For UFT members in the Florida area, this is the Schedule of Benefits. When you use a UFT Welfare Fund participating dentist, you will be provided with the services listed in the Schedule of Covered Dental Expenses without charge except for those few...

Use this form to decline Welfare Fund benefits for your eligible dependents. You must sign this form and have it notarized.

Use this form to decline all Welfare Fund benefits for yourself and eligible dependents. You must sign this form and have it notarized.

For Welfare Fund members who are using a non-participating dentist, your reimbursement will be according to this dental fee schedule; for those using a participating dentist, there will be no cost to the member except for co-pays listed in this...

Use this form to decline Welfare Fund dental and/or vision benefits for yourself and eligible dependents. You must sign this form and have it notarized.

Brochure for Dentcare HMO

For HIP subscribers only, includes a section for member and physician to fill out. Please attach original, itemized, paid bill showing date and item purchased.

Administration for Children's Services Division of Child Care/Head Start Child Care Support Services; Provider / Program Enrollment or Update Request

List of supporting documents required for enrolling dependents in health benefits

Form and instructions from the DOE Science Safety Manual.

Although the cost of anesthesia for hospitalization, emergency illness or accidental injury should be covered in full by HIP/HMO, the Welfare Fund will pay 80% of reasonable, usual and customary charges when not covered by HIP/HMO.

Save more than $200 each year in taxes by participating in the city’s TransitChek program.

You can choose a personal representative(s) to share your health information with by filling out this form.

This form is used by school nurses and occupational and physical therapists.

Use this form to file a claim if your eyeglasses were damaged in an assault.

If there is equipment in your school that is unrepairable, not cost-effective to repair, educationally inappropriate, or a safety hazard, complete this form to have the equipment removed.

As a new member you are automatically enrolled in the Scheduled Benefit Plan. If you wish to enroll in one of the other UFT Welfare Fund dental options use this form. All other members and retirees who wish to transfer from one UFT Welfare Fund...

Timeline and guidelines for applying for sabbaticals

Upon an employee’s return from a leave of absence without pay, the payroll secretary must submit an OP 255 form to the Bureau of Salary Differentials and Status.

Fill out and have this form notarized for your dependent child to ensure coverage by the UFT Welfare Fund benefit plan.

The UFT has developed this worksheet to support the work of school-based committees to defend immigrants. It can help committees identify questions, locate current policies and find resources to protect the students they serve.

This fully explains the benefits available under the UFT Welfare Fund Direct Access Dental Plan (SIDS – Self-Insured Direct Services) and includes a subscription form at the end.

Print and complete the retired teachers’ application only if you are not able to use the online enrollment form.