Hamburg Teachers' Association
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  • Home
  • Membership
    • Darien Lake NYSUT Days
    • News & Views
    • Executive Board
    • Current RA Minutes
    • HTA Social Committee
    • RA 2023-24 Meeting Schedule
    • Representative Assembly & Committees
    • RA Minutes Archive
    • HTA Archived Newsletters
    • NYSUT Leadership Award Recipients
    • Membership Discounts
    • Pension & Retirement Information
    • CTLE Record Keeping Requirements
  • Documents
    • MOAs
    • HTA Stipend List
    • Nominating Petition
    • APPR
    • Contracts
    • HTA Constitution
    • Healthcare Information
    • Dental Plan
    • Grievance Procedures
    • Remembrance Committee
    • HTA Budget Committee
    • Lead in Drinking Water Fact Sheet
    • HTA Expense Report
    • Maternity Leave Process
    • Event Waiver
    • Grant Info
    • Robert's Rules of Order
  • Take Action
    • NYSUT Member Action Center
    • HTA Legislative/PAC Reps
    • Tenure, Taylor Law & Triborough
    • Testing
    • Vote-Cope
  • Retired HTA Wall of Honor
  • Retirees
  • Links
  • District Forms Link
  • Contact HTA
  • Data/Identity Breach FAQ
  • Covid-19

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.

Evidence of Coverage & Enrollment/Change Form  - click on the button below

Evidence of Coverage
Enrollment/Change Form
Did you know? You can download & use the "Delta Dental Mobile" app in the App Store!

Dental Claim Form

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

​Delta Dental has added some new products for its members. Here are the 3 flyers that explain them.
Toothpic, BrushSmart, and Virtual Consult are both available to our members as we are a PPO/Premier Plan.
Toothpic Member
Brush Smart
Virtual Consult Member
  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