Your reimbursement may be adjusted if new information changes the amount you were eligible to receive, such as updated premium amounts, coverage changes, dependent changes, or corrected eligibility information.
What is a reimbursement adjustment?
A reimbursement adjustment occurs when previously reported reimbursement information must be corrected.
Adjustments help ensure reimbursements accurately reflect:
Your coverage status
Your premium amount
Your eligibility
Your employer's ICHRA plan rules
Why was my reimbursement adjusted?
Common reasons for reimbursement adjustments include:
Insurance coverage was canceled
Insurance coverage was reinstated
Premium amounts changed
Dependents were added or removed
Coverage effective dates changed
Employment status changed
Updated documentation was received
Adjustments are made when new information affects reimbursement eligibility or amounts.
Can my reimbursement change if my premium changes?
Yes. If your insurance premium changes and the updated amount is reported after reimbursements have already been processed, your reimbursement amount may be adjusted to reflect the correct premium.
Can dependent changes affect reimbursement amounts?
Yes. Adding or removing covered dependents may change your insurance premium and reimbursement eligibility.
If dependent information is updated after reimbursement processing, an adjustment may be required.
Can coverage cancellations affect reimbursements?
Yes. If coverage is canceled or terminated, reimbursements for affected periods may need to be corrected.
Eligibility for reimbursement generally requires active qualifying coverage.
What happens if incorrect information was previously reported?
If incorrect information is identified, Take Command may update reimbursement records to reflect accurate information.
Examples include:
Correcting premium amounts
Correcting coverage dates
Correcting dependent information
Correcting employment eligibility information
These corrections help ensure compliance with plan requirements.
Will I be notified if an adjustment occurs?
In many cases, adjustments are reflected in reimbursement records and employer reporting.
If additional information is needed from you, Take Command may contact you to request documentation or clarification.
What should I do if I think my reimbursement adjustment is incorrect?
If you believe an adjustment was made in error:
Review your coverage information.
Review your premium amount.
Confirm your coverage dates.
Verify dependent information is accurate.
Contact Take Command Support for assistance.
Providing updated documentation may help resolve discrepancies.
Can adjustments increase or decrease reimbursement amounts?
Yes. A reimbursement adjustment may:
Increase a reimbursement amount if additional eligible expenses are verified
Decrease a reimbursement amount if previously reported information was incorrect
Adjustments are intended to ensure reimbursement records accurately reflect eligibility and coverage information.
Who should I contact if I have questions?
If you have questions about:
Reimbursement adjustments
Coverage changes
Premium changes
Eligibility corrections
Contact Take Command Customer Experience (CX) team for assistance.