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-
Health Insurance
- 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
- Children's Health Insurance Program (CHIP)
- Creditable Coverage Notice 2022
- Dental Claim Form
- EyeMed Enrollment Form
- GHI Dental Participating Provider Search
- GHI Enrollment
- HRA Enrollment
- HRA Fillable Claim Form
- Notice of Creditable Coverage for Medicare Part D
- SBC Uniform Glossary
- Women’s Health and Cancer Rights Act