What is the UFT Welfare Fund Contact form used for?
The UFT Welfare Fund Contact form is utilized to submit claims related to dental procedures, request pre-treatment estimates, and address questions regarding dental benefits. Proper completion of the form ensures timely processing of claims and inquiries.
Where do I send the completed UFT Welfare Fund Contact form?
You should send the completed form to the following address: UFT Welfare Fund c/o Connecticut General Life Insurance Co., PO Box 182531, Chattanooga, TN 37422-7531. It is important to mail your documents to this address to ensure they are received by the appropriate department.
What information do I need to provide on the form?
The form requires personal details such as your name, address, phone number, and the name of your school or bureau. Additionally, you must provide information regarding the patient’s relationship to you, details of dental services rendered, and any prior benefits or insurance coverage.
Is there a specific format for submitting x-rays for dental claims?
Yes, if your claim involves certain procedures such as implants or crowns, you will need to include x-rays. Ensure that these x-rays are enclosed with your claim to avoid delays in processing.
Can I assign benefits directly to my dentist?
Yes, you can assign benefits directly to your dentist by signing the authorization section on the form. It's important to provide the dentist's Tax ID number, as this will validate the assignment of benefits.
What if my spouse or domestic partner is also a UFT member?
If your spouse or domestic partner is a UFT member, they may be eligible for special COBRA benefits. Make sure to check the appropriate box on the form and provide their Social Security number for verification.
What do I do if my claim is for a minor?
If the claim is for a dependent child, a parent or guardian must sign the authorization section on their behalf. This ensures that information is properly handled and that payment can be processed for the minor's dental services.
How will I know if my claim has been received?
You may contact the UFT Welfare Fund at 1-800-577-0576 for confirmation once you have sent your claim. Keeping a copy of your submitted form may also help you track your request.
What happens if my claim is denied?
If your claim is denied, the UFT Welfare Fund will provide you with a written explanation. You can appeal the decision if you believe the denial was incorrect. Detailed instructions will typically accompany the denial notice.
What should I do if I have further questions about the form?
If you have additional questions regarding the UFT Welfare Fund Contact form or your claims, it is advisable to contact their office directly. They can provide clear guidance and support to address your specific concerns.