Eligibility

In-service and retiree members of NYSUT are eligible to enroll. Members have the choice of individual or family coverage.

Family coverage includes spouse or domestic partner and unmarried, dependent children under age 25. Unmarried, dependent children ages 19 to 25 are eligible for benefits only if they are full-time students. Unmarried children 19 years of age or older who are incapable of self-support because of mental or physical disability are covered, provided that the disability began before age 19.

Payment Options

For plan year Jan 1 - Dec. 31, 2010: The plan costs $160 per year for individual coverage and $320 per year for family coverage. Payment can be made by check or money order, made payable to NYSUT Member Benefits Trust.

The plan year runs from January 1 through December 31. You may enroll at any time throughout the plan year; however, the premium will be the full annual amount and you will have the balance of the plan year to use the full benefit.

Most covered individuals will leave a participating providerís office with an eye-care package that retails anywhere from $300 to $500.

How To Apply/Use

To enroll in the plan, print out the PDF of the enrollment form below and submit it with payment to NYSUT Member Benefits Trust. Or you can contact Member Benefits by phone 800-626-8101 or e-mail to request an enrollment form.

Vision Plan Enrollment Form †(PDF)

Upon receipt of your form, your enrollment will be processed and a confirmation of vision plan enrollment will be sent to you (in approximately 2 weeks). Once youíre confirmed, call an in-network provider, identify yourself with your name and Social Security number (HIPAA-protected by Member Benefits and Davis Vision) or NYSUT ID number (see your NYSUT membership card), make an appointment and use all of the plan benefits at that visit (exam and glasses cannot be split in two appointments). The providerís office will contact Davis Vision and verify your eligibility for benefits. No claim forms or ID cards are needed.

Contact NYSUT

To contact NYSUT Member Benefits, please Click Here.