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.
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
Annual Notifications
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:
My Health
Improve your health and fitness with this free online resource, visit www.bcbswny.com.
Blue Cross Blue Shield Enrollment
Summary of Benefits Coverage (SBC)
-
Human Resources
- 2020 NFT Metro - 205 Plan
- 2020 NFTA POS 298 Plan (POS 205)
- 2020 NFTA PPO HDHP Plan
- BCI HRA Debit Authorization Form
- Blue Cross Blue Shield Claim
- Blue Cross Blue Shield Enrollment
- Change of Address Form
- Children’s Health Insurance Program Notice
- Creditable Coverage Disclosure Notice
- Dental Claim
- 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
- GHI Claim Form
- GHI Dental Participating Provider Search
- GHI Enrollment
- Health Now Claim Form
- Holiday Schedule
- HRA Enrollment
- Marketing Internship Opportunities
- 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
- Nova Flexible Spending Account Claim Form
- SBC Uniform Glossary
- Women’s Health and Cancer Rights Act