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SPOUSE HEALTH RISK ASSESSMENT (HRA) SIGN-OFF FORM 2018 HRA Screening By Spouses Employer City of Green Bay2018 If a spouse has received an HRA screening from their employer for 2018, the spouses HRA
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How to fill out spouse hra sign off
How to fill out spouse hra sign off
01
Obtain the spouse HRA sign-off form from your employer or HR department.
02
Fill out the employee information section of the form, including your name, employee ID, and department.
03
Provide the necessary details about your spouse, such as their name, date of birth, and Social Security number.
04
Indicate the reason for requesting the spouse HRA sign-off, such as adding your spouse to your health insurance or making changes to their benefits coverage.
05
Ensure that both you and your spouse sign and date the form.
06
Submit the completed spouse HRA sign-off form to your employer or HR department for processing.
07
Keep a copy of the signed form for your records.
Who needs spouse hra sign off?
01
Employees who want to add their spouse to their health insurance or make changes to their spouse's benefits coverage need spouse HRA sign-off.
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What is spouse hra sign off?
Spouse HRA sign off refers to the process of obtaining approval or acknowledgment from the spouse of an employee regarding the use of a Health Reimbursement Arrangement (HRA) benefit.
Who is required to file spouse hra sign off?
Employees who wish to use their HRA benefit for their spouse's medical expenses may be required to file a spouse HRA sign off.
How to fill out spouse hra sign off?
Employees typically need to complete a form provided by their employer, indicating their spouse's agreement to use the HRA benefit for medical expenses.
What is the purpose of spouse hra sign off?
The purpose of spouse HRA sign off is to ensure that the spouse is aware of and agrees to the use of the HRA benefit for their medical expenses.
What information must be reported on spouse hra sign off?
The spouse's name, signature, and agreement to allow the employee to use the HRA benefit for their medical expenses must be reported on the spouse HRA sign off.
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