If you have set up a “recurring claim” for medical, dental or vision premium reimbursement, you must submit a claim form once a year along with annual documentation from your insurance carrier showing the type of insurance and your monthly premium amount for that year.
In order to set up your recurring claim, please submit the following to the Trust Office:
- A new Claim Form and,
- Full Premium Documentation*
The above documents must be received by the Trust Office no later than January 25, 2024 in order for your recurring premium reimbursement payment to continue in February 2024. If your full documentation is received after that date, your February claim payment will be delayed until proper documentation is received.
NEW IRS Documentation Requirement in 2024: MERP retiree beneficiaries must now submit proof of payment prior to each reimbursement. You only need to submit your full premium verification and claim form once, however you must send in proof of payment for each month. For example, this could be a canceled check or a copy of your checking account or pension statement showing a deduction for your monthly premium. You may choose to batch these quarterly or annually, however you will not receive reimbursement for any month in which you have not submitted proof of payment.
Read the full 2024 Annual Premium Verification Notice
Please find a copy of the IAFF MERP Claim Form
*Premium Documentation Requirements
Full premium verification documentation consists of monthly proof of payment of the insurance premium and your annual submission of document(s) from a third party, most often from the insurance carrier, showing the following information:
- Type of healthcare insurance (e.g., medical, dental, vision or long term care)
- Amount of monthly premium
- Dates of insurance coverage (date of coverage must include the 2024 calendar year)
- Name of insured
Exceptions to Monthly Proof of Payment Requirement
- If your premium payments are for Medicare Part A and/or Part B and are deducted from your Social Security, you are only required to submit your Social Security statement annually.
- If your premiums are paid to the IAFF Health & Wellness Trust (IAFF HWT), you are only required to submit documentation annually. Your monthly proof of payment will be obtained directly from IAFF HWT.
Please contact the Trust Office with any questions at 844-353-7839 or at moc.y1716096715lmiv@1716096715PREM-1716096715FFAI1716096715.
