DataPath 105-HRA Features

Documents

• Comprehensive Plan Documents fully integrated with system
• One Plan Document establishes multiple HRAs under one Plan
• Accommodates both Linked and Non-Linked HRAs
• Nondiscrimination rules included
• Complies with ERISA, COBRA, HIPAA, FMLA, and USERRA regs
• Sets method of handling ex-participants using the Spend-Down Option who regain eligibility
• Provides legal basis for features/variables in system

Proposal System

• Wizard Design
• Each answered question leads to specific follow-up questions
• Choice of diagrams illustrating the various approaches
• Take one carrier plan and design multi-plan offerings
• Experiment with co-pays, co-insurance, and tiers while staying within employer's budget

System Features

• Administers multiple HRAs under one Plan
• Handles both Linked and Non-Linked HRAs within one Plan
• Carry-Over Option (Option allows, at the employer's discretion, unused amounts of the employer annual contribution to be carried forward)
• Ability to set the amount or percentage to be carried forward, and track the funds after they have been carried forward
• Ability to set cap on the carry-over funds
• Spend-Down Option (Option allows participants who lose coverage under the HRA to use their carry-over funds for future medical expenses)
• Choice of allowing the Spend-Down Option for one or more of the following events: termination, death, retirement, employee loss of eligibility, and USERRA leave
• Ability to set and track, for each event, the percentage of carry-over funds that can be converted to spend-down funds and the number of months during which the participant can submit claims
• Group Coverage Administration
• Tracks medical expenses by individual—employees and dependents
• Comprehensive Cash Management System
• Bank Reconciliation
• ACH or check reimbursements (or combination of both)
• MICR check system
• Handles partial return of reimbursements
• Ability to handle EOB adjustments
• Integrated with DPI-125 (Cafeteria Plans), DPI-132 (Tax-Free Transportation Plans), and DPI-COBRA.

Plan Variables

• Choice of (a) allowing or (b) not allowing reimbursements for expenses incurred in previous years
• Availability of Spend-Down Option
• Minimum Reimbursement Amount
• Overall eligibility and participation requirements
• Reimbursement Cap (Maximum amount employee can be reimbursed from current year’s employer contributions and previously carried over funds.)

Linked/Unlinked HRA Variables

• Ordering of FSA/HRA as payer of last resort
• Time Limits for submitting claims after end of Plan Year and after termination

HRA Variables

• Accrue Employer Contributions either on a monthly or annual basis
• Annual accrual either on a level coverage method or a pro-rated method
• Additional eligibility and participation requirements, if needed
• Carve-outs of separate options, if needed
• Deductibles, copays, coinsurance, and tiers for each option
• Eligible medical expenses for each option
• Additional Eligible Dependents requirements, if needed
• Carry-Over Option
  

Interested? Learn more: 800-633-3841

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