Retirement Healthcare Plan
Complete this form in order to begin reimbursement, a Claims Activation Form must also be submitted to TIAA-CREF.
Retirement Healthcare Plan Verification of Claims Eligibility (PDF)
[F11291]
Complete this form to activate claim reimbursements for participants who have satisfied the eligibility provision of their employer’s retirement healthcare plan.
Retirement Healthcare Plan Claims Activation Form (PDF)
[F11292]
This form is a plan administrator authorization for a plan participant to begin reimbursement under special circumstances.
Retirement Healthcare Plan Special Circumstances Claims Activation Form (PDF)
[F11290]
If you have questions or need help selecting the correct form, call us at 1 800 842-2776.
