Health Reimbursement Arrangements (HRA)

Information

• HRA Plan Overview
• Medicare Secondary Payer Reporting (pdf)
• HRA FAQ

• HRA Enrollment / Verification Form (pdf)

• HRA Reimbursement Instructions (pdf)

• HRA Claim Form (pdf)

Employer Information Forms & Documents

• HRA Password-Protected Page

General Information

• Medical Expenses List (IRS Publication 502)

• Medical Expenses (as listed for Federal Government Plan)

• Divorced or Separated Individuals (IRS Publication 504)

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