Health Reimbursement Arrangements (HRAs)

  • Employers can provide an HRA program to employees on a pre-tax basis with IRS blessing. Unused funds remaining in the account at the end of the year can be carried forward into subsequent years.
  • What Benefits Can an HRA Provide?
    • Code section 213 medical expenses (including health insurance premiums and long-term care premiums).
    • HRA may be offered in conjunction with a cafeteria plan.
  • Employers can offer both an HRA and an FSA. The HRA may pay before the FSA, or the FSA can pay before the HRA.
  • HRAs are subject to COBRA continuation requirements. There are general rules for the determination of COBRA benefits and premiums.

How HRA Plans Work?

Plan Design Suggestion

Employee Communication and Information
Appropriate SPD Documents
Preventive
Benefits
FSA
+
HRA
High
Deductible
PPO
Health Plan
Web
Based
Administration
Consumer Information & Education
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