Applying for Benefits

Click on the following tabs to get information on applying for benefits on the Flex Plan.




Summary
Benefit Must Submit Claim Form? Time To Submit Claim Maximum Amount Account Claim Paid From Taxable?
Premium Payment Plan
Yes See Premium Payment
Account Balance Premium Reserve Account
No
Medical Expense Reimbursement Plan Yes, plus receipts or an explanation of benefits showing date of service
One year
Account Balance Medical Reimbursement Account No
Dependent Care Reimbursement Plan
Yes, plus receipts, date of service, name, address and TAX ID of person performing service
By January 15th following years expenses incurred
Account Balance Dependent Care Account
No. If using this benefit, cannot take a tax credit under Section 21 of the IRC
Group Life
Enroll with Plan Administrator
30 days of reaching $400 minimum
$25,000 or $40,000
Premium Reserve Account No
Supplemental Short-term Disability
Available to Harrison Health and Welfare participants only
No No claim form necessary
$300 per week
Wage Replacement Account Yes
Supplemental Worker's Compensation
Yes By January 15th following year you qualified for the benefit
$300 per week
Wage Replacement Account Yes
Supplemental Unemployment Not available to Category II employees
Yes By January 15th following year you qualified for the benefit $300 per week Wage Replacement Account Yes. Subject to state and federal income taxes only
Economic Dislocation
Not available to Category II employees
Yes By January 15th following year you qualified for the benefit 50% of account balance initially, 50% of remaining balance later
By January 15th following year you qualified for the benefit Yes