Use these links and forms to resolve any questions or concerns relative to annuities, benefits, or pension. If you need any additional assistance contact the PBA office. NYSHIP EMPIRE PLAN 1-877-769-7447 COLE VISION PLAN 1-800-638-0166 EMPIRE PLAN MANAGED CARE 1-800-922-1213 MTA DENTAL BENEFITS 1-800-942-0854 MTA PENSION DEPARTMENT 1-212-437-0728 MTA DEFERRED COMP 1-212-878-7311 FLEXIBLE SPENDING ACCOUNT 1-877-924-3967     (click on the icon to download the PDF files. You will need Adobe reader to print them) Front Group Basic Accidental Death & Dismemberment Insurance Enrollment / Change Form for MTA Police Front Dependent Life Insurance Enrollment / Change for MTA Police Front Vision Care out of network claim form 2 Sided Health Insurance claim form (2 sided form, front and back) 2 Sided MTA Headquarters Dental Expense claim form (2 sided, front and back) Front Employee Expense Form 2 Sided 20 Year Police retirement program of the MTA defined benefit pension plan, Designation of Beneficiary with contingent beneficiaries Front Workers Compensation Board, statement of rights Front Change of Address Form Front MTA 401K Plan, Beneficiary Designation Front MTA 457 Deferred Compensation Plan

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