Benefit Trust

Benefit Trust Trustees:

SARAH BARQUERO - GHS - sarah.barquero@gcsny.org

JENNIFER ROSADO - CJH - jennifer.rosado@gcsny.org

JENNIFER CAPOZZI - GIS - jennifer.capozzi@gcsny.org

JUSTINE DIAZ - SAS - justine.diaz@gcsny.org

REBECCA HASKEL - CO-MANAGER- rebecca.haskel@gcsny.org

HUGH MACKAY - CO-MANAGER - hugh.mackay@gcsny.org

Change of Status Updates:

Please contact your building representative AS SOON AS POSSIBLE when information needs to be updated concerning dependents or personal status/information such as:

Having the correct information on file will help ensure that your claims are processed accurately the first time they are submitted.

PLEASE NOTE: Giving this information to Main Street will NOT update the information for the BENEFIT TRUST.

Gente Reimbursement Form

Link to form

The reimbursement program is for any out-of-pocket expenses incurred by the employee,  his/her spouse and/or eligible dependents. These expenses cannot be reimbursed by any  other plan. EOB (Explanation of Benefits) from insurance companies and other acceptable  evidence of out-of-pocket payments must be for services provided between October 1 thru  September 30 and submitted no later than 180 days after September 30. For additional  information please see the reimbursement claim form.



Effective October 1, 2019, starting with the benefit year of 2019 - 2020 claims, Gente will  assess each member a processing fee (currently $15) for each claim submitted. That fee will  be deducted from the amount paid to the member.

Ameritas Vision Form

Ameritas Dental Forms

Please remind your dental care provider to use the dependent plan # (026-301525-3) and dependent claim forms when filing dental claims for dependents with Ameritas. Using the correct plan # will expedite payment of your claim

Link to Employee Form

Link to Dependent Form

Insurance Cards read:

     Dependent: No (that is your card) Plan # 26-301525-1

     Dependent: Yes (that is the card for your dependent) Plan # 26-301525-3