| 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 |