Recent changes from the Affordable Care Act will affect how HRA and VEBA dependent claims are paid. Previously, Further has not been required to detail dependent information for processing HRA and VEBA claims. Your clients’ employees with single coverage have typically been able to spend HRA / VEBA dollars on their family members’ expenses as well as their own. This practice is no longer compliant beginning with 2017 renewals. Therefore, active client employees with single coverage can only use HRA / VEBA dollars on their own claims and not their family members’ claims.
What does this mean for 2017 renewals?
Further will require health plan information from both employees and their dependents participating in HRA and VEBA plans.
If Further does not receive accurate dependent information, any claim reimbursements for an unnamed dependent will be denied until that dependent information is received and updated.
Information about how to provide the dependent information will be forth coming.
When an employee is no longer actively employed, the remaining HRA / VEBA dollars can be used to pay claims for any dependents, not just health plan covered dependents.
Looking for additional information about these changes? Contact Further by phone (1-888-460-4015) or email.