A Health Reimbursement Account (HRA) is a tax-advantage personalized health benefit that allows you to pay for a wide range of medical expenses considered to be qualified under IRS Section 213 of the Internal Revenue Code, including self-payment premiums to the Health and Benefit Plan.
The Board of Trustees have chosen Create as the market leader in consumer directed healthcare benefit accounts, to assist the Plan in providing participants with 24/7 access to the allowances within their HRA’s.
Access to your account is only a few clicks away at mycreatehealth.com or through their app.
Didn’t download the app yet? What are you waiting for? Go to your app store. Type the word “MyCreateHealth” into the search function and follow the instructions to download.
For first time users, the following login instructions will work for either the app or website portal. Or if you prefer, you can view a site tutorial by copying and then pasting within your browser the link directly below:
HRA accounts are credited at the same frequency in which your eligibility is credited. Meaning: the amount of excess contributions earned in a work quarter will be tallied and subsequently credited to an employee’s HRA account during the corresponding quarter of coverage.
|Work Quarter||Quarter of Coverage|
|January, February, March||July, August, September|
|April, May, June||October, November, December|
|July, August, September||January, February, March|
|October, November, December||April, May, June|
Please note that the middle column is deliberately left blank to emphasize the fact that there exists an administrative “lag quarter” that separates a work quarter from its corresponding quarter of coverage. Meaning: Excess contributions in any work quarter do not get credited in the subsequent calendar quarter of coverage. Rather, it skips a quarter.
The initial balance of your HRA account is calculated by tallying the total amount of employer contributions in excess of 450 that are received on your behalf within the first calendar quarter AFTER obtaining initial eligibility or reinstatement of eligibility and multiplying that number by the “value” of each hour contributed. That amount is then credited to your HRA account in the quarter of coverage that corresponds to the work quarter in which the excess was earned.
After your account is established, the total amount of employer contributions submitted on your behalf in each subsequent and successive calendar quarters will be tallied. If you worked greater than four hundred and fifty hours (450) during the previous fiscal quarter, the hourly rate or value of those “excess” hours will be credited to your HRA. The crediting of your HRA account will occur in the quarter of coverage that corresponds with the work quarter in which the excess of contributions occurred.
Active employees can amass a total balance of $17,000.00 within their HRA’s. Retired participants can amass $25,000.00.
You can use HRA monies to make self-payments, but the Plan does not permit the use of HRA allowances to make COBRA payments.
Provided you utilize the HRA allowance for an eligible expense, reimbursements made from the HRA are not considered part of your income and are not taxed.
With the exception of COBRA payments and those expenses that are reimbursable by any other source such as another insurance company, the Board of Trustees have permitted all other qualified expenses as described under Section 213 of the Internal Revenue Code. This would include, but is not limited to deductibles, coinsurance costs, prescription drugs or other types of out-of-pocket costs. Please check the Health and Benefit Plan’s Summary Plan Description Book for exact details of what the HRA will reimburse for and what it will not.
Reimbursement requests that exceed your account balance will be reimbursed up to the amount available in the account. Please remember that services must have been rendered before they will be reimbursed. If you spend all of your HRA benefit allowance and still have an amount you owe, you will need to bridge that gap with money out-of-pocket.
Yes. Throughout the year, you need to keep your original receipts and documentation for prescriptions and health related expenses for all transactions (including debit card transactions), so you’ll have them if needed to verify a claim. The IRS requires that all transactions are validated, including the debit card transactions.
In most cases involving debit card transactions, the electronic data that the Plan or its third-party administrators have will be sufficient to accommodate this requirement. If the Plan or its third-party administrator does not have the electronic data or if the transaction cannot be validated, you will be contacted, and you’ll be asked to provide documentation with receipts. Make sure you respond promptly to any request for receipts. Failure to do so can result in:
In most circumstances, you will not need to submit a manual request for reimbursement. If the situation arises, requests can be made using an HRA Reimbursement Claim Form. This form is available on the Plan’s website or by calling 219-940-6181. Completed reimbursement requests should be mailed to:
PO Box 161357
Altamonte Springs, FL 32716.
Or you can fax the completed form to the following toll-free number: 844-791-8317.
For faster processing, you may upload completed forms and documentation on the create portal or mobile application.
Generally, you have 365 days from the service date to submit a claim for consideration for reimbursement. However, should you be terminated from the Lake County Indiana NECA – I.B.E.W. Health and Benefit Plan, your debit card will be deactivated upon termination and you will be provided sixty (60) calendar days to manually submit any claims for consideration for reimbursement.
The HRA debit MasterCard allows responsible users to access the their HRA credit without having to complete and file forms. Participants are permitted to use the card whenever they incur an eligible expense at a qualified provider. In other words, participants can pay with their debit card instead of paying out-of-pocket.
With that said, participants are advised that if the medical service is subject to a deductible or coinsurance, they are not to utilize their debit card until after the claim is first adjudicated by the Plan. Should this occur and an expense is later reimbursed by the Health and Benefit Plan, IRS regulations require the participant to immediately repay their HRA account.
Further, the Plan will neither:
Again, it is always better to submit a manual reimbursement request when a medical service is subject to a deductible or coinsurance. If you have mistakenly used your debit card to pay for an expense that is later reimbursed by the Health and Benefit Plan, IRS regulations require you to immediately repay the amount back to your account. Should you not make full remuneration within sixty-days from the date of the transaction, the amount of the disbursement will be reported to the Internal Revenue Service as deferred compensation, making those monies taxable, and your debit card will be permanently deactivated.
Your account can be used for eligible medical expenses only, and you are responsible for reimbursing your account if the card is used either accidentally or intentionally for an ineligible expense. The Plan or its designated representative will notify you if any ineligible purchases are made with your debit card. Should that occur, you will be required to pay back the money to the Plan within sixty-days calendar days. During that time period your card will be deactivated. Should you fail to make the payment within the sixty-day repayment period, the amount of the disbursement will be reported to the Internal Revenue Service as deferred compensation, making those monies taxable, and your debit card will be permanently deactivated.
Consequently, if you utilized the HRA debit card to pay for an ineligible expense and failed to timely reimburse the Plan for said purchase, you must report it in your annual income tax filing and pay the related income taxes and applicable IRS tax penalty, if any.
While you can use your debit card to pay for some over-the counter medicines, please keep in mind that you may be asked to submit receipts and documentation for these purchases. The IRS has changed the law to cover some over-the-counter drugs, including antacids, allergy medicines, pain relievers and cold medicines. For the exact list of what is covered, visit www.irs.gov.
The card will be declined if ‘swiped’ for more than your available balance. Simply ask your provider to ‘swipe’ the card for your available balance and pay the difference out-of-pocket. Another option would be to pay the amount yourself and submit a reimbursement request with your receipt to the address provided on the claim reimbursement form.
You can still use the card to pay the bill by writing your debit card number on the invoice and mailing it in, or by providing the card information over the phone to the physician’s office.
After the debit card is ‘swiped,’ the system verifies that adequate funds are available in your account, and that the expense is from a qualified merchant. If these checks hold true, the funds are then deducted automatically from your account. If these checks prove negative, the transaction is denied. If the transaction is denied, then another method of payment must be used.
You are provided a debit card with your name personalized on it. Only the individual whose name is on the card can use the card when making a health care-related purchase, but the purchase can be for any dependent covered under the Lake County Indiana NECA – I.B.E.W. Health and Benefit Plan at the time services were rendered.
No. The card only allows processing of health care expenses reimbursed through the Lake County Indiana, NECA – I.B.E.W. Health and Benefit Plan and only accepts transactions using providers of authorized services.
No. Once the account is depleted, you won’t be able to use the debit card and you’ll be responsible for paying for any additional out-of-pocket costs. The card will again be available for you to use once again AFTER you meet the crediting rules of the Plan.
If your card is lost or stolen, report it as soon as possible by contacting the Health and Benefit Fund Office at 219-940-6181. There is a five dollar and two cent ($5.02) replacement fee that must be satisfied prior to a new card being issued. Please be advised that the replacement fee cannot be debited directly from your HRA account and must be made directly to the Fund Office by check.
Simply pay for your expenses and either submit a request for reimbursement electronically or manually submit a reimbursement claim form along with the receipt for the eligible expense(s) to Create.
If your coverage terminates, the following will occur:
The Lake County Indiana NECA – I.B.E.W. Health and Benefit Plan owns the HRA and determines the scope of how it is set up and used – including the allowance you and each employee will receive. The HRA is not portable. So, if you change jobs, the HRA credits stay with the Plan.
No. Contributions can only be made in accordance to the crediting methodology of pre-taxed employer contributions as explained within the Summary Plan Description Book of the Lake County Indiana NECA – I.B.E.W. Health and Benefit Plan.
Yes. Yes and Yes.
You need to take the following steps:
Well, we are sorry to disappoint you, but that is not going to happen.
First, the Plan has not only disclosed that the use of a debit card is not a right under the Plan, but it also has disclosed the importance of keeping your receipts, and what would occur if you do not submit them in a timely manner when requested.
Secondly, the Plan has to treat participants equally without favoritism or discrimination. Simply put, reactivating your card would be providing you a benefit not afforded to other participants. Equally important, doing so would incur another expense to the Plan. That expense would be on top of the expense the Plan incurred when:
Thirdly, fairness is defined as being in accordance with rules or guidelines. In accordance with that definition participants are kindly reminded that their HRA debit card was deactivated or permanently turned off for the reasons that they have broken a rule and guideline. With that said, participants are informed that even though they loss the convenience of a debit card, they still have access to their HRA credits via electronic submissions or manual submissions through the U.S. Postal Service.
Lastly, permanently means “perpetually,” or “for good.” It does not mean “episodic,” “temporary,” or “fugacious.” Capiche?
If, due to a shortage of hours, you are in danger of losing your eligibility under the Plan and have an HRA benefit balance in an amount greater than the quarterly total of your shortage of hours, your HRA benefit balance will be automatically debited to be used to coverer the full quarterly shortage of hours so that you and your family maintain eligibility with the Plan.
The day and time that a participants HRA benefit balance will be automatically debited is solely determined by the Plan and will vary as needed to ensure that the Participants shortage of hours payment arrives on or before its due date. Further, the Plan’s automatic debit will supersede any other pending debit or HRA request.