4 Claims activation When you’re ready to access and make use of the Plan account balance for reimbursement of QMEs, complete and submit a Claims Activation Form, available at tiaa.org. You may also request a hard copy of the form by calling 877-554-1004 and selecting option 1. Within 7 to 10 business days of our receipt of the completed Claims Activation Form, you’ll receive a package from the third-party claims administrator, Optum Financial. This package will include a healthcare payment card as well as instructions on how to file claims for reimbursement of QMEs. Note: Only the vested account balance is eligible to be used for reimbursement. Who can submit claims for the reimbursement benefit? While you’re alive, either you as the account holder or your spouse may submit claims. An additional healthcare payment card for your spouse can be ordered for your convenience. After your death, your surviving spouse and legal tax dependents may be eligible to submit claims from your account. Refer to your summary plan description for specific details on the Plan. When does my eligibility begin? If you’ve separated from service with your employer who sponsors the Plan and have fulfilled the vesting requirements for the plan, you become entitled to benefits. At this time, TIAA will send you an entitlement notification.