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Health Reimbursement Arrangements (HRAs)

Health Reimbursement Accounts (HRA's) are enmplyer funded reimbursement plans made available to covered employees as part of the overall medical benifits plan of the employer. They represent the one of the available vehicles for a covered person to be a cost conscious consumer of health care services. With the increasing costs for health plan coverage to employees, many employers are seeking higher deductibles in the plans to make insurance coverage affordable.

The basic HRA benefit plan design is for the employer to provide a high deductible major medical benefit plan, either self-funded or insured. As an example the plan may carry a $1,000 annual deductible per person with a maximum deductible of $2,000 per family. This deductible will save the employer current premium cost. The employer then takes some portion of the savings and makes those dollars available to the employee in an HRA.

By definition HRA's are reimbursement accounts, meaning that it is expected that employees you will incur a health care cost before the claim can be paid from the HRA. As the result, they will be required to file an Explanation of Benefits form showing that the claimed expense was not paid by the High Deductible Plan before the claim will be allowed. The claim will then be processed and reimbursed at that time. The Employee and the Employer share
the up-front costs of care based on the provisions provided in the plan. Covered expenses after the deductible are covered under "Your" Health Plan at 100% (80%, etc.)

Funding arrangement is through an employer-funded account, accessed by
Securus A&C, LLC for check writing disbursements of plan benefits.

Health Reimbursement Account (HRA) Frequently Asked Questions (FAQ)

  1. What is a Health Reimbursement Account (HRA)?
  2. What are the tax advantages of an HRA?
  3. Is the HRA part of my health benefits plan?
  4. Who administers my HRA?
  5. What expenses can be reimbursed from my HRA?
  6. How do I submit a claim for reimbursement?
  7. How long do I have to submit requests for reimbursement?
  8. What happens to my account when I'm on layoff or leave of absence?
  9. What happens to my account if I terminate employment?
  10. What happens to my account balance at the end of the plan year?

1. What is a Health Reimbursement Account (HRA)?

The HRA is an employer-sponsored plan that is created to reimburse a portion of you and your eligible dependents deductible under the company's health plan.

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2. What are the tax advantages of an HRA?

Reimbursements made from the HRA plan are not considered part of your income and are not taxed.

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3. Is the HRA part of my health benefits plan?

The HRA is not insurance, nor part of the health benefit plan. It is a separate program offered under separate terms and conditions as defined by your employer.

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4. Who administers my HRA?

Securus A&C, LLC provides the administrative services for your employer's HRA plan. Securus A&C, LLC is not liable for any account balances.

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5. What expenses can be reimbursed from my HRA?

Your HRA is designed to reimburse a portion of the expenses applied to the deductible under your employer's health plan.

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6. How do I submit a claim for reimbursement?

Reimbursement requests can be made by submitting a completed Health Reimbursement Account Claim Form. Simply complete and sign the form and attach the following:

• Your Explanation of Benefits from your health plan
• Itemized receipt from the provider
• Completed reimbursement requests should be sent to:

Securus A&C, LLC
454 New Holland Avenue, Suite 300
Lancaster, PA 17602

Claims can also be fax'd to 717-581-6600

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7. How long do I have to submit requests for reimbursement?

You have three months from 1) the end of the plan year or 2) the date you leave employment, to submit expenses for the prior plan year. After the three months, those expenses will not be reimbursed.

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8. What happens to my account when I'm on layoff or leave of absence?

Please refer to your employer's layoff and leave policies.

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9. What happens to my account if I terminate employment?

You will have 3 months to submit expenses from your date of termination for expenses incurred during that plan year. If you elect COBRA for your health plan, the HRA plan is included in that COBRA continuation.

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10. What happens to my account balance at the end of the plan year?

Each plan year, your employer will determine the amount to be available for deductible reimbursement. Every one participant will start over with a new available balance according to the terms for that new plan year.

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Questions?

Please contact your employer or Securus A&C, LLC if you have additional questions. Customer Service at Securus is available to help you with all of your HRA plan questions. They may be reached by calling 1.800.582.9100 or submitting an email to tpa@securusgroup.com

 

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