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Forms

****Note: We recommend using Internet Explorer to access download the forms

International Retirees living in the USA: CIGNA

National and International retirees living outside the USA: CIGNA IGO

For services outside the USA: 

  • Please use the CIGNA IGO medical services reimbursement form for medical, dental and vision services. The same form is used for drug prescription reimbursement requests. 

For services in the USA:

  • For medical services in the USA, please use the drug prescription card from CIGNA. To request reimbursement, please use the CIGNA IGO medical services reimbursement form.
  • For vision services in the USA please use the Vision network card from CIGNA. To request reimbursement, please use the CIGNA IGO medical services reimbursement form.

CIGNA IGO medical services reimbrusement form: English , Spanish

Life Insurance (Retirees Death Benefit)

  • To obtain information about the retiree death benefit program for retirees, please contact a pension officer

 

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