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Health Insurance Enrollment/Change Form Retired MTA Bus Employees HR-BEN-383 Section 1 - Information and Instructions The purpose of this form is to enroll or change Health Insurance for Retired MTA.

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How to fill out the Mtabsc online

The Mtabsc, or Health Insurance Enrollment/Change Form for Retired MTA Bus Employees, is an essential document for managing your health insurance needs. This guide will help you step-by-step through the process of completing the form online, ensuring you have all the necessary information at your fingertips.

Follow the steps to fill out the Mtabsc online.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin with Section 1, which contains important information and instructions. Review these details carefully to understand the purpose of the form and the submission methods.
  3. In Section 2, enter your employee information. Fill in your BSC ID, name, contact details, gender, date of birth, and marital status. Make sure all information is accurate to avoid any delays.
  4. Move to Section 3 for coverage election. Select whether you are a retiree or a dependent. Choose the applicable insurance plan from the listed options and ensure you check the appropriate boxes.
  5. Proceed to Section 4, where you will provide information about any dependents. Indicate whether you are adding or deleting a dependent and complete all required fields accurately.
  6. In Section 5, gather and submit the required documentation for each dependent, ensuring it is attached to the form within 90 days from the effective date of coverage.
  7. Finally, complete Section 6 by signing and dating the form to certify that all information provided is correct. Ensure the last four digits of your Social Security Number are entered.
  8. Once you have filled out the Mtabsc form completely, save any changes and choose to download, print, or share the completed document according to your needs.

Start completing your Mtabsc form online today to ensure your health insurance needs are met.

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Step 1: Connect to My MTA Portal, Click Forgot Password /Unlock Account link. Step 2: Once redirected to Forgot Password page, enter your BSCID and click Continue. Step 3: You have two options for changing your password.

If you have any questions, please contact MTA Business Service Center (BSC) at 646-376-0123 or bscservice@mtabsc.org.

If you have trouble registering, contact the MTA Business Service Center at (646) 376-0123, Monday to Friday, 8:30 a.m. – 5:00 pm.

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