Health Reimbursement Arrangement and Extend Health Retirees

An Exchange Health Reimbursement Arrangement or Exchange HRA is a tax-exempt account that retirees enrolled in a plan through Extend Health can use to pay premiums for medical, dental, prescription drug and vision plans as well as for reimbursement of qualifying health care expenses such as copayments and deductibles.

Here's how it works:

Exchange HRA Reimbursements for Qualifying Health Care Expenses
1. You pay premiums and expenses You pay the full premiums directly to your insurance provider (ask Extend Health about the auto-reimbursement option for premiums). You also pay your provider any required out-of-pocket expenses.	2. You submit out-of-pocket expenses You submit your claim to Extend Health for your premiums and out-of-pocket health care expenses.	3. Extend Health Reimburses you Extend Health administers your account and will reimburse you from your Exchange HRA if funds are available.

Exchange HRA Contribution

Medicare retirees receive a contribution to their Exchange HRA based upon their years of service. The monthly tax-exempt contribution amount is $11 per month per year of service beginning with a minimum of five years ($55) to a maximum of twenty years of service ($220). Individuals who retired before January 1, 1994 will receive a flat $165 per month to the Exchange HRA. Dependents and survivors selecting a plan through Extend Health are not eligible for an Exchange HRA. Medicare retirees can use their Exchange HRA to pay for the premiums or out-of-pocket expenses incurred by their Medicare eligible dependent who also selects a plan through Extend Health.

Exchange HRA Contribution
for Retirees Enrolled in an Extend Health Plan

Participants who retired before January 1, 1994, receive15-year ($165) base contribution.

Participants who retired on or after January 1, 1994, the contribution is $11 per month, per year of service beginning with a minimum of 5 years or $55 to a maximum of 20 years or $220.

Spouses/domestic partners and surviving spouses/domestic partners enrolled in the exchange are not eligible for an Exchange HRA contribution.

Retirees on the exchange who were hired on or after January 1, 2010 do not receive an Exchange HRA contribution unless he or she has more than 15 years of service.

Years of Service Contribution

5 $55.00

6 $66.00

7 $77.00

8 $88.00

9 $99.00

10 $110.00

11 $121.00

12 $132.00

13 $143.00

14 $154.00

15 (Base) $165.00

16 $176.00

17 $187.00

18 $198.00

19 $209.00

20 $220.00

Exchange HRA Claim Reimbursement

Retirees enrolled in a medical plan through Extend Health can check the status of Exchange HRA claim reimbursements at
Extend Health or by calling (888) 598-7545.