Mahopac Teachers Association Benefit Fund
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2021 ​- 2022 BENEFITS INFORMATION for New Hires

Mahopac Teachers Association Benefit 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 the MTABF PO Box address listed on the forms, along with marriage & birth certificates for spouse & dependents
  3. If you need additional help enrolling, please contact  your building trustee (listed below.)

BENEFITS PROVIDED BY THE MTABF:
​
  • Dental
  • Vision
  • Hearing
  • Life Insurance
  • Financial Counseling
  • Legal
  • Variable Benefit
  • Major Medical Deduction Reimbursement
 ​
Please be advised that these benefits are supplemental. They are not a substitute for Major Medical and HMO Plans offered by the Mahopac Central School District. 

BUILDING TRUSTEES & EMAIL
  • Middle School - Kelly Kischak
  • Middle School -  Irene Arocho 
  • High School - Paul Clements
  • High School - Eileen Clements
  • Falls School, Bus Garage, District Office - Jay Melville
  • Fulmar Road  -  Cathleen Lang
  • Austin Road  - Tara DelMonaco
  • Lakeview  - Helen Leibell
FORMS NEEDED FOR ENROLLMENT:
  1. ​Dental Enrollment Announcement 
  2. Dental Enrollment ***
  3. Dental Claim Form ​
  4. Dental Providers 
  5. Vision Enrollment ***
  6. Vision Benefit Assignment Authorization Form
  7. Hearing Aid Benefit Assignment Authorization Form
  8. Life Coverage Info Letter 
  9. Life Insurance Enrollment & Change of Beneficiary ***
  10. I Have Life Insurance 
  11.  MTABF Enrollment & Change of Life Form ***
  12. Financial Counseling Summary
  13. Legal Overview Information ​
  14. Claim Form (only if enrolling dependents in dental)  *** ​
  15. Major Medical Reimbursement 
  16. Important Contacts Info 
  17. Benefits Booklet 
 *** These forms & documentation must be returned via inter-office mail to Charles Jensen at the Middle School or mail  to:
MTABFP.O. Box # 656
Baldwin Place, NY 10505 

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: News 4 U
  • Accountability
  • Dental
  • Financial Counseling
  • Hearing
  • Leave
  • Legal
  • Life Insurance
  • Major Medical
  • New Hires
  • NYSUT
  • Preferred
  • Retirement
    • 2022 UPSEU
    • 2022 MTA, Man Conf, Cust. Super
  • Variable Benefit
  • Vision