Your HRA is a reimbursement account offered by your employer as part of your benefits package. Your employer sets up and funds the account to reimburse you for your eligible out-of-pocket health care expenses.
Each plan year (or other designated period of coverage) your employer contributes a specified amount to your HRA – you cannot make an additional contribution. You are not taxed on the value of your HRA or the reimbursements you receive from the account.
Participation in a health reimbursement arrangement is your choice. If you decide to use the account, you must satisfy any HRA eligibility requirements set up by your employer. Your employer will provide a Summary Plan Description (SPD) that gives the complete rules and regulations for your HRA plan.
Please review the following information so you are aware of the rules that apply to your HRA. Use the links below to navigate to a specific section.
Health reimbursement arrangements are regulated by IRS rules. These rules require CONEXIS to review your HRA reimbursement requests. You must keep all receipts and other supporting documentation that verify your HRA eligible expenses.
Only eligible expenses can be reimbursed under the HRA. These expenses are defined by Internal Revenue Code §213(d) and your employer's plan. You can use your HRA funds throughout the coverage period to pay for eligible HRA expenses.
IMPORTANT: Since your employer chooses which health care expenses are covered by their plan, your eligible expenses may not be the same as those listed on our HRA Eligible Expenses page. Check your employer's Summary Plan Description (SPD) for eligible expenses under your HRA plan.
Generally, eligible expenses include items that are meant to diagnose, cure, mitigate, treat, or prevent illness or disease. This also includes transportation for medical care. Expenses such as cosmetic surgery, personal grooming products, vitamins, and items for general well-being are not eligible expenses.
As part of the changes introduced by the recent health care reform acts, beginning January 1, 2011, over-the-counter (OTC) medicines and drugs are no longer be eligible for reimbursement under your HRA unless prescribed by a doctor (or another individual who can legally issue a prescription) in the state in which you purchase the OTC medicines.
Depending on your employer's plan, HRA expenses may be incurred by you, your spouse, or your eligible dependents during an eligible period of coverage and while you are an active participant in the HRA plan. Medical care expenses are incurred when you (or your spouse or dependents) are provided with medical care that gives rise to the expenses – not when you are formally billed, charged for, or pay for the medical care.
Only qualified "out-of-pocket" expenses are eligible for reimbursement. Expenses previously reimbursed by your HRA or covered by any other plan or program, such as an FSA, are not eligible for reimbursement. There's no "double-dipping" allowed. If you are enrolled in both an HRA and an FSA, refer to your Summary Plan Description for rules outlining which account pays first.
Expenses reimbursed under your HRA may not be used to claim any federal income tax deduction or credit.
The maximum reimbursement amount that you can receive is equal to your account balance at the time your reimbursement request is processed. Any portion of a reimbursement request that is over the maximum reimbursement amount will pend until your account balance can cover the expense.
Example: Your HRA plan year begins in January and employer contributes $100 each month. In February, you have $200 in your account, but you incur an expense for $300. If you submit a reimbursement request that same month, you will be reimbursed for $200 of the expense, and you will receive the additional $100 when your employer puts the $100 March contribution into your account.
A Request for Reimbursement Form is used to submit a reimbursement claim. The expenses listed must be incurred by you, your spouse, or eligible dependent during the coverage period and the dates noted on your supporting documentation.
After you complete the Request for Reimbursement Form, submit it to CONEXIS along with appropriate supporting documentation.
Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.
You can submit your reimbursement requests three ways.
Your employer decides the maximum annual contribution to your HRA and may apply an account cap, or limit, to the funds that can accumulate in your account. If you have an account cap, no additional contributions will accrue until the account is used or the account balance falls below the capped amount. Refer to your Summary Plan Description (SPD) for additional details.
IMPORTANT: Keep track of your real-time account balance and your HRA claims and payment activity through your online account.
Generally, HRA funds are not forfeited at the end of the plan year and may be rolled over to the following year. However, this feature is not available for all HRA plans. Your employer decides if this option applies to your plan.
If your HRA plan includes fund rollovers, your employer may only allow a specified amount to carry over. If your plan does not allow fund rollovers, the HRA balance cannot be cashed out, rolled over into another plan, or accessed for any purpose other than reimbursement of eligible health care expenses. Find specific details in your Summary Plan Description.
If you terminate your employment during the plan year or you otherwise cease to be eligible under the plan, your active participation in the HRA plan will end automatically. Expenses incurred after your termination date are not eligible for reimbursement.
However, some HRA plans include a "spend-down" provision that allows HRA participants to submit eligible HRA expenses, incurred during a specific time frame, after termination. This assumes participants continue to meet all other requirements. The spend-down feature is not available for all plans, so refer to your Summary Plan Description for specific details related to your plan.
IMPORTANT: You may be entitled to elect COBRA continuation coverage under the HRA and receive reimbursement for eligible HRA expenses incurred after your termination. You must be eligible and make the required COBRA premium payment. Find further details in your Summary Plan Description.
IMPORTANT: The information on this website provides basic information regarding participation in your employer's HRA plan. This site does not contain all of the rules that are specific to governing your employer's plan. For complete rules and plan information, review your plan's Summary Plan Description. Ask your HR or benefits representative for details.