Mahopac Teachers Association Benefit Fund
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Mahopac Teachers Association BeneftiT fund


P.O. Box # 656
Baldwin Place, NY 10505

Phone: 845.543.7415

To:  All New MTA, UPSEU, Custodial & Managerial Confidential Hires
  1. To understand what benefits are available to you, read through this page.
  2. Return all *** items to your building trustee or to the MTABF PO Box address listed on the forms, along with marriage & birth certificates for spouse & dependents within ONE WEEK of hire date.
  3. If you need additional help enrolling, please contact  your building trustee.

ENROLLMENT /CHANGE of STATUS
  1. ​MTABF Enrollment & Change of Status Form ***
DENTAL
  1. Dental Enrollment Announcement 
  2. Dental Enrollment ***
  3. Claim Form (Return only if enrolling dependents in dental ***)
  4. Dental Claim Form ​
  5. Dental Providers ​
LIFE INSURANCE
  1. Life Coverage Info Letter 
  2. Life Insurance Enrollment & Change of Beneficiary ***
  3. I Have Life Insurance  ​

VISION & HEARING:
  1. Vision Enrollment ***
  2. Vision Benefit Assignment Authorization Form
  3. Hearing Aid Benefit Assignment Authorization Form
FINANCIAL PLANNING & LEGAL
  1. Financial Counseling Summary
  2. Legal Overview Information ​
CLAIMS & CONTACTS
  1. Claim Form​
  2. Important Contacts Info ​​



Please be advised that it is YOUR RESPONSIBILITY​ to keep the MTABF informed of all the changes in YOUR life.
​Failure to do so could result in the loss of YOUR benefits.

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  • Home
  • Blog
  • Accountability
  • Dental
  • Financial
  • Hearing
  • Leave
  • Legal
  • Life
  • Major Medical
  • New Hire
  • NYSUT
  • Preferred
  • Retire
  • Variable
  • Vision