AFT Local 1610
  • Reimbursement Claim Form for Part-time Faculty
    Posted On: Apr 30, 2018

    Reimbursement Claim Form for Part-time Faculty

    Part-time faculty, did you wonder where to find the correct form for getting reimbursed by the District for regular dental care? UPM has you covered! We have posted the link to the Reimbursement Claim Form in the Forms section under The Contract heading in the menu. And for your immediate convenience, a direct link to download the PDF form is right here:


    Contract Language:
    4.2 (e) Dental Coverage. Unit members who qualify for health care coverage in 4.2 above shall qualify for a reimbursement of up to $400 per fiscal year for a single subscriber, or $800 per fiscal year for a subscriber plus one, based on submission to the District of an itemized invoice from a dentist outlining the services provided, submitted within 30 calendar days of the end of the fiscal year. The District shall reimburse the unit member within 30 days of receipt of a verified itemized invoice. The maximum total dental reimbursement shall not exceed the prior year expenditures by more than $15,000 per fiscal year ($5,000 funded from District General Fund and $10,000 funded from category V, IR&D Grant). Should actual claims be less than $15,000, the unexpended amount shall, in the subsequent contract year, be added to the funds allocated to Category V Grants provided in Article 8 of the CBA.

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  • UPM Local 1610

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