H R A - "Health Reimbursement Arrangement"

The HRA Benefit Program Is a Standalone Benefit That Pays After Any Other Coverage Pays. You Must Submit Charges To Your Health, Dental Or Vision Plan First. The Following Is a Brief List Of Expenses That Can Be Reimbursed Under The HRA Program.

Medical Plan Deductible	Dental Plan Deductible
Pharmacy Plan Deductible	Vision Expenses Over Plan Limits
Vision Expenses For Retirees	Dental Expenses Over Plan Limits
Dental Expenses For Retirees	Orthodontic Expenses
Hearing Aid Expenses	Pharmacy Co-Insurance
Medical Plan Co-Insurance	Prescription Smoking Cessation Drugs

Currently. OTC Medications And Cosmetic Procedures Are Not Covered On The HRA Plan.

HRA Form Instructions

Click On Te Link Above For The HRA Form Instructions Document.

Health Reimbursement Arrangement (HRA) Form

You have until March 31 of the following year to file for HRA reimbursement on out of pocket expense for the prior year. 

Click The Link Above To Complete And Download An HRA Form.

To View, Print Or Edit The Forms On This Website, You Must Have Adobe Acrobat Reader Installed.   If you Do Not Then Click The Link Above To Download.