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3125 Airport Parkway, Cambridge, MN 55008 Metro: 7635526053 Toll Free: 8885076053 Fax: 7635526055 www.tsainvest.com A division of Educators Financial Services, Inc. Health Reimbursement Arrangement
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How to fill out HRA beneficiary designation doc:

01
Obtain the HRA beneficiary designation document from your employer or HR department.
02
Read the instructions carefully to understand the purpose of the form and the information required.
03
Fill in your personal information accurately, including your full name, address, date of birth, and Social Security number.
04
Indicate the type of beneficiary designation you are making (primary, contingent, or both).
05
Provide the full name and contact information of the primary beneficiary. This is the person who will receive the benefits in the event of your death.
06
If you have chosen a contingent beneficiary, enter their full name and contact details as well. The contingent beneficiary will receive the benefits if the primary beneficiary is unable to.
07
Consider consulting with a lawyer or financial advisor to ensure that your beneficiary designation aligns with your estate planning goals.
08
Review the completed form for accuracy and completeness before signing and dating it.
09
Make a copy of the filled-out form for your records before submitting it to the appropriate person or department.

Who needs HRA beneficiary designation doc:

01
Employees who have health reimbursement arrangements (HRAs) provided by their employers.
02
Individuals who want to designate who will receive the HRA benefits upon their death.
03
Those wishing to ensure that their HRA benefits are distributed according to their wishes and to avoid potential conflicts or uncertainties in the future.
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HRA beneficiary designationdoc is a form used to designate a beneficiary to receive HRA funds in the event of the account holder's death.
Any individual who has an HRA account is required to file a beneficiary designation form.
To fill out the HRA beneficiary designation form, you will need to provide the beneficiary's name, relationship to the account holder, address, and contact information.
The purpose of the HRA beneficiary designation form is to ensure that HRA funds are distributed according to the account holder's wishes in the event of their death.
The HRA beneficiary designation form must include the beneficiary's name, relationship to the account holder, address, and contact information.
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