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All information is shown for illustration purposes only as a way to explain some general rules about how HRA arrangements work. It does not necessarily reflect actual charges, plan or account rules, or the arrangement your employer will offer you. Your experience may be different. The illustration is based on a hypothetical health plan with:
AN HRA EXAMPLE
| $750 | Employer HRA contribution |
| - $ 0 | Hospital deductible expenses |
| =$750 | HRA funds roll over to Year 2 |
| $750 | HRA rollover from Year 1 |
| +$750 | Employer HRA contribution for Year 2 |
| =$1500 | Total available HRA funds |
| $8,500 | Hospital admission expenses |
| -$1,500 | Deductible – paid by HRA |
| $7,000 | Expenses paid by plan benefits |
| $ 0 | No HRA funds roll over to Year 3 |
| $ 0 | No rollover from Year 2 |
| +$750 | Employer HRA contribution for Year 3 |
| =$750 | Total available HRA funds |
In Year 1, the employee has no qualified medical expenses for which the HRA is used, so the employer’s entire $750 HRA contribution roll over to Year 2.
Year 2 begins with an HRA balance of $1,500 – the $750 rollover amount combined with another annual employer HRA contribution of $750. The employee is admitted to the hospital and is responsible for the $1,500 plan deductible. This amount is paid with the HRA, leaving no funds to roll over to Year 3.
Year 3 begins with $750 in available HRA funds, representing the employer’s annual contribution.
Note: If available HRA funds are less than the health care expenses subject to the deductible, you must pay the balance of the deductible amount out of your own pocket. Your employer decides how much money to put in the HRA, and you must pay any health care expenses which exceed the amount available in the HRA at any time.
Note: If available HRA funds are less than the health care expenses subject to the deductible, you must pay the balance of the deductible amount out-of-pocket. Your employer decides how much money to put in the HRA and you must pay any health care expenses which exceed the amount available in the HRA at any time.
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