Benefit Forms & Information
- AETNA Summary of Benefits and Coverage 2024
- AETNA Medicare Advantage Plan Benefit Summary 2024
- AETNA Medical Claim Form
- AETNA Medicare Medical Claim Reimbursement Form and Instructions
- CSEA Dental Claim
- Direct Reimbursement Claim (Davis Vision)
- Domestic Partner Policy
- LETF 2024 Information Packet
- LETF Dental Fund Information Sheet For Active Teachers
- LETF Dental Fund Information Sheet For Retirees
- LETF Raymond Opticians Vision Benefits
- LETF Student Dependent Certification
- LETF Unum Beneficiary Designation Form
- LFT NYSUT Membership Form For Retirees
- Mail Order Pharmacy Information and Order Form
- Prescription Drug Claim Form
- Putnam/Northern Westchester Health Benefits Consortium Plan Document 2024