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MIDDLEBURY HEALTH REIMBURSEMENT ARRANGEMENT FOR CERTAIN FORMER MIDDLEBURY EMPLOYEES PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTIONEffective January 1, 2019MIDDLEBURY HEALTH REIMBURSEMENT ARRANGEMENT FOR
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How to fill out at-a-glance health reimbursement arrangement

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How to fill out at-a-glance health reimbursement arrangement

01
Gather all necessary documentation such as receipts and invoices for healthcare expenses.
02
Log in to your health reimbursement arrangement account.
03
Locate the section for submitting claims or expenses.
04
Enter the details of the expense including the date, amount, and description.
05
Upload any supporting documentation if required.
06
Review the information entered for accuracy.
07
Submit the claim for reimbursement.

Who needs at-a-glance health reimbursement arrangement?

01
Employees who have out-of-pocket medical expenses that are not covered by their health insurance.
02
Employers looking to offer a benefit that allows employees to pay for eligible healthcare expenses with pre-tax dollars.
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An at-a-glance health reimbursement arrangement (HRA) is a type of employer-funded health benefit that allows employees to be reimbursed for qualified medical expenses not covered by their health insurance plan.
Employers who offer at-a-glance health reimbursement arrangements to their employees are required to file necessary documentation with the IRS.
To fill out an at-a-glance health reimbursement arrangement, employers should provide details such as employee information, reimbursement amounts, and the types of eligible medical expenses being covered, following the guidelines set by the IRS.
The purpose of an at-a-glance health reimbursement arrangement is to provide a tax-advantaged way for employees to receive reimbursement for out-of-pocket medical expenses, promoting employee health and financial security.
Information that must be reported includes employee identification, amounts reimbursed, dates of service, and the types of medical expenses for which reimbursement is sought.
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