A message appears confirming your bank account has been deleted. With signNow, you are able to design as many papers per day as you need at a reasonable price. Welcome to Via Benefits This way to personalized benefits for a more secure life for you and your family. And due to its cross-platform nature, signNow can be used on any device, desktop computer or smartphone, regardless of the OS. Reimbursement Request 3. Open Enrollment is from November 1 to December 15, 2023, for January 1, 2024, effective date. If you choose not to take advantage of automatic reimbursement, or if your insurance carrier does not offer automatic reimbursement, you may send your In many cases, this means your former employer established requirements to qualify for a reimbursement account, which you no longer meet. Via Benefits - Account Management. Original Medicare, Parts A and B, pays for most of your health care expenses, but it doesn't pay for everything. Note: If you receive your Reimbursement Guide and can't see your funding information on the mobile app or website, please contact us. On the Dashboard, select your name and then select Banking Information. For COBRA, you can submit your COBRA Premium Statement showing insurance details and covered participants. Due to its universal nature, signNow is compatible with any device and any OS. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Manage Your Communications You only need to request reimbursement once per year for each health plan premium you'd like reimbursed unless your premium changes. Via Benefits manages your HRA because they have the administrative capability to work with hundreds of types of healthcare plans. 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 the supporting documentation is in a foreign language, the five required elements (provider name, participant name, date of service, type or description of service or product, and document showing the participants financial responsibility) must be translated in to English. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. Select Reimbursement Center on the Funds and Reimbursements page. Read more about Reimbursement best practices: Manage Your Reimbursement Account, Understand Your Reimbursement Account, and Access Your HRA, Anytime, Anywhere. The Via Benefits program allows flexibility for retirees to customize their Medicare supplemental coverage. Associate Director of Strategy @ Willis Towers Watson > Benefits, Delivery, & Administration > Individual Marketplace, Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Once youve finished signing your via benefits reimbursement, choose what you want to do next save it or share the doc with other people. ACERA provides the funds for your HRA. You cansign into your account at any time to review your reimbursement account activity. We have created a simple guide to help you during this difficult time. The Via Benefits Accounts mobile app gives you the power to manage your account (s) anywhere, anytime. Account Holder Date of Birth Enter your date of birth using format MM/DD/YYYY This article applies to you if you have a Via Benefits reimbursementaccount(sometimes known as a Health Reimbursement Arrangement).*. Who may request reimbursement from your account is determined by your former employer. You may be able to use Automatic Premium Reimbursement to receive your reimbursements. There are three variants; a typed, drawn or uploaded signature. A reimbursement account isn'tincluded in your income. Choose My Signature. And due to its cross-platform nature, signNow works well on any device, desktop computer or mobile phone, regardless of the OS. Open the email you received with the documents that need signing. * 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. Decide on what kind of signature to create. Provide your banking information, including your bank account number and routing number. Start automating your signature workflows right now. Here are some of the features of the Via Benefits Accounts mobile app. * Use your Via Benefits website login and password. 1-866-322-2824 (TTY: 711) Mon-Fri 8am - 7pm Eastern You can set it up whenever you'd like from the Dashboard. Select View accounts in the Funds & Reimbursements section.3. 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 You can be reimbursed for an out-of-pocket medical expense as long as it's an eligible expense (such as an office visit or prescription copay, dental treatment, hearing aids, etc.) Select the area where you want to insert your eSignature and then draw it in the popup window. All of the contributed funds for both you and your spouse, if applicable, go into this shared account. Sign into your Via Benefits account.2. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Using automatic reimbursement, your insurer will draft your premium payments directly from your bank account and submit your request for premium reimbursement to Via Benefits automatically. The signNow extension provides you with a variety of features (merging PDFs, adding several signers, and so on) for a much better signing experience. Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout. Via Benefits makes available Medicare supplemental plans from more than 90 health insurers (carriers) nationwide. Your browser is currently set to block cookies. Sign up with your credentials or register a free account to try the service prior to choosing the subscription. An health reimbursement arrangement (HRA), sometimes called a health reimbursement account, is a type of health care account, not an insurance plan, which is funded entirely by your employer; employees cannot contribute to an HRA. Create an account using your email or sign in via Google or Facebook. Connect to a strong connection to the internet and start executing forms with a fully legitimate electronic signature within a few minutes. The amount of the expense must be converted from the foreign currency to US dollars. All communications regarding your reimbursement account are addressed in the name of the account holder. You can be reimbursed for your standard Medicare Part B premium amount if its allowed by your former employer or benefits provider. We apologize that our site is not fully accessible to customers using screen readers at this time. A joint reimbursement account means you and your spouse share one account. 1-6945-623-800 ( : 1-9728-545-800). Select Add Bank Account.6. Health Reimbursement Arrangement (HRA) An HRA is an account funded by OPERS that provides tax-free reimbursement for qualified medical expenses such as monthly post-tax insurance premiums, deductibles, co-insurance, and copays incurred by eligible benefit recipients and their dependents. You may see alerts reminding youto setup direct deposit or text alerts. The signNow extension gives you a selection of features (merging PDFs, including multiple signers, and many others) for a much better signing experience. Sign In Help. Select the area you want to sign and click. 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. 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. If you set up direct deposit on the website or on the Via Benefits Accounts mobile app, a voided check isn't required. 5. Read Reimbursement Request Deadlines Explained to learn more. If you've chosen people to manage your affairs or help you in the event you become incapacitated or pass away, add them to your Via Benefits profile as authorized representatives. For dependant care please attach receipts or have a Tax ID The company is headquartered in South Jordan, Utah. Open the doc and select the page that needs to be signed. All you have to do is download it or send it via email. Social Security Number Enter only the last four digits of your Social Security number Via Benefits is the leading private retiree medical marketplace in the country. Via Benefits has a few suggestions to improve your experience while using your reimbursement account, such as updating your notification settings on the website for email and text, automating your premium reimbursement (if it's offered by your plan), and setting up direct deposit. The best way to create an signature for a PDF document in the online mode, The best way to create an signature for a PDF document in Chrome, The best way to generate an signature for putting it on PDFs in Gmail, The best way to generate an electronic signature straight from your mobile device, The way to generate an signature for a PDF document on iOS devices, The best way to generate an electronic signature for a PDF document on Android devices, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. Learn how to create an account. Associate Director of Strategy @ Willis Towers Watson > Benefits, Delivery, & Administration > Individual Marketplace, Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Forms received between January 1 and March 31 can take up to 45 calendar days to be processed and validated. Get the best care possible and minimize your out-of-pocket expenses by accessing services from an in-network provider. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Read Submit or Cancel a Reimbursement Request for instructions. Any payments made during this time area paper check. There are 3 types of reimbursement options: automatic premium reimbursements, recurring pre- Transportation or travel expenses might be reimbursable, depending on your former employers reimbursement guidelines. If you receive a loss of funding notification from Via Benefits, and the loss of funding wasn't intentional or you believe it has occurred in error, please contact us. If any previous months were included in your request, you're reimbursed for those months in a lump sum. Via Benefits is a company that operates in the Insurance industry. Learn About the Basics of Individual and Family Coverage. The form is available by calling us and using our automated voice system or by speaking with a Via Benefits representative. Get access to thousands of forms. Printing and scanning is no longer the best way to manage documents. To get voice-activated account information, call us, verify your identity, and when prompted, say "options" to hear the automated service options. Reimbursement account access, available on the website or mobile app, and on reimbursement request forms, is in the account holder's name. Draw your signature or initials, place it in the corresponding field and save the changes. Expenses you incur in a foreign country may be eligible for reimbursement, as long as the care is medically necessary. The sigNow extension was developed to help busy people like you to minimize the burden of signing documents. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Select the document you want to sign and click. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. You can be reimbursed for an out-of-pocket medical expense as long as it's an eligible expense (such as an office visit or prescription copay, dental treatment, hearing aids, etc. Due to its cross-platform nature, signNow is compatible with any device and any OS. Any approved reimbursements for either you or your spouse are taken from your joint funds until they're exhausted. : . For example, Form 1099 dated 2021 can only be used to get reimbursed for 2021 Part B premiums. Use a via benefits reimbursement request form 0 template to make your document workflow more streamlined. Select View accounts under Funds and Reimbursements. This takes you to your reimbursement account. You are eligible to participate in the Retiree Reimbursement Account (RRA) if you meet one of the following conditions: You were a participant in the RRA in the last calendar year, you maintained continuous coverage under an individual medical and/or prescription drug insurance policy purchased through Via Benefits; or Only your former employer can contribute funds to this account. Note: If your former employer has a direct deposit requirement, the trash can icon isn't available to you. Read Direct Deposit for instructions. You can manage how you receive your reimbursement account notifications, such as balance reminders and Explanations of Payment (EOPs). This applies even if you're using the same bank account. If youre paying an Income Related Monthly Adjustment Amount (IRMAA) surcharge or a late enrollment penalty, you need to submit a request to be reimbursed for the surcharge or penalty amount. You must be enrolled in a Medicare Advantage or a Medicare Supplement Insurance (Medigap) plan through Via Benefits Insurance Services to qualify for Part B Automatic Premium Reimbursement. 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. All of the Exchange Solutions lines of business will now be marketed under the Via Benefits brand. Not sure where to get started? Go to the Chrome Web Store and add the signNow extension to your browser. You can also submit a reimbursement request if you provided payment information for aninitial payment with your application. * Fingerprint or Touch ID Authentication. Both options are more secure and faster than using a paper form. There are three variants; a typed, drawn or uploaded signature. If you have not heard from them and you are approaching age 65, feel free to contact them at (866) 249-7784. Note: For help locating your banking information, select the?next toAccount Number. Sign into your Via Benefits account.2. 7. In the Actions section of the Profile page, select Edit.6. TM Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Browse the board meeting section to view details, download documents and find remote site information. : , . Employee E-mail Address: Because the funds are in a reimbursement account managed by a third party (e.g., Via Benefits) and used only for qualified medical expenses, you don't have to pay any additional taxes on your annual return. However, these alerts persist until you complete the requested action. Documentation Requirements. Use a via benefits reimbursement request form 0 template to make your document workflow more streamlined. This allows us to speak to them if you're unable to manage your account yourself. Create an account using your email or sign in via Google or Facebook. 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. Direct deposit allows reimbursements to be deposited directly into your checking or savings account. All you have to do is download it or send it via email. Setting Your Notification Preferences Your notification settings allow you to choose how you receive Via Benefits communications about your reimbursement account (email or paper). 2023 airSlate Inc. All rights reserved. Note: You must create an account if you haven't already. Select Save. Your Reimbursement Guide provides more details on reimbursable expenses. Direct deposit banking information validates within seven business days if submitted on the mobile app or website. After its signed its up to you on how to export your via benefits reimbursement: download it to your mobile device, upload it to the cloud or send it to another party via email. You can download the signed [Form] to your device or share it with other parties involved with a link or by email, as a result. If your employer allows it, Recurring Premium Reimbursement can be established for eligible premiums, paid to any insurance carrier. Learn more: Submitting or Cancelling a Reimbursement. 9. The reimbursement account may no longer receive funds to pay for your health care expenses. Go to the Funds and Reimbursements page on the website to find out if Automatic Premium Reimbursement is available for your Medicare Part B premiums. Use its powerful functionality with a simple-to-use intuitive interface to fill out My viabenefits forms online, e-sign them, and quickly share them without jumping tabs. We know how stressing filling in documents can be. Individuals can't add funds to their accounts. You can be reimbursed for your monthly plan premiums in one of two ways, Recurring Premium Reimbursement or One-Time reimbursement. Medication ordered from another country, such as Canada, and consumed within the US isn't an eligible expense. Select View accounts in the Funds & Reimbursements section.3. Your Social Security Benefit Award Letter (or Benefit Verification Letter or budget letter) includes all of the required information as supporting documents.