A+O 2023 Benefit Guide

Health Reimbursement Account (HRA)

We ease the financial exposures for employees enrolled in the HDHP Plan only by funding a portion of the in- network deductible for employees and their dependents through a Health Reimbursement Account (HRA). If you are enrolled in the HDHP Plan, Alice + Olivia covers the first $1,500 of the deductible for employee only coverage, and the first $3,000 of the deductible for employees with dependents. The HRA can only be used for medical deductible-related expenses, and cannot be used for copays or dental or vision expenses.

SUBMITTING A CLAIM

In order to have expenses reimbursed out of your HRA, you must provide American Benefits Group with the necessary information showing that the expense is consistent with your company’s HRA plan design. You should provide an Explanation of Benefits (EOB) from Meritain, as well as a copy of the bill from your provider.

You can submit claims for reimbursement by email to claims@amben.com or by fax to 877-723-0147.

If you do not have access to email or fax, send your claims to: PO Box 1209, Northampton, MA 01061-1209

ACCESSING FUND ACCOUNT

American Benefits Group administers the HRA. For questions about the HRA, contact American Benefits Group by phone or online:

Phone

800.499.3539

Website

www.amben.com

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