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.
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.
Delta Dental of New York
One Delta Drive
Mechanicsburg, PA 17055-6999
PO Box 1525
Latham, NY 12110
Eligible members and dependents are entitled to vision services once every 12 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. 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.
How do I enroll?
You will be eligible for coverage as soon as you complete a 42-day waiting period. To enroll, complete the UUP Enrollment Card provided by the UUP Benefit Trust Fund. The UUP Enrollment Card should be returned to the Employee Benefits Office, Cleveland Hall 410.
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