The Mahopac Teachers Association Benefit Fund will reimburse the member a portion of his/her out-of-pocket major medical deductible incurred on behalf of the member and/or his/her eligible dependents, once during a calendar year. This benefit will be paid upon reaching the deductible or at the end of the calendar year whichever comes first.
To obtain this benefit, the member must submit all necessary major medical statements showing the date, doctor or hospital, and event for which the deductible was used and submit them with the Benefit Fund claim form within 90 days of reaching the deductible or the end of the calendar year, whichever comes first. Completed forms should be mailed to:
Mahopac Teachers Association Benefit Fund
c/o Preferred Group Plans
P.O. Box 15136
Albany, NY 12212-5136
Get all the info & correct claim form here: https://www.mtabenefitfund.org/major-medical.html