City of Detroit Post-2014 Non-Safety Employee Retiree Health Care Trust Fund

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Health Care Documents

Information for New Retirees

	Letter Upon Retirement

	Vital Information Form - Fillable *

	HRA Election Form (Immediate or Deferment) - Fillable *

Health Reimbursement Information & Forms

	HRA Reimbursement Form for 2026 Claims

	HRA Reimbursement Form for 2025 Claims

	HRA Reimbursement Form for 2024 Claims

	HRA Frequently Asked Questions

Health Care Forms

	2026 HAP HRA Reimbursement Authorization Form

	DENCAP & Heritage Vision Enrollment/Pension Deduction Form

HAP Medicare Advantage Plan

	HAP PPO Medicare Advantage Plan Flyer

	HAP PPO Medicare Advantage Plan Benefit Detail

DENCAP Dental Plan

Heritage Vision Plans

	City of Detroit Retiree Post 214 Heritage Vision Benefits at a Glance NATIONAL PLAN

	City of Detroit Retiree Post 214 Heritage Vision Benefits at a Glance LOCAL PLAN

Information from BeneSys, Inc.