Benefit Forms & Information
- AETNA Summary of Benefits and Coverage
- AETNA Medicare Advantage Plan Benefit Summary
- AETNA Medical Claim Form
- AETNA Medicare Medical Claim Reimbursement Form and Instructions
- Prescription Drug Claim Form
- CSEA Dental Claim
- CSEA Vision Claim Form
- Mail Order Pharmacy Information and Order Form
- Direct Reimbursement Claim
- Domestic Partner Policy
- LETF 2023 Information Packet
- LETF Dental Fund Information Sheet For Active Teachers
- LETF Dental Fund Information Sheet For Retirees
- LETF Raymond Opticians Vision Benefits
- LETF Student Dependent Certification
- LETF Unum Beneficiary Designation Form
- LFT NYSUT Membership Form For Retirees
- Department of Labor New Health Insurance Marketplace Coverage Options
- Medicare Members Prescription Drug Coverage & Medicare Information
- Putnam/Northern Westchester Health Benefits Consortium Plan Document