Enroll

Two easy ways to enroll: 

• Online:
  Click here to begin 
• By Mail:
  Download the enrollment form and the appropriate payment authorization form. Mail copies of the completed forms to:
  P&A, Dental Plan Administrator
  17 Court Street
  Suite 500
  Buffalo, NY 14020-9922 

Download the Enrollment Form
Download the Payment Authorization form for In-Service NYSUT members
Download the Payment Authorization form for Retired NYSUT members

Your coverage becomes effective on the first day of the next month following the receipt of your completed application.
Once your enrollment is processed, you will receive a welcome package confirming your options.