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Get the free Health Reimbursement Arrangement Election Form

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Complete the Health Reimbursement Arrangement Election Form to choose how HRA funds are reimbursed, ensuring automatic payment for eligible expenses in 2023.
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A health reimbursement arrangement (HRA) election is a decision made by an employee to participate in an HRA, allowing them to receive reimbursements for qualifying medical expenses from their employer.
Employees who wish to participate in their employer's health reimbursement arrangement must file an election.
To fill out the HRA election, employees typically need to complete a designated form provided by their employer, which may require personal information, plan selection, and acknowledgment of terms.
The purpose of an HRA election is to allow employees to select their participation in the arrangement, enabling them to receive reimbursements for eligible health expenses while benefiting from tax advantages.
Information that must be reported includes employee identification details, the specific plan being elected, and any relevant medical expenses that may be eligible for reimbursement.
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