Participants in a National IAM Benefit Trust Fund vision plan must submit their own claims to the Fund Office (for claims through December 31, 2015 use the Vision Claim Form linked below). For changes to the vision program effective January 1, 2016 please visit the Vision Plans page.
Simply visit your vision care provider and receive care, then pay for your covered services and obtain an itemized receipt. After receiving care, you and your vision care provider must fill out the Vision Claim Form (PDF) (use this form only for claims through December 31, 2015). You should complete the Employee, Dependent, and General Information sections of the form in full, then have your provider fill out the Provider section of the form on your behalf.
Submit the completed Vision Care Form and the itemized receipt you received at the time of services to the Fund Office. The Fund will reimburse you for the cost of your covered vision care, up to the maximum benefit amount provided by the plan. Participants in a Benefit Trust Fund vision plan are reimbursed directly. You must submit a claim within one year after the vision expense is incurred in order for the claim to be processed.
You can submit your Vision Claim Form and receipt by mailing or faxing them to the Fund Office as follows:
National IAM Benefit Trust Fund