Dental & Vision

WELCOME to the new interactive BSG website. For your convenience, you can access employer account information, employer reports, and forms for your Flexible Spending Account(s), Max105 health insurance, HSA(s) and/or COBRA administered by BSG.
ADDRESS CHANGES: Address changes for the Flexible Spending Accounts, MAX105 health insurance , COBRA or Direct Dental may be E-MAILED to: barb@benefitservicesgroup.net

For your convenience, we have also provided links to a number of outside carriers. Our clients can now easily access forms, provider networks, order ID cards, etc. To use this feature, click on the web address for the insurance company.

Phone Number – 1-800-252-7911
Visit their home page – Welcome to Support Services Alliance, Inc.

 

 


Phone Number – 1-800-659-5556
Visit their home page – Welcome to Ameritas Group. 

 

Dental Eye Care/ Dental Enrollment/Change Form – http://firstameritasgroup.com/apps/assets/content.asp?doc=1074
Dental High/Low Enrollment/Change Form – http://firstameritasgroup.com/apps/assets/content.asp?doc=1075 
First Ameritas Dental Claim Form – http://firstameritasgroup.com/apps/assets/content.asp?doc=1043


Phone Number – 1-888-278-4542
Visit their home page – Welcome to Guardian.  

 

401(k) account summary - http://guardianretirement.com 
Guardian Dental Claim Form - http://www.guardianlife.com/employee_benefits/ada.pdf
Guardian Life Claim Form - http://www.guardianlife.com/service_center/gg42.pdf 
Short Term Disability Claim Form - http://www.guardianlife.com/service_center/gg011096.pdf 
Long Term Disability Form - http://www.guardianlife.com/service_center/nro315.pdf
Statutory Disability - 


Phone Number – 1-800-692-5403 
Visit their home page – Welcome to The Business Council 

 

Dental General - http://ny.yourdentalsolutions.com/bcnys 
Dental Enrollment Form – http://www.bcnys.org/pdf/forms/dentalenrollment.pdf
Dental/Eye Care Enrollment/Change Form – http://firstameritasgroup.com/apps/assets/content.asp?doc=1074
Dental High/Low Enrollment/Change Form – http://firstameritasgroup.com/apps/assets/content.asp?doc=1075  
Claim Forms –  Insurance Forms – The Business Council of New York State, Inc.