HRAs + Debit Cards + Flex = Happy Employees

Flexible Benefit Service Corporation (Flex) offers debit cards as a reimbursement
option with several different Health Reimbursement Arrangement (HRA) plan designs.

Why offer an HRA?

HRAs are employer-funded plans that reimburse employees for out-of-pocket medical
expenses. HRA reimbursements are tax-free to the employer and employee. Employers can write-off
reimbursements and expenses associated with administering an HRA. Employees don’t have to pay income taxes
on reimbursements either. Both parties also avoid Medicare and Social Security taxes on
reimbursements.

HRAs are often linked to a major medical plan allowing for reimbursement of
deductibles, coinsurance and/or copay expenses. Many employers are transitioning to higher deductible health
plans, and they are using HRAs as part of their transition strategy. The HRA helps offset or reduce expenses
of employees who typically have high medical costs, and it provides a peace of mind to other employees who
may be worried about an unexpected medical event.

On average, utilization of an HRA is between 25 – 35% of the maximum reimbursement
available to the employee.
*
This, in combination with premium savings associated with a high deductible health plan, can lead to total
savings of up to 20% for the employer.
**

Why offer a debit card with an HRA?

HRAs, by name, are a type of reimbursement program. The old-fashioned way of
administering an HRA required an employee to pay for an out-of-pocket expense with their own money. The
employee would then request reimbursement by submitting proof that the expense was incurred.

Debit cards change the dynamic of the reimbursement process by providing
on-the-spot access to available HRA reimbursement funds. For example, if an employee had to pay a $50 copay
for an office visit, they could use the debit card associated with their HRA to make payment for the office
visit right then and there.

The employee may still need to provide documentation showing the debit card was
used for a qualified expense, but they don’t need to pay for the expense out of their own pocket and request
reimbursement later. This creates a far better experience for the employee. We can even setup
auto-substantiation rules to minimize the need to submit documentation in many cases.

Why use Flex as your HRA administrator?

Flex has been administering medical reimbursement programs since 1988. It’s part of
our DNA. We eat, sleep and breathe these programs, and we have some of the best and brightest employees who
support our HRA clients. Our HRA administrative fees are nominal compared to the savings that are received,
and there’s no extra charge for debit cards. We’ll even provide free debit cards to spouses and adult
children who are covered by the HRA.

Flex will work with the insurance producer, employer, or both, to make sure the
implementation process is smooth. We’ll provide a number of resources and tools as part of our commitment to
provide ongoing support and a great experience. Employees will be able to access account information online
or through a mobile app. Employers will have an online portal to view account activity and run an array of
reports, and a friendly voice will be on the other line whenever there are questions. 

 

Have a question about HRAs? Ask
the Expert!

Interested in an HRA from Flex? Request a proposal.

 


* Actual utilization will vary by employer and the chosen HRA plan design.

** Total savings will vary by employer based on their unique benefits package.   

 

New HRA Rules Proposed for 2020

The Department of Labor (DoL), Department of Treasury (DoT) and the Department of Health and Human Services (HHS) have jointly proposed new rules that would impact Health Reimbursement Arrangements (HRAs) effective January 1, 2020.

The proposed rules, which are open for public comment until December 28, 2018, would make a significant change to the HRA integration requirements. Current regulations require HRA participants to also be covered by a traditional group health plan with limited exceptions. The proposed rules do not eliminate the integration requirement, but the rules would allow integration to also be available for employees covered by an individual health plan.  

If the proposed rules are finalized, this would allow employers of all sizes to establish an HRA which reimburses individual health insurance premiums.

Some employers may shift from offering a traditional group health plan to offering an HRA which reimburses individual health insurance premiums, and the proposed rules make it clear that an employer cannot offer the same class of employees the choice between a traditional group health plan and an HRA which reimburses individual health insurance plans. However, an employer could offer a traditional group health plan to one class of employees (e.g. full -time employees) and an HRA which reimburses individual health insurance premiums to another class of employees (e.g. part-time employees).

Employers would be free to establish the maximum reimbursement limits under the HRA, but variances for employees could only be based on an employee’s age and/or family size. Variances would be allowed for these two factors because they have a significant impact on the cost of an individual health insurance plan.

A question that remains, and a question that is expected to be addressed with future guidance, is how an employer who is subject to the Employer Mandate (generally, those with 50 or more employees) can establish this type of HRA and avoid the risk of penalties. The Employer Mandate requires a health plan to be offered that is both affordable and has minimum value to avoid the risk of penalties. The proposed rules indicate that a future safe harbor rule will be issued and will tell employers how they can structure this type of HRA so that it can meet the affordability and minimum value requirements.

In addition to the above information, the proposed rules would also create a new limited, excepted benefit HRA. This HRA would be capped with an annual reimbursement limit of $1,800 with the carryover of unused funds permitted. The HRA could reimburse expenses for things like out-of-pocket dental and vision care, or premiums for short-term medical plans and COBRA. This type of HRA could be offered by employers who also offer a traditional group health plan.

This is all big news as indicated in a DoL press release. Preliminary estimates from the Treasury Department suggest that 800,000 employers are expected to offer HRAs which reimburse individual health insurance premiums for more than 10 million employees. We may be in for a significant shift in the way employee benefits are delivered.

 

Interested in an HRA for your company?

New FSA & HRA Feature from Flex

Using a debit card just got a whole lot easier!

Debit cards offer easy access to tax-advantaged benefits and should improve the overall experience of the employee. Yet sometimes, substantiating debit card charges on a Health Care Flexible Spending Account (FSA) or Health Reimbursement Account (HRA) can be frustrating and time-consuming. As a benefits administrator for 30 years, Flex has been working hard to solve this problem for participants.

 

Flex is excited to announce that we now have the ability to access claims information electronically from most medical, dental, and vision carriers! The claims information can be used to automatically substantiate matching debit card transactions and provide a seamless experience for the participant. 

 

This new feature will reduce and often eliminate the need for participants to provide additional paperwork, and it will deliver a far better and more convenient process for employees.

 

We’ve put together a free, 30-minute informational webinar to introduce our latest technology enhancement, explain how it works, and show you how it can make life easier for your clients and their employees.

 

2019 Health Care FSA, Commuter and QSEHRA Limit Increases

On November 15th, the IRS released Revenue Procedure 2018-57 which includes inflation adjustments for certain
employee benefit programs and other items. 
The following
inflation adjustments will be made for 2019:

Health Care Flexible Spending Account (Health Care FSA)

Salary reduction limits will be increasing by $50. The annual Health Care FSA
salary reduction limit will now be $2,700.

 Note: Dependent Care FSA limits will remain unchanged for
2019. 

Commuter Accounts

Monthly limits will be increasing by $5. The monthly commuter plan limit will now be $265 for mass
transportation and $265 for qualified parking expenses.

Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) 

The maximum reimbursement limit will increase by $100 for single coverage and $200
for family coverage. 
The annual QSEHRA maximum reimbursement
limits will now be $5,150 for single coverage and $10,450 for family
coverage.

 

As a reminder, the Health Savings Account (HSA) limits for 2019 were released earlier this
year.

Want to see how certain tax-advantaged plans can be stacked for even more savings?
View our bundling chart
.

If you have questions related to the new limits or if you are interested in adding
these types of plans to your portfolio, please contact a Flex Sales Consultant at
888-353-9178.