Health Reimbursement Arrangements (HRAs)

Show your employees how simple cost-sharing can decrease premiums for everyone with FlexHRA® Health Reimbursement Arrangements. Best of all, we handle all the HRA administration and reimbursement tasks associated with the successful implementation of these plans, so you don’t have to.

We now offer enhanced scalable plan options designed to provide the best possible HRA experience, including:

  • Various plan design and eligible expense options
  • Integration with any aggregate or embedded insurance plan
  • Multiple funding options
  • Reimbursement frequency options, including daily and weekly
  • Full integration with our other Flex Plans, allowing stackable operation
  • Flexible reporting options available for Participant, Funding and Payment Reports
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FlexHRA Plan Features

Flex offers a variety of premium HRA benefits plan features that are designed to help you and your participants get the most out of your FSA, including:

Plan Design Expertise

  • Review of funding strategies and benefit designs
  • Development of custom benefit strategies
  • Assessment of IRS compliance

Education & Enrollment

  • Pre- and post-enrollment communications
  • Simplified educational materials 
  • Dedicated education and enrollment specialists to conduct meetings for employees
  • Frequent e-communications about plan features, key dates, industry news and more
  • Timely e-communications about plan activity for “Go Paperless”  participants
  • Digital enrollment kits (free) / paper enrollment kits (request pricing)

Simple Transactions

  • CrossTech® 
    • Simplified, automated and paperless claims processing
    • No claim paperwork for participants to complete for reimbursement
    • Secure information transfer between Flex and the insurance carrier, third-party administrator and/or pharmacy benefits manager
    • Available to participants of our HRAs that are also enrolled in one of the following plans or vendors:
      • Blue Cross® and Blue Shield® of Illinois
      • Delta Dental®
      • IHS Health Solutions®

  • Direct Deposits and traditional check reimbursement methods

First Class Service

Online Access

  • 24/7/365 web support
  • Direct access and resources for plan administrators and participants
  • Plan Administrators – Account balances/activity, Administrative updates, Forms,  Participant access, Payment history, Plan details, Reports, Submit help tickets,  Update participant access, And more!
  • Participants – Account balances/activity, Add/Update banking information, Claim  status/activity, Forms, Payment history, Plan information, Submit claims online,  Submit help tickets, And more!
  • Integrates access with other Flex Plans

Every year more and more employers are ambushed by double-digit health insurance premium increases. An employee HRA can help stabilize these premiums, while offering the coverage employees need.

How Does an HRA Work?

Once the HRA-compatible high-deductible health plan is established, an employer can cover all or part of the deductible by establishing and contributing to a tax-advantaged employee HRA. Once the deductible is met, a percentage of the network services are covered by the health plan if the insured seeks care within the designated network of doctors and hospitals. Some eligible medical expenses that are reimbursable to the employee include:

  • Doctor office visits
  • Prescription drugs
  • Routine physical exams
  • Vision expenses
  • Dental expenses

Employees are reimbursed with tax-free dollars from their HRA after they submit an eligible request for reimbursement, along with an Explanation of Benefits (EOB) offered by the health
care provider.

What HRA Administration Plan Designs are Available?

Plan 01 - First-dollar access to the HRA
Used in conjunction with a high-deductible health plan and the HRA is intended to replace some first dollar benefits (typically co-pays) that are not part of the high deductible plan.

Plan 02 - Deductible first, then access to the HRA
Used in conjunction with a high-deductible health plan, however, gives the employee a deductible they must incur before the HRA begins paying out.

Plan 03 - Sandwich deductible
Used in conjunction with a high-deductible health plan and provides the employee with HRA reimbursement for their expenses, however, there is a gap in the middle of the HRA where the employee is responsible for their expenses.

Plan 04 - Reversed sandwich deductible
The opposite of the Sandwich Deductible. Used in conjunction with a high-deductible health plan, however, the HRA coverage sits in-between two employee deductibles.

Plan 05 - Stand Alone HRA
Not generally associated with any health insurance plan. It is simply an account that the employee has discretionary use of to reimburse eligible out-of-pocket health care expenses. It can also be used as a limited scope account, which only reimburses specific classes of expenses (i.e., dental only). Expenses must still be eligible under § 213(d)

Contact your experts at Flex today for more information on FlexHRA.

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