STEPS FOR a SUCCESSFUL CLAIM reimbursement submission

• You will arrange the method and frequency of premium payments directly with your insurance company.
• You will pay all out-of-pocket expenses, such as copays, to your health care provider.
• For all eligible expenses, save all receipts and supporting documentation to include with your reimbursement claim.

Direct Deposit: You may enroll in direct deposit online by visiting the subsidy portal or by completing the Direct Deposit Form. Direct Deposit is more convenient as your reimbursements will be sent directly to your designated banking account. (Note that direct deposit may take up to 30 days to activate, which means your first reimbursement after enrolling in direct deposit may be mailed in the form of a check.)

Physical Check: If you do not enroll in direct deposit, you will receive a mailed physical check to the address we have on file.

 

Automatic Premium Reimbursement: This reimbursement option is available if you have enrolled in a qualifying health and/or drug plan through Mercer Marketplace 365+ Retiree. No form or additional documentation is required. Please visit your subsidy portal to see a list of participating carriers and plans. Please call a MM365+ Retiree Benefits Counselor to verbally opt-in to the program. Refer to your Reimbursement Instructional Guide for additional requirements and details about this convenient reimbursement option.

OR

Recurring Premium Reimbursement: This reimbursement option is available for premium expenses for all plans and carriers. You will only submit one Recurring Premium Reimbursement Claim Form each calendar year, or each time your premium rate changes. Your reimbursement will be paid on a monthly basis according to a pre-determined schedule. All Recurring Premium Reimbursement claims require third-party documentation showing proof of premium and coverage. This documentation must include covered participant's name, premium type, date of service, monthly amount and insurance carrier name. More details can be found online in your subsidy portal under the "Important Information" and "Resource Center" tiles. Refer to your Reimbursement Instructional Guide for additional information.

OR

One-Time Reimbursement: This reimbursement option is available for any eligible expense.. You will need to provide a completed One-Time Reimbursement Claim Form and third-party documentation for each expense you would like reimbursed. Third-party documentation required includes covered participant's name, provider name, date of service, type of expense and proof of expense amount. More details can be found online in your subsidy portal under the "Important Information" and "Resource Center" tiles. Refer to your Reimbursement Instructional Guide for additional information.

Once your request has been received, Mercer will review your legally required supporting documentation and determine if the claim is in good order. If approved, you will receive payment by either direct deposit or a check in the mail depending on how you elected to receive your reimbursements. Refer to your Reimbursement Instructional Guide for additional information.