notice of Special Enrollment Rights
Nova Flexible Spending Account Claim Form
SBC Uniform Glossary
Women’s Health and Cancer Rights Act