CDPSU Trust – Post 2015 Retirees

CDPSU Member Forms & Resources

Get the forms and resources you need in order to effortlessly manage your healthcare. 

 

New Retiree Welcome Packets

DFFA Welcome Packet

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Download

DPCOA Welcome Packet

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Download

DPOA Welcome Packet

Download

LSA Welcome Packet

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Download

Additional Forms

To access the HRA online portal, click here.

Enrollment Application

Use this form to enroll in a Healthcare Reimbursement Account.

Download

HRA Reimbursement Form

Complete this form to receive funds from your Healthcare Reimbursement Agreement account to cover healthcare costs

Download

HRA Q&A

Includes information about the successor HRA previously sponsored by COPS.

Download

Signed Plan Document

The plan document describes terms and conditions.

Download

FSA/HRA Fact Sheet

See your FSA/HRA Eligible and Ineligible Expenses.

Download

WEX Welcome Letter

Includes information about the successor HRA previously sponsored by COPS.

Download

WEX Mobile APP FAQ Sheet

This is a guide to the Mobile WEX App.

Download

Contact Us

We’re here to answer your questions and get you the information you need.
CDPSU members can reach us at 1 (800) 645-9978.

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