Hamburg Teachers' Association
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  • Home
  • Membership
    • 2020-21 Data/Identity
    • HTA Communications
    • Executive Board
    • Current RA Minutes
    • Representative Assembly & Committees
    • RA Minutes Archive
    • RA 2020-21 Meeting Schedule
    • Retirees
    • Membership Discounts
    • Contact HTA
    • Retirement Information
    • CTLE Record Keeping Requirements
  • Documents
    • MOAs
    • Nominating Petition
    • APPR
    • Contracts
    • HTA Constitution
    • Healthcare Information
    • Dental Plan
    • Grievance Procedures
    • HTA Budget Committee
    • Lead in Drinking Water Fact Sheet
    • HTA Expense Report
    • Maternity Leave Process
    • Event Waiver
  • News
    • HTA Social
    • HTA Newsletters
    • Websites, Authors, & Social Media
  • Take Action
    • NYSUT Member Action Center
    • HTA Legislative/PAC Reps
    • Tenure, Taylor Law & Triborough
    • Testing
    • Vote-Cope
  • Links
  • Contact HTA
  • Covid-19
  • District Forms Link

DENTAL

Picture

Hamburg Benefit Trust

Erin Holstein-Treasurer
Julie Maxson-Enrollment
Debra Vertokse-Retirees/COBRA
Katie Klein-Secretary
Amy Takacs-HTA President  
​Please contact trustees for further information.

Enrollment/Change Form  - click on the button below

Enrollment/Change Form

Dental Claim Form

claim_form.pdf
File Size: 54 kb
File Type: pdf
Download File

  You are now able to PRINT an ID card for DELTA DENTAL when you create an account online.

Go to the website, DELTA DENTAL (click)

Click---SIGN IN or REGISTER
Click---Create an Account
(Your Member ID # is your Social Security Number)
After your account is set up, login with it...
On the Left side you should see Hamburg Central Teachers Association, Delta Dental PPO
Below that is Print ID Card or EMail ID Card

Evidence of Coverage as of 7-1-19

LASIK/Hearing Aid Services Through Delta

HIPPA Privacy Notice

privacystatementdocument-hippa.rtf
File Size: 43 kb
File Type: rtf
Download File

Changes in eligibility status (i.e. marriage, divorce,birth, etc.) must be reported to the Plan Administrator 
(Julie Maxson) within 31 days following the event causing the change. If you do not change coverage when
first eligible, you may change later during "open enrollment".
​

​If you are thinking of retiring and are currently enrolled in the dental program with Delta,
please contact (email) Deb Vertoske as soon as possible.  

Hamburg Teachers' Association