Excess Medical, Prescription Drug, &
| |||||||||||||||||
| GNTA Inservice Excess Medical Benefit Claim Form |
| GNTA Prescription Drug Benefit Claim Form |
DENTAL FORMS FOR Inservice GNTA MEMBERS & RETIREE Benefit trust members
| GNTA Dental Claim Form |
NOTE: Be sure to check with your doctor prior to any service to ensure that they are a Participating Dental Provider.
| GNTA Participating Dental Providers |
| GNTA Dental Fee Schedule |
Excess Medical & Prescription Drug Forms for RETIREES/PARAPROFESSIONALS
| GNTA Retiree/Para Prescription Drug Benefit Claim Form |
| GNTA Retiree/Para Excess Medical Benefit Claim Form |
EXPENSE REPORT WITH UPDATED MILEAGE RATES FOR 2025
| GNTA Expense Report 2025.pdf |