NEW PALTZ UNITED TEACHERS

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Member Registration Form

Part-time Staff Enrollment Form (for NPUT members employed at less than 0.5)

Enrollment Update Form (use for address and name changes)

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Aflac Cancer Plan Change Form

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Davis Vision Enrollment Form

Davis Vision Change Form

Davis Vision Claim Form

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Delta Dental Buy Up/Change Form

Delta Dental Claim Form

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Domestic Partner Affidavit

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Long Term Care Enrollment Form  (buy up premiums can be found here)

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NYSUT Catastrophic Major Medical Change form

NYSUT Catastrophic Major Medical Claim Form

NYSUT Catastrophic Major Medical Claim Form Attachment

NYSUT Catastrophic Major Medical Sample Claim Format

NYSUT Catastrophic Major Medical Documents Required for Filing Claims 

NYSUT Catastrophic Major Medical Domestic Partner Affidavit

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NYSUT Legal Security Package (for writing a will)

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Personal Representative Form

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Special Flex Fund Form 2022

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UNUM Life/Long Term Care Buy Up Form

UNUM Long Term Care Enrollment Kit

UNUM Short Term Disability Claim Form

UNUM Long Term Disability Claim Form

Instructions for completing and filing a Short and Long Term Disability Claim

UNUM Life/AD&D 50k Reduction Form

UNUM Life/AD&D Beneficiary Designation Form

UNUM Evidence of Insurability Form

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