Select View accounts in the Funds & Reimbursements section. Our first priority is you. HRA funds may be used to reimburse health care expenses (including medical, dental, vision, and Medicare Part B premiums) for both the retiree and their eligible tax dependents as defined by IRS Publication 502 available at www.irs.gov. Read Recurring Premium Reimbursement to learn more. This allows us to speak to them if you're unable to manage your information. The account may be used to pay insurance premiums, Medicare Part B premiums and other health care expenses not . The account is tax free, meaning you don't report it as income or pay taxes on it. Select Reimbursement Center on the Funds and Reimbursements page. Open the doc and select the page that needs to be signed. Specific documentation requirements are included on the back of the Reimbursement Request Form and when you submit requests on the website or on the mobile app. Get access to thousands of forms. * Fingerprint or Touch ID Authentication. Transportationexpenses are eligible for reimbursement when they're essential to medical care. Tumawag sa 1-800-326-5496 (TTY: 1-800-545-8279) If so, you dont need to submit documentation, and you automatically receive your monthly reimbursement payments. If you choose not to take advantage of automatic reimbursement, or if your insurance carrier does not offer automatic reimbursement, you may send your We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. If you submit a bill from midyear, only the earliest statement month forward will be approved. Get the free via benefits ibm reimbursement request form Get Form Show details Fill via benefits reimbursement form 2022: Try Risk Free Form Popularity via benefits reimbursement request form Get, Create, Make and Sign via benefits forms Get Form eSign Fax Email Add Annotation Share Via Forms is not the form you're looking for? * Submit new reimbursement requests. 2. Sign into your Via Benefits account.2. Multiple documents can be submitted to provide the required information if it isn't located on the policy or billing statement. Provide the required information on the Add Bank Account page.7. Go digital and save time with signNow, the best solution for electronic signatures. 1-800-326-5496 TTY: 1-800-545-8279. * Use your Via Benefits website login and password. A Recurring Premium Reimbursement request needs to be submitted once each calendar year to be reimbursed monthly, or you can submit for a one-time reimbursement of quarterly Medicare Part B payments. If your former employer hasn't set restrictions on what's reimbursable, read Eligible Medical Expenses Explained to verify what expenses may be eligible. There's a We found some sections that are missing information alert on the Profile pagewhen you haven't signed up for text alerts. Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout. Your former employer indicates specific criteria you must meet to qualify for your fundingand determines what expenses are eligible for reimbursement from these funds. The alertpersists until you sign up for text alerts, but it doesn'tprevent you from using your account. A message appears confirming your bank account has been deleted. Read the Setting Up or Canceling Direct Deposit on the Website section if you want to set up direct deposit on the website. The signNow extension gives you a selection of features (merging PDFs, including multiple signers, and many others) for a much better signing experience. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. 5. Guided Assistance, Top Searches: Dental | Helping a Family Member | Sign In | Direct Deposit, Your Individual and Family Enrollment Call. Individuals can't add funds to their accounts. Additional Employee Benefits May Include the following: Company Paid Retirement Benefit, Employee Stock Purchase Plan, Paid Holidays, Flexible Spending Accounts (FSAs), Health Savings Account (HSA), Time Off and Flexible Days, Group Legal Plan, Group Home Auto Insurance, Pet Insurance, Employee Discounts, Adoption Reimbursement, Tuition Reimbursement and Student Loans, Well-Being Programs, etc All you have to do is download it or send it via email. Account Holder Full Name Enter your last name, first name and middle initial * Save Username on this Browser - Do not check the Save Username option if you are using a public computer, for example in a Library. Go to the Chrome Web Store and add the signNow extension to your browser. On the Dashboard, select your name and then select Banking Information. On the Dashboard, select your name and then select Banking Information.5. Select View accounts under Funds & Reimbursements.3. Here are some of the features of the Via Benefits Accounts mobile app. Search for the document you need to eSign on your device and upload it. Learn how to create an account. Automatic Premium Reimbursement only reimburses you for the standard Part B premium. A practical dashboard provides a quick summary of all your account information, making it easy to review expenses . Built for busy lives: * Check an account balance on the go. If your spouse is under 65, your Health Reimbursement Account (HRA) will stay with Optum Financial (CYC) and will be put in your spouse's name. If you haven't already done so, create an account on the Via Benefits Accounts mobile appor on our website, set up direct deposit, and set your notification preferences. Your direct deposit takes effect once your banking information is validated. When Part B premiums are an eligible expense, the standard Part B premium is reimbursed monthly, dependent on your enrollment in a Medicare medical plan with Via Benefits. 2023 airSlate Inc. All rights reserved. Choose My Signature. Open the email you received with the documents that need signing. The Via Benefits program allows flexibility for retirees to customize their Medicare supplemental coverage. 1-800-326-5496 (TTY: 1-800-545-8279) We encourage you to speak with a tax professional if you have additional tax-specific questions regarding your reimbursement account. There are three variants; a typed, drawn or uploaded signature. The reimbursement account may no longer receive funds to pay for your health care expenses. Your reimbursement request must be submitted with third-party documents that include: Any payments made during this time area paper check. 4. Reimbursement Information: Complete this section to indicate the Date These alerts don't prevent you from using your account. We apologize that our site is not fully accessible to customers using screen readers at this time. We believe the name Via Benefits is a door opener and sets the stage much more effectively for clients to appreciate the full scope of our offerings and the value of our approach. 3. *Via Benefits reimbursementaccounts are administered by Extend Health, LLC. Use a via benefits reimbursement request form 0 template to make your document workflow more streamlined. How to Navigate Your Via Benefits Dashboard 3,150 views Jan 5, 2021 13 Dislike Share Save OhioPERS1 1.56K subscribers This video is a short tutorial of how to navigate the Via Benefits. Sign into Via Benefits and select the name of the family member whose information you https://help.viabenefits.com/help1/access-your-reimbursement-account-on-the-website-1 If any previous months were included in your request, you're reimbursed for those months in a lump sum. Cost Savings Decide on what kind of signature to create. Read Direct Deposit for instructions. On the Dashboard, select your name and then select Banking Information.5. You can also use a Reimbursement Request Form; however, it may take as much as 10 days longer for us to receive and process your request. Also,your transportation expenses (except for mileage and parking meters) must have receipts or statements that include the expense amount, dates, provider, and address to and from. Due to its universal nature, signNow is compatible with any device and any OS. There are other ways to submit a reimbursement request if Automatic Premium Reimbursement isn't available to you. Use professional pre-built templates to fill in and sign documents online faster. When you have health care expenses, be sure to keep your supporting documents (for example, itemized receipts or Explanation of Benefits) to submit along with your reimbursement requests. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement)*. Only your former employer can contribute funds to this account. Select the area where you want to insert your eSignature and then draw it in the popup window. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. You need to enable JavaScript to run this app. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. If your former employer or benefits provider requires direct deposit for you to receive reimbursements, you don'treceive payments until your banking information is validated. Review the Public Employee Benefits Program Nondiscrimination Statementhere. The amount of the expense must be converted from the foreign currency to US dollars. If your employer allows it, Recurring Premium Reimbursement can be established for eligible premiums, paid to any insurance carrier. Former employers, voluntary employees' beneficiary association (VEBA) trusts and state benefit connectors often choose to provide a reimbursement account to their retirees because it's a tax-free account. If you want to share the via benefits reimbursement with other parties, you can easily send the file by electronic mail. Please attach all receipts that apply to requested reimbursements. Add the PDF you want to work with using your camera or cloud storage by clicking on the. It may take up to 20 business days to receive and validate your Direct Deposit Authorization Form. Solution Benefits Accounts WTW's Benefits Accounts empower employees and retirees to determine how to use their benefit dollars through flexible, tax-advantaged medical spending and savings accounts, including health savings accounts (HSAs), flexible savings accounts (FSAs) and health reimbursement arrangements (HRAs). Any payments made during this time are a paper check. 6. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Sign up with your credentials or register a free account to try the service prior to choosing the subscription. signNow makes signing easier and more convenient since it provides users with numerous extra features like Merge Documents, Invite to Sign, Add Fields, and so on. Select View accounts under Funds and Reimbursements. * There isn't a deadline for you to submit reimbursement requests for the prior year if your former employer allows unused funds to rollover to the next plan year or if new funds can be used to pay for previous year's expenses.

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