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FOREWARNED INC.OPEN ACCESS PLUS MEDICAL BENEFITS Health Reimbursement Arrangement Premedical Retiree Choice EFFECTIVE DATE: January 1, 2016ASO103 HR AFR, HR ASR 3207248This document printed in July
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How to fill out what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf
01
To fill out the HRA (Health Reimbursement Account) for pre-Medicare retirees, follow these steps:
02
- Review the HRA form carefully and ensure you understand the information and requirements mentioned in the form.
03
- Gather the necessary documents and information, such as your personal details, healthcare expenses, and supporting documentation.
04
- Fill out the form accurately, providing all the required information. Double-check all the entries before submitting.
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- Attach any supporting documents requested in the form, such as copies of medical bills or proof of insurance.
06
- Once everything is completed, review the filled-out form again to make sure all sections are properly filled and all required documents are attached.
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- Submit the HRA form as per the instructions provided. This may involve mailing the form to the appropriate address or submitting it electronically.
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- Keep a copy of the filled-out form and all supporting documents for your records.
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- Wait for confirmation or communication from BorgWarner regarding the status of your HRA application. Follow up if necessary.
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- If approved, familiarize yourself with the terms and conditions of the HRA and the reimbursement process.
11
- Begin using your HRA benefits as outlined in the plan.
Who needs what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf?
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Pre-Medicare retirees who are eligible for HRA benefits from BorgWarner need to fill out the 'HRA for Pre-Medicare Retiree Choice' form.
02
This form is specifically designed for retirees who are not yet eligible for Medicare and wish to access the HRA benefits provided by BorgWarner.
03
You need to fill out this form if you meet the criteria mentioned in the form and want to seek reimbursement for eligible healthcare expenses.
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It is important to carefully review the eligibility criteria mentioned in the form to determine if you qualify for the HRA benefits as a pre-Medicare retiree.
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What is what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf?
This document is the HRA (Health Reimbursement Arrangement) Summary Plan Description for pre-Medicare retiree benefits at BorgWarner.
Who is required to file what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf?
Pre-Medicare retirees at BorgWarner are required to review and possibly make selections based on the information provided in the document.
How to fill out what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf?
Pre-Medicare retirees should carefully read through the document and follow the instructions provided for making benefit selections.
What is the purpose of what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf?
The purpose of the document is to provide pre-Medicare retirees at BorgWarner with information about their HRA benefits and options.
What information must be reported on what is ithttpswww2borgwarnercombenefitsretireesdocumentshrafr20hrasr20-20hra20pre-medicare20retiree20choicepdf?
The document will include details about available HRA benefits, coverage options, enrollment deadlines, and any required actions.
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