ROSLYN TEACHERS ASSOCIATION BENEFIT FUND
  • Home
  • CLAIM FORMS
  • Dental
  • Vision Care
  • $800 Reimbursement Program
  • Financial Planning
  • Legal Service
  • Long Term Disability
  • Life Insurance
  • Excess Medical
  • Employee Assistance Program
  • Emergency Travel Assistance

RTA Benefit Claim Forms

2025: $800 Reimbursement Program
Vision Claim Forms
Dental Claim Form
Dependent Student Verification Form for Dental
Legal Service Plan Description (Abridged)
Legal Service Plan Will Package
$50 In-Hospital Claim Form - Members Only
Excess Medical Claim Forms
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  • Home
  • CLAIM FORMS
  • Dental
  • Vision Care
  • $800 Reimbursement Program
  • Financial Planning
  • Legal Service
  • Long Term Disability
  • Life Insurance
  • Excess Medical
  • Employee Assistance Program
  • Emergency Travel Assistance