Health Reimbursement Account (HRA)

Implementation

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HRA Plan Overview

What is an HRA?• An HRA is an employer–sponsored benefit program, under which

participants and their eligible dependents may receive reimbursement for eligible medical expenses

• Funded solely by the employer

• Employer contributions are excludable from income, and are not part of the employee’s tax burden

• Contributions are set by the employer

• No contributions limits set by the IRS

• HRAs do NOT cover non-medical expenses

• Leftover HRA balances may be rolled over fromyear to year

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Standard HRA Capabilities

• Perpetual or annual plans

• No contributions limits are set by the IRS. Limit may be set by the employer.

• An HRA may also be offered alongside a Health Care FSA. In most cases, the FSA will be setup to pay first, with the HRA paying out after the FSA funds have been exhausted.

• If plan permits, upon the death of an account holder, the account may continue to be used by a spouse or eligible dependents for the reimbursement of eligible expenses.

Custom HRA*

As the Employer, you can decide on very specific, or general terms, the purpose of the account.

• Percentage payment

• Medical and prescription HRA

• Deductible only

• HSA Compatible (Limited)

• Rx only

*Debit card limitations may apply

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HRA Capabilities

What is an Integrated HRA?

Integrated HRA

• An Integrated HRA is funded by the employer and linked with a group health plan that meets the ACA’s market reforms for employers with >50 employees

• Unless the HRA is a retiree-only plan, it MUST be offered in conjunction with an employer-sponsored, ACA compliant group medical plan. This is called an integrated HRA.

• When an employer moves to a health plan offering with a higher deductible than the employee group is used to, an HRA may be provided to ease the transition to the higher out of pocket costs

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HRA Payment Options

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• File a claim and upload a picture of receipt

• Supports iPhone and Android smart phones

• Online bill payment for HC / DC expenses

• Ideal for co-insurance, day care, orthodontic and dental.

• Proprietary debit card84% auto-adjudication rate

• Recurring expenses, co-payments, deductibles

• IIAS only or full MCC

*Note: Custom HRA expenses cannot be supported on the WageWorks Health Care Card.

• Mail, fax, online

• Daily reimbursement

• 48-hour claims turn-around

• Check and Direct Deposit

Pay My Provider Pay By Card* Pay Me BackEZ Receipts®

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Medicare Secondary Payer Reporting

Medicare Secondary Payer Reporting

• Medicare Secondary Payer Reporting (MSP)

• MSP Reporting is required for all Employer funded HRAs that cover working employees, their spouses and dependents over the age of 45 and for HRA balances of $5,000 or more

• Once an HRA balance reaches $5,000, it must be reported, until coverage ends (Even if the balance falls below $5,000 in future months)

• If the HRA account has a cap of $4999.99, MSP reporting is not required

* Confirm that WageWorks will be reporting MSP for HRA plan

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Communications

Effective Communications

• Get the word out via multiple channels

• Increase awareness and understanding of the new benefits

• Deliver a smooth transition for you and your employees

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Communications

• Communications Link

• Visible online through the OE Kit

• https://www.wageworks.com/employers/open-enrollment/media-gallery.aspx

• WageWorks Materials and Support Options

• Pre-Enrollment

• Flyers, Brochures, Posters

• Sample Email Templates

• Videos

• Post Enrollment

• Quick Start Guide

• Email Reminders

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Participant Experience

Online Account Access

Participant login at www.wageworks.com

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Online Account Registration

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Online Features & Functionality• One online view of all activity for all plan types is always

available

• Claim/reimbursement notices can be sent when claim submitted, approved/denied, and paid out

• Employees can also select to receive text message notifications

• Reimbursement notice mailed if participant does not have email address on file.

EZ Receipts® App

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Check balances, request funds and submit claims using a

smartphone or tablet.

Customer Service

• Participants may call for account information at: 1-877-WAGEWORKS (877-924-3967)

• Customer Service Representatives are available Monday thru Friday, 8 a.m. to 8 p.m. Eastern Time (excluding holidays)

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Thank you.

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