HRA Provider Pay Claim Form
HRA Claim Reimbursement Form
Are my spouse and dependents allowed to participate in the HRA?
It depends on plan design. Frequently an HRA is offered is a reimbursement account to cover healthcare expenses incurred by you or your family members covered under the employer’s insurance plan. Check with your employer’s benefit department for more details.
How do I contribute to my HRA?
That’s the best part of an HRA – you don’t need to contribute any money to your HRA as the funds are provided by your employer to offset certain out-of-pocket healthcare expenses.



