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

AFCA CONTRACT 4-1-19 THRU 3-31-24
ATU Local 1342 08 01 2009 To 7 31 2020
BCI HRA Debit Authorization Form
Blue Cross Blue Shield Claim
Blue Cross Blue Shield Enrollment
BNAFA CONTRACT 2018 2022 Signed
Change of Address Form
Children’s Health Insurance Program Notice
Children’s Health Insurance Program Reauthorization Act (CHIPRA)
Creditable Coverage Disclosure Notice
CSEA NFTA CBA April 1 17 To March 31 20
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
ILA 1949 Contract 04-01-2018 to 03-31-2022
ILA 2028 Contract 4-1-18 to 3-31-22 Final Signed
Metrolink ADA Signed Contract April 1, 2012 - March 31, 2021
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
PBA Contract Apr 2019 - Mar 2022
Police Lts. Capts. Contract 2019-2023
SBC Uniform Glossary
Teamster Bus-Rail Superv. Controllers 2012-2021
Teamsters 264 Shift Supervisors 2012-2021
Teamsters 264S 2017-2020
Teamsters Airport Supervisors 2014-2021 Signed
Women’s Health and Cancer Rights Act