VEBA/PRIME Participants

VEBA/PRIME Participant Forms

Please complete the form in a legible manner or use your computer to complete the form, then print the form and sign it. If you choose to sign electronically, a photo ID must also be included with the completed forms. The completed forms may be mailed, faxed, e-mailed, or uploaded to our website. See instructions on each form for more information.


The CARES ACT that was recently signed into law permanently reinstates coverage of OTC (Over the Counter) drugs and medicines as eligible for reimbursement without the need for a prescription. This change is effective for expenses incurred on or after January 1, 2020. A complete list of eligible expenses for reimbursement can be found at: irs.gov/publications/p502.


Frequently Asked Questions for VEBA/PRIME Participants

What is a PRIME plan?

What is the legal basis for the PRIME plan?

Are plan participants subject to income taxes on employer contributions or benefit payments from the trust?

What medical expenses qualify for reimbursement?

How can I receive a reimbursement for a qualified medical expense?

How long does it take to receive a reimbursement?

Can I have my reimbursement direct deposited into my bank?

What if I have more bills than the balance in my PRIME account?

What is the difference between a Non-Recurring Health Insurance Premium and a Recurring Health Insurance Premium on the Medical Expense Reimbursement Claim Form?

Must I send the original bills or receipts or are copies acceptable?

Can I fax the completed Medical Expense Reimbursement Claim Form and my bills or receipts?

Can I complete the form on my computer?

How often will I receive a statement of my account?

Can I view my statement online?

To see my account online, what is my user ID and password? Can I change my password? How often is the website updated?

Is there a minimum dollar amount for a reimbursement?

Can I roll over my PRIME account?

Can I take out a loan against my PRIME account?

What happens to my benefits if I die?

What types of investments are available to invest my PRIME account?

How can I update my personal information such as my address, e-mail or phone number?

Can I check the status of my claim online? Can I see past claims that I have submitted online?