Are you a veteran who has enrolled in the VA health benefits program? Do you need to update your financial, personal or insurance information? If you answered yes to both of these questions, this form is likely the right one for you. Many government forms are used for similar purposes. Make sure you have the right one:
If you have not previously enrolled in the VA Health Care System, you need to use VA Form 10-10EZ, not 10-10EZR.
If you need to change your information or cancel benefits and you are a federal employee, not a veteran, use Form SF 2810.
If you wish to apply for VA disability benefits, you must complete VA Form 21-526EZ.
To change or update health care information for the VA, you must list all health insurance plans that cover you, including coverage you receive through your spouse or significant other. Attach a copy of the insurance cards, as well as your Medicare and Medicaid cards, if applicable. This can help ensure the right information is supplied with the form. When Should You Use the 10-10EZR Form? You can use this form to update employment or income changes at any time. However, even if your job and paycheck remain the same, this form needs to be submitted annually to show you’re still financially eligible if you don’t have a financial assessment on file as of March 24, 2014. The VA uses it to confirm the enrollment priority group assignment and the accuracy of VA copay status. Each year, employers can change the coverage in the employee health plan. If that has happened in the last year, you should also submit this form with the updates to ensure your copay and eligibility are accurate. Use the 10-10EZR form to update your contact information when you relocate, whether it is within the same city or state or across the country. This can ensure there’s no gap in communication and benefits. If your number of dependents, phone number or next of kin needs to be updated, use this form as needed. What Are the Consequences if You Don’t Use the 10-10EZR Form? Veterans who do not fill out the form annually or when their financial or personal information changes may lose some or all of their benefits.
If your previous year’s income was more than the maximum amount allowed by the VA and it is not reported, you could be liable for the difference in benefits and subject to a fine or jail time.
If you relocate, payments and vital information may not reach you in time to make critical deadlines.
If the VA has wrong or outdated information, your current or ex-spouse, dependents or next of kin may not receive the benefits they are due.
