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Oneexchange forms Quick Reference Guide HRA Payment and 2025

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The document is a comprehensive Benefits Summary for employees terminating their employment with the Tennessee Valley Authority (TVA) as of January 1, 2019. It outlines the medical, dental, life, and disability benefits available to both active employees and retirees, including eligibility criteria, enrollment procedures, premium costs, and options for continuing coverage. Key sections include details on medical plan options for retirees, contributions from TVA towards retiree medical coverage, and specific instructions for converting or continuing various types of insurance after termination. The document also provides contact information for further assistance.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information, including your name, address, and Social Security number. Ensure all details are accurate to avoid processing delays.
Select your medical plan option from the available choices. If you are eligible for Medicare, indicate this clearly as it affects your coverage options.
Complete the dependent information section if applicable. List any dependents you wish to cover under your plan, ensuring their details are correct.
Review the payment instructions carefully. Follow the outlined steps to pay your first month’s premium online through our platform.
Submit the completed form along with proof of payment to TVA Employee Benefits within 30 days of retirement to maintain eligibility.

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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (21 Votes)
2020	4.4 Satisfied (199 Votes)
2019	3.9 Satisfied (39 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How does an HRA debit card work?

Because the employer owns the HRA and it isnt a savings account, employees cant withdraw funds from their HRAs allowance to pay for qualified medical care expenses directly. They must first pay for the item or service out of pocket. Then, their employer must verify and approve it before reimbursing the employee.

How do I spend my HRA funds?

You can pay for certain health care, vision, and dental costs with an HRA, HSA, or Health Care FSA. The type of account you have may determine whose costs are covered and which costs are eligible.

What is an HRA form?

Health Reimbursement Arrangements (HRAs) are account-based health plans that employers can offer to their employees. They reimburse employees for their medical expenses. Your employer may offer you either an. individual coverage HRA.

How do you pay for something with an HRA?

A Health Reimbursement Account, also called an HRA or Health Reimbursement Arrangement, is an employer-funded tool to help you pay for certain out-of-pocket medical costs. Your employer puts funds in your HRA, and you draw from it or get reimbursed for out-of-pocket healthcare expenses.

Can you buy things with HRA?

Your HRA may come with a special debit card. This is the easiest way to use your HRA just present the debit card at your providers office when paying for services, or use it to pay for eligible items at a store or online. The card takes the money directly from the account.

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