Excess Medical, Prescription Drug, &
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| 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_ppo_2025.pdf |
| 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 Claim Form Update |
GNTA HIPAA notice of privacy
EXPENSE REPORT WITH UPDATED MILEAGE RATES FOR 2026
| gnta_expense_report_2026.pdf |