Get 98946-01 Reimbursement Request - Msrs

Completing the 98946-01 Reimbursement Request - MSRS online is a straightforward process that allows users to request reimbursement for eligible expenses. This guide provides step-by-step instructions to ensure you fill out the form accurately and efficiently.

Follow the steps to successfully complete the reimbursement request form.

1. Press the ‘Get Form’ button to access the 98946-01 Reimbursement Request - MSRS and open it in your editing tool.
2. Begin with Section 1, which requires your personal information. Fill in fields such as your last name, first name, middle initial, account ID or social security number, mailing address, daytime phone number, city, state, zip code, and date of birth. If you have changed your address, check the corresponding box.
3. Indicate your reimbursement eligibility by selecting the appropriate checkboxes. If applicable, provide the date of retirement or termination, and specify if you are collecting disability benefits from a Minnesota public retirement plan.
4. In Section 2, focus on the reimbursement of insurance premiums. Review the instructions before entering details such as the type of insurance (medical, dental, etc.), premium amounts, and the corresponding months for reimbursement. Don’t forget to attach the necessary documentation as advised.
5. Move to Section 3 for one-time expenses. Indicate the date of service, the relationship of the person associated with the expense, their date of birth if they are a dependent, and a description of the expense incurred. Ensure the total reimbursement request is $75 or more and attach any necessary additional documentation.
6. Proceed to Section 4 and provide your signature along with the date to certify the accuracy of the information provided. Remember that this certification confirms that expenses have not been reimbursed through another source.
7. Finally, review your completed form for accuracy and completeness. You can then save your changes, download or print the form, and share it as needed. Ensure it is sent to the Minnesota State Retirement System (MSRS) for processing as instructed.

Complete and submit your 98946-01 Reimbursement Request - MSRS online today to ensure timely processing of your reimbursement.