Local 29 HRA Plan
In conjunction with Trust Plan 6B
What is a Health Reimbursement
Arrangement (HRA)?
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An employer funded account created with tax
free dollars, to pay for out-of-pocket health
care expenses (defined by IRS code 213(d))
You receive tax free reimbursement for
qualified expenses
THIS IS YOUR MONEY THAT YOU
CONTROL AND MANAGE!
You are able to use this money now, or save
it for retirement
How do I participate?
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Plan is in conjunction with enrollment in Trust Plan
6B. The City will make all contributions to the HRA
Once you satisfy the eligibility requirements set forth
by the City, your account will be established with the
first contribution we receive
When an eligible expense is incurred, you can
either use your debit card, submit a paper claim for
tax free reimbursement or pay for the expense out
of pocket to preserve your HRA funds
Expenses incurred prior to Jan. 1, 2010 will not be
covered
Enrollment into the HRA Account
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You must be a participant of Trust Plan 6B
The account is employer funded only
You have complete control over the funds
You can use the funds now to pay for out of
pocket medical expense or save it for
retirement
Employees are automatically enrolled once
we receive the first contribution
Contributions into YOUR HRA
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$1,875 per individual
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$3,775 per family
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If you are not employed January 1, you
will be given a pro-rated amount
How the HRA Account works
City of Spokane Credits you HRA Account
January 1
Incur Expenses
January 1 through December 31
Grace Period to submit claim forms
90 days after end of Plan Year
May 31
HRA Account Balance Rolled over to your VEBA Account
Order of Payment
1.
Medical Plan
2.
Flexible Spending Account (FSA)*
3.
Health Reimbursement Arrangement (HRA)
4.
VEBA
*If applicable
How do I get a debit card?
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Must get a new card annually after January 1 of the
new plan year
Go to www.myflexonline.com
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New user (set up account with username and password)
Returning users must sign in
Debit Card tab
 Automatically routed here if new user
 Follow steps to order card
 max 2 cards first day
 After only 1 card per day after
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For dependant kids in college etc.
Card will arrive in about 10 days
How am I reimbursed?
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Use Debit Card
 No initial out-of-pocket expense
 Roughly 80% of all claims require no further substantiation
 Keep all receipts in case paper substantiation is required
 DO NOT PAY FOR THE ENTIRE EXPENSE!!! Submit through
Medical Trust first!!
-OR-
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Submit paper claim to Rehn&Associates
 Must total and sign claim form
 Must provide proper substantiation for approval of claim
 Reimbursement made daily
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Direct Deposit
Check
Proper Substantiation to submit with a
claim form
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Submit any one of the following
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Explanation of Benefits (EOB)
Provider bill
Cash register receipt
Pharmacy tag
Itemized bill or receipt
Not Accepted for Substantiation
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Cancelled check or a copy of a check
Credit/debit card statement
Balance forward statement from provider
Rollover into current VEBA Account
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Remaining HRA balance at the end of each
plan year are automatically rolled over into
your VEBA Account (after all claims have
been paid)
Your VEBA Account will be credited with the
remaining HRA balance around May 15th of
the following year
VEBA Account available for use whenever
you desire (intended for use in retirement)
Separation from employment
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Applies only to rollover of account balance
Must be employed at the City of Spokane at
the end of the Plan Year (December 31) to
have balance rolled over into VEBA Account
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If you leave at any time during the year, you forfeit
the remaining balance in your HRA Account
You still have access to funds currently in VEBA
Eligible Expenses
(List not all inclusive)
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Deductibles
Co-pays
Co-Insurance
Office visits (after 1st four have been used)
Prescriptions
Over the Counter items
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Cough drops, Nicotine gum or patches to stop smoking, motion sickness
pills, Bandaids, reading glasses, first aid kit and many more
Glasses, contact lenses and solutions
Laser Eye Surgery
Major dental including Crowns and Bridges
Orthodontia
All other section 213(d) expense
Ineligible Expenses
(List not all inclusive)
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Non-medical expenses or expenses that are
not medically necessary
Cosmetic treatments
Vitamins, Minerals, Supplements
Items already reimbursed by a Flexible
Spending Account (FSA)
Is my Spouse or Dependent(s) covered?
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Yes!
Your Dependent(s) must qualify as a
dependent as defined by the IRS
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Must be able to claim as a dependent on your tax
return
The expenses must qualify under the
guidelines of IRS Section 213(d)
How do I submit a paper claim?
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Send signed and totaled claim form to
Rehn&Associates:
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By E-Mail: flex@rehnonline.com
 Must be able to scan signed claim form and
substantiating material(s)
By Fax: (509) 535-7883
By Mail: PO BOX 5433, Spokane, WA 99205
Drop off in person: 1322 N. Post, Spokane, WA 99201
Web Site Information
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www.ezflexplan.com/rehn
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Sign up for debit card
Substantiate claim information
Download Claim forms
Claims history
Check account balance
Check recent transactions
Useful information
How often will I receive a statement of
account activity?
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Check account activity online ANYTIME
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Statements mailed 60 days prior to end of
plan year
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www.ezflexplan.com/rehn
Can call and request statements at any time
throughout the year
If you receive a reimbursement check in the
mail, there is a “mini-statement” on the check
stub
Main Points…
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Use the MEDICAL TRUST FIRST!
Keep all EOBs and receipts
This is your money!
Unused balance will be rolled into current
VEBA Account
Recommended to only use your debit card
for co-pays on the spot