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Health Reimbursement Arrangement FAQs

What is an HRA?

A Health Reimbursement Arrangement (HRA) is an employer-provided medical reimbursement plan that:

  • Is funded solely by employer
  • Reimburses employee tax-free for “medical care expenses” (for individual, spouse and/or dependents)
  • Funded up to specified dollar amount per coverage period (usually a year)
  • Is non-discriminatory in reimbursement for all eligible employees
Why have an HRA?

Benefits to the employer:

  • Can pair with a higher deductible plan, which may help save on premium
  • Helps provide quality benefits while controlling costs – you may avoid paying for coverage your employees don’t use
  • This unfunded approach allows payments to be made from employer’s general assets
  • Flexibly designed:
    • Timing of HRA fund availability
    • Amount of HRA
    • Who pays first – employer or employee

Benefits to the employee:

  • HRA can help offset increased out-of-pocket expenses of higher deductible
  • Lower monthly premiums can reduce employee share of cost
  • HRA reimbursements are tax-free
  • Increases employee awareness of true cost of health care
  • If allowed by employer, HRA rollover option encourages wise spending choices

How do HRAs and HSAs compare?

Health Savings Accounts

Health Reimbursement Arrangements

Individually owned

Employer owned

Portable

Specific to employer

Funded before use

Funded as needed

Contributions made by employee, employer, or others on owner's behalf

Funded by employer only

Balance rolls over at year end

Rollover optional

Must be used with qualified HDHP

Can be used with any health plan

Can be used as a savings/investment vehicle for future medical expenses

Remains employer asset

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