Hearing Aid
Members are entitled to reimbursement of hearing aids at a maximum of $500 per ear every 4 years.
Please complete this form and return back to the DEA Health Benefits office with an itemized reciept.
Co-Pay Reimbursement Form
The Co-Pay form is only available from January 1st through March 31st. Please contact the Health Benefits office at (212) 587-9120 with any questions.
Student Verification
Have this form completed and returned back to the DEA in order for student children between the ages of 19-23 to maintain their dental, optical and prescription coverage.
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Please note if the child is reaching the age of 23 or not attending school full time, you can contact the DEA Health Benefits Office to inquire about COBRA to maintain benefits at a cost.
Member/Dependent Information – Add/ Remove/Change
Complete this form to update (add/remove) your dependents, change your name or to update your address for your dental, optical and prescription benefits.
If you are adding or removing dependents please make sure to attach required documentation (Marriage Cert., Birth Cert., Divorce Papers, Death Cert. etc)
If you are adding a step-child please contact the DEA Health Benefits Office.
