By reimbursements I mean any money received for any members of your CU from an insurance company, medical care provider or non-CU member for medical expenses which you previously paid or will pay.
Since the first of the reference month, have you or any members of your CU received any medical reimbursements?
* IF YES - What did you get reimbursed for?
Describe the care/service/item. [enter text] _____________
Who was/were the "care/service/item" for?
What other medical reimbursement is the "care/service/item" combined with?
* Enter all that apply
Last Modified Date: November 29, 2005