
you and your loved ones
New Retiree Enrollment Process

Enrollment Process
Call our office at 1-866-652-4237 to schedule an appointment with a Benefits Specialist.
What do I need to bring to the appointment?
Please bring the required documents to your appointment. See the list below:
- If married, provide an official marriage license.
- For common-law marriages, you must submit a Declaration and Registration of Informal Marriage.
- Include a Social Security card for each individual being added to the Health Fund Plan.
- If you do not have a Social Security card, please provide a copy of one of the following:
- Permanent Resident Card
- Tax Identification Number (TIN), if applicable.
- A birth certificate for each dependent child being added to the Health Fund Plan.
- If you are divorced or have stepchildren, please provide child support orders that indicate the parent responsible for providing insurance for the child.
- Incapacitated dependent: To maintain eligibility for an incapacitated dependent, proof of incapacity must be submitted thirty-one (31) days before the child turns twenty-three (23).
- Any incapacitated dependent is required to apply for, purchase and maintain Medicare Benefits. A copy of the determination from the Social Security Office must be submitted to The Fund Retiree Health & Wellness San Antonio Fire and Police office.
- Include cards for any other medical insurance policies if you are covered by another plan.
- Provide the Projection Form from the San Antonio Fire and Police Pension Fund Office

Eligibility
An eligible Dependent child who is physically or mentally incapable of self-support upon attaining the age of twenty three (23) years, shall continue to be an eligible Dependent while remaining incapacitated, unmarried and continuously covered under the Plan. An eligible
Incapacitated Dependent must be solely dependent on the retiree, and must be incapacitated by a disability that arose while such Dependent was a covered Dependent. To continue eligibility under this provision, proof of incapacity must be submitted by the retiree at least thirty-one (31) days prior to such child's attainment of age twenty three (23).
Any incapacitated dependent is required to apply for, purchase and maintain Medicare Benefits. A copy of the determination from the Social Security Office must be submitted to The Fund Retiree Health & Wellness San Antonio Fire and Police office.
Once coverage is in effect, no new spouse or Dependent may be added to the Plan.
Termination of coverage for any Covered Spouse and/or Dependent is permanent and once terminated, any such individual(s) cannot be added back to the Plan.

COVERAGE & MEDICARE
- The Health Fund offers medical and prescription coverage.
- No coverage is available for dental or vision.
- Medicare requirements: Once a covered person is eligible for Medicare either by age or established criteria for Medicare eligibility a covered person is required to apply for, purchase and maintain Medicare Part A & B Benefits. If a covered person does not have the eligible quarters for Medicare Part A the covered person will need to provide a copy of the Notice of award letter to the Health Fund Office.
WEBTPA
- Provider Services: (877) 349-4400
- Member Services: (866) 652-4237
- Other proof of spouse’s insurance (if any)
To File A Claim:
- To file an electronic claim(s), submit to: WebMD/Envoy Payor ID #75261
- To mail your claim, the address is: WEBTPA, P.O. Box 99906, Grapevine, TX 76099-9706
- To register your Member Portal Account, please refer to the instructions HERE.
FEDERAL NOTICES
Please click to view
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2025
- MEDICARE PART D / CREDITABLE COVERAGE / Effective October 5, 2024
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2024
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2023
- MEDICARE PART D / CREDITABLE COVERAGE / Effective October 1, 2022
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2022
- MEDICARE PART D / CREDITABLE COVERAGE / Effective January 1, 2021
- Women’s Health and Cancer
- HIPAA Policy and Procedures
- Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)