Detectives’ Endowment Association, Inc. member benefits website — Scott Munro, President

Forms

Forms

Annuity

If you would like to remove your annuity monies from the DEA complete and return this form. (Retired Members Only)

Annuity Beneficiary

Complete this form and submit if you would like to update your DEA annuity beneficiaries.

Cigna Dental Claim

Complete this form and return to CIGNA for reimbursement for out of network dental services.

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.

GVS Contact Lens Flyer

Benefits offered through General Vision for Contact Lens Replacement

Life Insurance

If you would like to purchase an optional life insurance policy, please contact Mechanic & Associates at (845) 624-3800 or visit their website at www.mechanic-insurance.com.

Life Insurance Beneficiary

Complete this form to update your life insurance beneficiaries.

Medicare B and IRMAA Forms

These forms must be completed and returned back to the Office of Labor Relations.

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.

Prescription Reimbursement (Capital RX)

Complete this form and return to Capital Rx. If you have paid out of pocket for the full cost of your prescription, in order to receive reimbursement.

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.

Digital Forms

Member Information

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Change of Address

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Annuity Fund

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Group Life Insurance

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Download Forms

Capital RX Reimbursement

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Cigna Dental Claim

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Medicare B and IRMAA Forms

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