Dental
CSEA
Coverage is available to employees working at least half time as a no-premium benefit offered by the union through the CSEA Employee Benefit Fund which offers partial re-imbursement for services provided by participating or non-participating providers. Completion of an enrollment card is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.cseaebf.com
Enrollment Form: http://www.cseaebf.com/forms/enrollmentCondensed.pdf
Dental claim form: http://www.cseaebf.com/forms/dentalclaimform.pdf
Find a participating provider: http://www.cseaebf.com
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C82
Coverage is available for no premium to employees working at least half time that are eligible for health insurance for and offers partial reimbursement for services provided by participating or non-participating providers. Completion of a PS-404 Health Insurance Transaction Form is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.cs.ny.gov/ebd/welcome/login.cfm
Dental claim form: https://www.cs.ny.gov/ebdonline/ebdonlinecenter/pof/images/ADAclaim09.pdf
Find a participating provider: http://psearch.ghi.com/ProviderSearch/SearchLocationPublic.aspx
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GSEU
Coverage is available to individuals in a state funded graduate or teaching assistantship position earning a minimum stipend per academic year. Completion of a PS-404G NYS Health Insurance Transaction Form is required to be eligible and is available from the Human Resources Office.
For more info visit: http://www.cs.ny.gov/ebd/welcome/login.cfm
Find a participating provider: http://psearch.ghi.com/ProviderSearch/SearchLocationPublic.aspx
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M/C Professionals
Coverage is available for no premium to employees working at least half time that are eligible for health insurance which offers partial re-imbursement for services provided by participating or non-participating providers. Completion of a PS-404 Health Insurance Transaction Form is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.cs.ny.gov/ebd/welcome/login.cfm
Dental claim form: https://www.cs.ny.gov/ebdonline/ebdonlinecenter/pof/images/ADAclaim09.pdf
Find a participating provider: http://psearch.ghi.com/ProviderSearch/SearchLocationPublic.aspx
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M/C Classified
Coverage is available for no premium to employees working at least half time that are eligible for health insurance which offers partial re-imbursement for services provided by participating or non- participating providers. Completion of a PS-404 Health Insurance Transaction Form is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.cs.ny.gov/ebd/welcome/login.cfm
Dental claim form: https://www.cs.ny.gov/ebdonline/ebdonlinecenter/pof/images/ADAclaim09.pdf
Find a participating provider: http://psearch.ghi.com/ProviderSearch/SearchLocationPublic.aspx
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NYSCOPBA
Coverage is available for no premium to employees working at least half time that are eligible for health insurance which offers partial re-imbursement for services provided by participating or non-participating providers. Completion of a PS-404 Health Insurance Transaction Form is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.cs.ny.gov/ebd/welcome/login.cfm
Dental claim form: https://www.cs.ny.gov/ebdonline/ebdonlinecenter/pof/images/ADAclaim09.pdf
Find a participating provider: http://psearch.ghi.com/ProviderSearch/SearchLocationPublic.aspx
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PEF
Coverage is available for no premium to employees working at least half time that are eligible for health insurance which offers partial reimbursement for services provided by participating or non-participating providers. Completion of a PS-404 Health Insurance Transaction Form is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.cs.ny.gov/ebd/welcome/login.cfm
Dental claim form: https://www.cs.ny.gov/ebdonline/ebdonlinecenter/pof/images/ADAclaim09.pdf
Find a participating provider: http://psearch.ghi.com/ProviderSearch/SearchLocationPublic.aspx
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UUP
Coverage is available for benefits eligible UUP represented employees. It is a no premium union benefit through the UUP Benefit Trust Fund and offers partial reimbursement for services provided by participating or non- participating providers. Completion of an enrollment card is required to be eligible and is provided during new employee orientations.
For more info visit: http://www.uupinfo.org
Dental claim form: http://www.uupinfo.org/benefits/Delta_Dental_Claim_Form.pdf
Find a Participating Provider: www.deltadentalins.com/uup
- Contact Number: 1.800.887.3863
- UUP Benefits Booklet
- UUP Benefits Forms
- Delta Dental Contact Information:
Customer Service: 1.800.471.7093
Claims Address: One Delta Drive, Mechanics burg, PA 17055
Participating Provider Directory can be found at: www.deltadentalins.comBENEFIT ELIGIBLE UUP MEMBERS
Benefit Highlights for Delta Dental PPOPART-TIME -- NOT BENEFIT ELIGIBLE -- UUP MEMBERS
Plan Rates for Dental & Vision Plan for Part-Timers
Benefit Highlights for Delta Dental PPO - Part-Timers
Enrollment/Change Form
Delta Dental Claim Form for Active Part-Timers
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