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Posted

Participant has submitted a claim for reimbursement for premium for group health coverage from spouse's group health plan. Is this the type of coverage pernmitted under IRS Notice 2002-45?

Thanks.

Posted

The answer depends on how the HRA is structured. An HRA is a self-funded account owned and maintained by the employer. The employee can submit expenses for reimbursement. The key is what expenses are defined as eligible. The employer could define expenses as they wish. One option is for the employer to recognize as eligible the expenses the IRS recoginzies as eligible. A second option is to match the carriers definition of eligible. The third is to define a smaller sub-set of expenses. You should obtain a copy of the eligible expenses and review that for your answer. Hope this helps.

Posted

The plan allows for reimbursement of medical insurance premiums, but participant is asking for reimbursement of group health plan premium from spouse's employer which has already been paid on a pre-tax basis under that employer's plan.

Doesn't seem right but can't find any guidance.

Posted

See Revenue Ruling 2002-3 which addresses the issue of whether or not premium that was deducted on a pre-tax basis is reimburseable. I think that the RR also gives some other cites.

It could be that Revenue Ruling 2002-80 might also be applicable, if the HRA is funded with the intention of reimbursing premium.

George D. Burns

Cost Reduction Strategies

Burns and Associates, Inc

www.costreductionstrategies.com(under construction)

www.employeebenefitsstrategies.com(under construction)

Posted

This is hilariously ironic! I've always wondered when and if this would happen with an HRA. An employer subsidizing another employers health plan!

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