Buffalo Teachers Federation, Inc.
Supplemental Benefit Fund


Prior to receiving SBF benefits, the following must be completed.
(All enrollment cards may be obtained by calling the SBF office at 881-5462)

Blue Supplemental Benefit Enrollment Card:
The enrollment card MUST be completed and or updated before any
BTF member or dependent can receive SBF reimbursements.

Green Death Benefit Card:
The BTF/SBF provides a free Death Benefit for BTF members. The green
benefit card allows a member to specify their chosen beneficiary.


Sick Leave Bank Cards (2):
Membership in the Sick Leave Bank is optional. There are specific
rules governing enrollment. Please see below for more details.


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SBF Claim Forms and Guidelines

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Dental Forms

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Dental Claim Form

Dental Brochure

Dental Payment
Schedule


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Optical Forms
Itemized, Paid Receipts Must Accompany ALL Claim Forms

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Optical
Claim Form

Optical
Guidelines

Optical Extended
Benefits

Optical Payment
Schedule


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Prescription Copay Forms

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* SBF RX Copay Claim Form
Other Information
(regarding due dates
and changes in plan)

* The District RX CoPay Claim Form needs to be mailed to the address at the bottom of the form and not to the BTF

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Death Benefits Guidelines

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(summary of the benefits)

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Sick Leave Bank
Guidelines
(Aug. 2011)

Sick Leave Bank
Enrollment Deadline

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SLB Enrollment Deadline

Information on how to
change or use your
donated sick leave days
Other Guidelines
(regarding enrollment changes)


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How To Appeal A Claim

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(questions or disagreements with a denied claim; Dental, Optical or Copay)