Employee reimbursement amounts are based on approved claims, available allowance balances, and your HRA plan rules.
What factors determine reimbursement amounts?
Reimbursement amounts may be based on:
Monthly allowance amounts
Approved premiums
Approved medical expenses
Available allowance balances
Plan design rules
What if an employee's premium is greater than their allowance?
Employees are generally reimbursed up to their available allowance amount.
Example
Monthly premium: $300
Monthly allowance: $200
Eligible reimbursement: $200
The remaining balance is not reimbursed unless otherwise permitted by the plan.
What if an employee's premium is less than their allowance?
Employees may receive reimbursement for the approved premium amount.
If allowed by the plan, employees may be able to use remaining allowance amounts for other eligible expenses.
Example
Monthly premium: $150
Monthly allowance: $300
Eligible reimbursement: $150
Additional eligible expenses may be reimbursable depending on the plan design.
Do unused allowances carry forward?
Allowance availability depends on your HRA type and plan rules.
Review your plan documents for rollover and carry-forward provisions.
Can reimbursement amounts change?
Yes. Reimbursement amounts may change if:
Coverage changes
Premium amounts change
Claims are adjusted
Eligibility changes
Additional documentation is submitted
Approved reimbursement amounts are reflected on future reimbursement statements.