Health Reimbursement Arrangement

Each Eligible Member is credited with monthly contributions from the Municipality. The contributions are credited starting the first day of the month following the member’s retirement. The amount of the contribution is determined by a formula, which applies annual adjustments to the initial contribution of $490 a month. The adjustments depend on your age or years of service at retirement and annual national Medical Consumer Price Index (CPI-W).

The purpose of the Health Reimbursement Arrangement (HRA) is to reimburse members for qualified medical expenses incurred during a calendar year, which are not reimbursed from any other source. (Example. health insurance, FSA, HSA) When you have a claim to submit for payment, complete a Reimbursement Request form. These forms are available in the documents section of this website. Enclose copies of all bills from the service provider or Explaination of Benefits forms from the insurance company(ies) substantiating expenses for which you are requesting reimbursement and send it to the Plan Administrator. This can be done via email, fax, mail or other form of delivery.

At the end of the plan year, any funds remaining in the account will be carried over to the next year.

Filing Deadline

The filing deadline to receive reimbursement is the 25th day of the preceding month. If this date falls on a weekend or holiday, this date will be the next business day. Incomplete or ineligible reimbursement will be responded to in writing. Reimbursements will be processed starting on the first business day of the month. It is intended for all reimbursement checks to be issued and mailed as soon as possible thereafter.

This policy is being implemented due to the increasing number of reimbursement requests received during the last days of the month and the need for processing time.

You should submit reimbursement claims during the Plan Year, but in no event later than 365 days after the end of a Plan Year. Claims submitted after that time will not be considered.

Medicare Eligibility

Premiums for Medicare Part B or Medicare supplement plans, are eligible for reimbursement . If a member is not eligible to participate in Medicare without paying the Medicare part A premium, the Municipal Contribution to the Trust on behalf of the member will be increased by an amount equal to 50% of the Medicare part A premium upon proof of enrollment in Medicare.

For example: If a member is receiving a Municipal Contribution of $500/month and the premium payment for Medicare part A is $200/month, the contribution will increase by $100 to equal $600/month.

Other Health Care Providers

There are many health insurance providers available. Each member has individual needs, and may choose the insurer they desire. As with any medical premium expense, reimbursement will be made promptly. Please follow the simple guidelines above, for completing a reimbursement request for recurring charges.