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. Please note that enrollment is only available during the annual benefit open enrollment period or for specific qualifying events.
Annual Notifications
Summary of Benefits Coverage (SBC)
My Health
Improve your health and fitness with this free online resource, visit www.bcbswny.com.
Blue Cross Blue Shield Enrollment
High Deductible Plan Information
For employees enrolled in the High Deductible Plan, the Health Reimbursement Account annual credit is $1,500 single and $3,000 family.
These are the most commonly used forms:
BCI HRA Debit Authorization FormHRA Enrollment
HRA Fillable Claim Form
Dental & Eye Information
During the annual open enrollment period you can utilize the following forms to enroll in dental and eye coverage:
GHI Dental enrollment
EyeMed Enrollment Form
To find a participating dental provider follow these instructions:
GHI/Emblem Health Participating Dentist Instructions
To locate a participating eye care provider (choose the Select network):
Vision Provider Locator (eyemedvisioncare.com)
Complete and submit the following claim form for dental services:
Dental Claim Form-
Human Resources
- 2022 Holiday Schedule
- 2022 SBC NFT Metro 003 POS 298
- 2022 SBC NFTA 003 POS 298
- 2022 SBC NFTA 0T02 PPO 6398
- BCI HRA Debit Authorization Form
- Blue Cross Blue Shield Claim
- Blue Cross Blue Shield Enrollment
- Change of Address Form (fillable)
- Children's Health Insurance Program (CHIP)
- Creditable Coverage Notice 2022
- Dental Claim Form
- Dependent Care Claim Form
- EAP Free Consultation Services
- EAP Summary of Benefits
- Emergency Contact/Data Information (fillable)
- Employee Certification Form
- Employee Referral Program
- Executive Order No. 161 Ensuring Pay Equity By State Employees
- EyeMed Enrollment Form
- Family Member Certification Form
- FSA Nova General Claim Form
- GHI Dental Participating Provider Search
- GHI Enrollment
- HRA Enrollment
- HRA Fillable Claim Form
- Mandatory COVID Policy NFTA 12-17-2021
- MaskExecOrder
- Metro Vaccination Policy 12-17-2021
- NFTA Employment Application
- NFTA Family and Medical Leaves of Absence Request Form
- NFTA Policy - Family and Medical Leaves of Absence
- Notice of Creditable Coverage for Medicare Part D
- Notice of Grandfathered Status
- Notice of Special Enrollment Rights
- SBC Uniform Glossary
- Women’s Health and Cancer Rights Act