Dental and Vision

The UUP Benefit Trust Fund provides vision and dental benefits at no cost to employees who meet the eligibility requirements for participation in the New York State Health Insurance Program. These benefits are available to you and your eligible dependents whether you enroll for individual or family coverage in the Health Insurance Program or decline to participate. Coverage under the UUP Benefit Trust Fund is not automatic; you must first enroll yourself and your dependents. You will be eligible for coverage as soon as you complete a 28-day waiting period. 

Detailed information about eligibility requirements for you and your dependents, covered benefits, and instructions on how to use your plans may be found at the UUP Benefit Trust Fund.

Dental Care

Delta Dental of New York
One Delta Drive
Mechanicsburg, PA 17055-6999
http://deltadentalins.com/uup/
1-800-471-7093

Delta Dental Claim Form

Vision Care

Davis Vision
PO Box 1525
Latham, NY 12110
1-888-588-4823
www.davisvision.com

Eligible members and dependents are entitled to vision services once every 12 months (from the last month of benefits received). Dependent children who are under age 25 are eligible, regardless of student status. When using a network of participating providers, the benefit includes an eye exam and one pair of glasses without co-payment (from a select frame assortment) or plan-covered contact lenses with either a $25 or $45 co-payment (based on the brand of contacts selected). A list of participating providers is available from Davis Vision.  If you choose to use a non-participating provider, you will be eligible for a partial reimbursement towards the cost of your exams, glasses, frames or contact lenses.

To obtain forms, please visit www.davisvision.com to register.

The CSEA Employee Benefit Fund provides vision and dental benefits at no cost to employees who meet the eligibility requirements for participation in the New York State Health Insurance Program. These benefits are available to you and your eligible dependents whether you enroll for individual or family coverage in the health insurance program or decline to participate. Coverage under the CSEA Employee Benefit Fund is not automatic; you must first enroll yourself and your dependents. You will be eligible for coverage as soon as you complete a 28-day waiting period. 

Detailed information about eligibility requirements for you and your dependents, covered benefits, and instructions on how to use your plans may be found at the CSEA Employee Benefit Fund.

Dental Care

CSEA Dental Plan
One Lear Jet Lane
Suite One
Latham, NY 12110
www.cseaebf.com/state_benefits.php
1-800-323-2732

Eligible members and dependents are entitled to one comprehensive dental examination and cleaning every 6 months. Other services may be covered in full if performed by a participating provider. If you choose to use a non-participating provider, you will be eligible for a partial reimbursement. Dependent children who are age 19 or older, but under age 25, are eligible if they are full-time students. Student verification will be required.

CSEA Dental Claim Form 

Vision Care

Davis Vision
PO Box 1525
Latham, NY 12110
1-800-999-5431
www.davisvision.com

Eligible members and dependents over the age of 19 are entitled to vision services once every two years (24 months from the last month of benefits received). Dependent children who are age 19 or older, but under age 25, are eligible if they are full-time students. Student verification will be required. Dependent children up to the age of 19 are entitled to vision services every year (12 months). When using a network of participating providers, the benefit includes an eye exam and one pair of glasses without co-payment (from a select frame assortment) or plan-covered contact lenses. A $25 allowance toward non-plan contact lenses (specialty contact lenses, i.e. colored, toric, gas permeable, etc., are not covered in full). A list of participating providers is available from Davis Vision.  If you choose to use a non-participating provider, you will be eligible for a partial reimbursement towards the cost of your exams, glasses, frames or contact lenses.

Davis Vision Form