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Insurance Services  >  2016 Plan Summaries
The Group Insurance Trust
For nearly 60 years, the NYSADA’s Group Insurance Trust (GIT) has provided its members a variety of insurance programs. The GIT offers programs for all size dealerships. The GIT can quote from its existing rate schedules and/or provide a quote on actual dealership claim experience if applicable. For more information please contact NYSADA and speak with either GIT's Insurance Director, Jeff Scardino at (518) 463-1148 ext. 321 or by email:








2016 Express Scripts Benefits
Express Scripts

Rx Option Summaries

  Rx Option 1    Rx Option 6 
  Rx Option 2   Rx Option 7 
  Rx Option 3   Rx Option 8
  Rx Option 4    Rx Option 9 
  Rx Option 5    Rx Option 10 

Prior Authorization / General request Form
General request form

Express Scripts Formulary
2015 Express Scripts Formulary

Express Scripts Claim Forms
Express Scripts Reimbursement Form 
Express Scripts Claim Form

Express Scripts Home Delivery Order Form
Home Delivery Order Form
2016 Guardian Dental
Guardian Dental

Dental Plan Summary

  Schedule Plan 
  High Option PPO 
  Pediatric Dental
  Guardian Claim Form

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