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ull) <br />II <br />IIV <br />II II <br />uu <br />II II <br />i I i <br />iV V <br />i <br />II <br />u <br />II <br />i <br />�V <br />Preventive care coverage <br />Perm tte . <br />The HDHP may cover only preventive <br />care permute l)y statute or guidance. See <br />Notices 2004-23 and 2004-50. <br />Medical expenses that are eligible <br />for Otherwise u relml) r e Cade § 213(d) <br />Otherwise u reiml) r e Cade § 213(d) <br />reimbursement <br />medical expenses incurred h le <br />medical expenses incurred h le coverage <br />coverage in effect, including premiums <br />in effect. Can reiml) rse insurance <br />for ell, il)le health insurance and long- <br />premiums in these situations: <br />terra care. <br />0 COBRA . <br />• Qualified long-term care <br />• Other health coverage, if <br />individual is: <br />• In receipt of unemployment <br />compensation, or <br />• Over age 65 (other than for <br />Me is r _ _ leme t policy) <br />Ability t0 spend down amused <br />HRA can permit unused amounts to l)e <br />Applies, unused amounts 1)elong to the <br />amounts after termination of <br />active used until depleted to pay for claims <br />individual. <br />participant <br />incurred after termination; COBRA . <br />rights will apply too. <br />Claims Must be incurred during <br />No. claims incurred in current period of <br />No. claims incurred in current period of <br />current period of coverage <br />coverage m y l)e paid in liter plan year. <br />coverage m y l)e paid in liter plan year. <br />However, claim must l)e incurred after <br />HSA is e tal)li hed. <br />Claims substantiation <br />Employer requirement. <br />Employee requirement. <br />adjudication <br />Employer requirement. <br />Employee requirement. <br />-Claims <br />Ordering rules <br />HRA first; unless otherwise specified. <br />HRAs/FSAs precluded unless they are <br />_ osc. <br />post-de uctiWe or limited purpose. <br />Code § I05(h) nondiscrimination <br />Applies. <br />Applies to employer contril)utions made <br />requirement <br />through cafeteria plan. Otherwise, <br />employer contril)ution must l)c <br />carnparaWe (same dollar amount or <br />percentage of dcductil)lc for similarly <br />situated participants, l)a ed on coverage <br />category (employee only, family) or <br />employment status (full-time,, part -time, <br />former). <br />Is a trust account required? <br />No. not l)y the Cade, l)ut po il)ly l)y <br />Yes <br />EMS (no trust if HRA <br />reiml)ursements are made directly out of <br />the general assets of the employer). <br />Are account earnings taxable? <br />Not applical)lc if reiml)ursements are <br />No. as land as there is a qualified HSA <br />made directly out of the general assets <br />trust (sec rules regarding cash out <br />of the employer. If funded with a <br />amounts) <br />VEB , carriink s are generally not <br />taxal)le. <br />