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 FormHealth Now Claim Form
HRA Enrollment
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):
https://www.eyemedvisioncare.com/locator/locator.emvc?execution=e1s1
Complete and submit the following claim form for dental services:
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Human Resources
- 2021 Holiday Schedule
- 2021 NFT Metro SBC-003 POS 298
- 2021 NFTA SBC 003 POS 298
- 2021 NFTA SBC 0T02 PPO 6398
- BCI HRA Debit Authorization Form
- Blue Cross Blue Shield Claim
- Blue Cross Blue Shield Enrollment
- Change of Address Form
- Children's Health Insurance Program (CHIP)
- Creditable Coverage Disclosure Notice
- EAP Free Consultation Services
- EAP Summary of Benefits
- Emergency Contact Information
- Employee Certification Form
- Executive Order No. 161 Ensuring Pay Equity By State Employees
- EyeMed Enrollment Form
- Family Member Certification Form
- FSA Nova General Claim Form
- GHI Dental Claim Form
- GHI Dental Participating Provider Search
- GHI Enrollment
- Health Now Claim Form
- HRA Enrollment
- MaskExecOrder
- 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
- NYS Retirement Summer 2020 Newsletter
- NYS Retirement Update: COVID-19
- SBC Uniform Glossary
- Women’s Health and Cancer Rights Act