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 services where a co-payment is required. Since usual and customary dental charges generally exceed the allowances, this represents an overall savings to you. If you use a non-participating dentist, you will be reimbursed according to this schedule.
Forms for health benefits
Most of the forms below are PDF files. If you encounter any problems viewing PDFs on your computer, you may need to install the free Adobe Reader software.
PLEASE NOTE: The “Application For Age 26 Young Adult Coverage” form is no longer required by the UFT Welfare Fund. Members wishing to add a dependent under age 26 to their Welfare Fund coverage at no cost should use the Welfare Fund’s online Update Your Information (Change of Status) form.
Fill out and have this form notarized for your dependent child to ensure coverage by the UFT Welfare Fund benefit plan.
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.
Directory of Participating New York Area Dentists
Participating Dentist Program. Administered by SIDS.
We are pleased to announce the optical providers in this directory have affiliated with our Optical Benefit Program. Stamped and validated Optical Benefit Certificates will be honored by any of them.
Fill out and have this affidavit notarized to cover unmarried children over age 26 who cannot support themselves because of a mental illness, developmental disability, mental retardation or physical handicap under the UFT Welfare Fund Benefit Plan. (Note: you must first obtain a “Certificate of Disability” from your basic health care carrier. Include a copy of the letter of approval of disability from your health care carrier with your Welfare Fund affidavit.)
Include all original pharmacy receipts with prescription detail clearly noted which must include the name, strength, quantity and price. Please attach to this form. Receipts must be mailed within 90 days from date of service. Reimbursement will be in accordance with a Schedule of Allowances.
For GHI-CBP in-service members only, the Welfare Fund will reimburse up to $100/year of the deductible for the purchase or rental of durable medical equipment, with this form and an original Explanation of Benefits (EOB) from GHI.
The following is a list of the most commonly prescribed drugs. It represents an abbreviated version of the drug list (formulary) that is at the core of our prescription drug benefit.