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Optum Wellnesshealth reimbursement accountFAQ


Health Reimbursement Account (HRA) — Helping the Plan work better for you.

Dear Participant:

We are pleased to announce that the Plan includes a Health Reimbursement Account (HRA). An HRA is an account that the Fund sets up and maintains on your behalf. Money in the HRA can be used to pay for certain health care-related expenses.

Basically, here’s how the Plan’s HRA works:

  • When you work for a contributing employer, an HRA contribution will be made on your behalf and credited to your HRA for each hour that you work. Only employer HRA contributions made on your behalf are credited to your HRA; no additional voluntary contributions are allowed. The more you work, the more contributions are made to your HRA – and the more your account can grow.
  • You determine how to use your HRA; you can choose to:
    • Use it to pay for HRA eligible expenses or other expenses not covered by the Plan. HRA eligible expenses are reimbursed at 100%, with no deductible required; or
    • Use it to make self-payments to continue coverage when you are not working enough hours or retire (provided you are eligible for retiree coverage).

Your HRA may only be used to pay for eligible health care expenses that are not otherwise reimbursed. However, a range of expenses are eligible.

While contributions are only made on your behalf while you are working for a contributing employer, if money remains in your HRA at the end of a year, it rolls over into the next year, allowing you to use it for reimbursement of future expenses.

Your HRA Account may only be used to pay for eligible health care expenses as defined by Internal Revenue Code (IRC) Section 213. To receive reimbursement for eligible expenses, you must submit a written claim form, with the required supporting documentation, to the Plan in accordance with the Plan’s claim procedures. Click here for more information on expenses that are not eligible for reimbursement (HRA Expenses) or for a Health Reimbursement Arrangement (HRA) Account Claim for Reimbursement form.

The Plan’s HRA will give you more flexibility in the way you meet your and your family’s health care needs. We encourage you to take advantage of the Plan’s HRA. This information should be kept with your Summary Plan Description (SPD). Your SPD provides more detailed information about the Plan’s eligibility requirements, benefits, and related terms and conditions, which also apply to the HRA. If you have any questions about the HRA or the Plan in general, please contact the Welfare Fund Administrative Office.

Sincerely,
Board of Trustees


This notice serves as a Summary of Material Modifications. The HRA is intended to qualify as a medical reimbursement plan under §105 and §106 of the Internal Revenue Code of 1986, as amended, and related regulations, and as a health reimbursement arrangement, as defined under IRS Notice 2002-45. Eligible HRA Expenses reimbursed under the HRA are intended to be eligible for exclusion from your gross income under §105(b) of the Internal Revenue Code of 1986, as amended.

This notice contains only highlights of certain features of the Plan. Full details are contained in the documents that establish the Plan provisions. If there is a discrepancy between the wording here and the documents that establish the Plan, the document language will govern. The Trustees reserve the right to amend, modify, or terminate the Plan or the HRA at any time.


If you have any questions, please contact NECA-IBEW via e-mail or Phone (1-800-765-4239) or
write to:

NECA-IBEW
2120 Hubbard Avenue
Decatur, IL 62526-287



Health Reimbursement      Arrangement (HRA)      Account Expenses

Health Reimbursement      Arrangement (HRA)      Account Claim for
     Reimbursement

 

 

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