Retiree Forms

Retiree Health Benefits

• Retirement Checklist Printable Version
• Comparing Part D Drug Plans Instructions
• Pre-65 Group Health Insurance Enrollment Form
• Pre-65 Health Insurance Automatic Deduction Form
• TIAA/Optum Paper Claim Reimbursement Form
• TIAA/Optum Paper Claim Reimbursement Instructions
• TIAA/Connect Your Care Direct Deposit Form
• TIAA/Optum Letter of Medical Necessity Form