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Use professional pre-built templates to fill in and sign documents online faster. All of your transportation expenses must have a corresponding expense for medical care, such as an Explanation of Benefits (EOB)or an itemized statement from your provider. View Via Benefits (formerly Towers Watsons OneExchange) HRA Presentation (PDF), View Via Benefits (formerly Towers Watsons OneExchange) FAQs (PDF). TM Welcome to Via Benefits This way to benefits that fit your needs, with support and advocacy you can trust. Note: If you have multiple reimbursement accounts, you must choose Reimbursement Center for the specific account you want to view. Get the best care possible and minimize your out-of-pocket expenses by accessing services from an in-network provider. * Submit new reimbursement requests. Health Reimbursement Arrangement | University of Rochester Having separate reimbursement accounts means you and your spouse each receive a funding contribution and your funds are put into separate accounts. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. With intuitive navigation and a modern look and feel, the mobile app is the smart choice to get the most out of your account. Get connected to a strong web connection and begin executing forms with a fully legitimate signature within a few minutes. Taking the actions described below reduces the number of steps needed for you to receive your reimbursements and reduces the amount of mail you receive from us. Solution Benefits Accounts WTW's Benefits Accounts empower employees and retirees to determine how to use their benefit dollars through flexible, tax-advantaged medical spending and savings accounts, including health savings accounts (HSAs), flexible savings accounts (FSAs) and health reimbursement arrangements (HRAs). Health Reimbursement Arrangement (HRA) An HRA is an account funded by OPERS that provides tax-free reimbursement for qualified medical expenses such as monthly post-tax insurance premiums, deductibles, co-insurance, and copays incurred by eligible benefit recipients and their dependents. We recommend you get one of the following documents to provide the information above: An Explanation of Benefits (EOB) from your insurance carrier, An itemized statement from your provider. If you receive a loss of funding notification from Via Benefits, and the loss of funding wasn't intentional or you believe it has occurred in error, please contact us. Not sure where to get started? All of the Exchange Solutions lines of business will now be marketed under the Via Benefits brand. The form is available by calling us and using our automated voice system or by speaking with a Via Benefits representative. There are three variants; a typed, drawn or uploaded signature. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. After entering your username, click Sign In. Get access to thousands of forms. Account Holder Full Name Enter your last name, first name and middle initial We encourage you to speak with a tax professional if you have additional tax-specific questions regarding your reimbursement account. Your reimbursement request must be submitted with third-party documents that include: Selecting email reduces the amount of paper you receive. Once youve finished putting your signature on your my via benefits funds forms, decide what you wish to do next - save it or share the file with other parties involved. Use professional pre-built templates to fill in and sign documents online faster. Read Automatic Premium Reimbursementto learn more. Visit irs.gov to confirm whom you may claim as a dependent. We recommend setting up direct deposit on the website or on the mobile app. Provide your banking information, including your bank account number and routing number. Once you receive your Via Benefits Reimbursement Guide, take the following actions to prepare for when your reimbursement account becomes effective. There are three variants; a typed, drawn or uploaded signature. Typically, you can't submit reimbursements on your spouses account when you have a separate account. Via Benefits administers the HRA for my former employer Northrop Grumman and other corporations. Via Benefits - Help & Support Learn About the Basics of Individual and Family Coverage. If you submit a bill from midyear, only the earliest statement month forward will be approved. If the supporting documentation is in a foreign language, the five required elements (provider name, participant name, date of service, type or description of service or product, and document showing the participants financial responsibility) must be translated in to English. In the Actions section of the Profile page, select Edit.6. Sign into your Via Benefits account.2. A message appears confirming your bank account has been deleted. You may also submit a reimbursement request on the website, on theVia Benefits Accounts mobile app, or on a Reimbursement Request Form. You may be able to use Automatic Premium Reimbursement to receive your reimbursements. Via Benefits is not an insurance company; it is a resource that gives you access to a state-of-the-art Medicare exchange (sometimes referred to as a marketplace) containing a wide Cost Savings Submit your reimbursement requests on the Via Benefits Accounts mobile app or on the website. Get Form How to create an eSignature for the via benefits reimbursement form 2021 Gi s 1-800-326-5496 (TTY: 1-800-545-8279) Mail the form and voided check to the address provided on the form. To set up direct deposit on the mobile app, complete these steps: 1. Add the PDF you want to work with using your camera or cloud storage by clicking on the. Who may request reimbursement from your account is determined by your former employer. Manage Your Reimbursement Account Health Coverage Simplified If you have not heard from them and you are approaching age 65, feel free to contact them at (866) 249-7784. You need to enable JavaScript to run this app. Begin signing via benefits reimbursement by means of solution and join the millions of satisfied clients whove previously experienced the key benefits of in-mail signing. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. For example, if you submit a March statement, January and February won't be approved. Go to your reimbursement account to view your account information. Use a via benefits reimbursement request form 0 template to make your document workflow more streamlined. Forms without a barcode aren't processed. Note: Effective September 1, 2020, only Direct Deposit Authorization Forms with a barcode are accepted. Phone: Follow the step-by-step instructions below to design your my viabenefits com funds direct deposit form: Select the document you want to sign and click Upload. Typically, Via Benefits reaches out to retirees 6-9 months before turning 65. We have created a simple guide to help you during this difficult time. Read Direct Deposit for instructions. If you aren't collecting Social Security, submit the Medicare Premium Bill for Part B for the calendar year. Ensure the security of your data and transactions Get access to thousands of forms. New supporting documents are needed each year. On the Dashboard, select your name and then select Banking Information. Both options are more secure and faster than using a paper form. Use a via benefits reimbursement request form 0 template to make your document workflow more streamlined. Medical Expense Reimbursement. And due to its cross-platform nature, signNow works well on any device, desktop computer or mobile phone, regardless of the OS. 1-6945-623-800 ( : 1-9728-545-800). The signNow application is equally as productive and powerful as the online app is. Direct Deposit Health Coverage Simplified (Copy) 2. Your direct deposit takes effect once your banking information is validated. If any previous months were included in your request, you're reimbursed for those months in a lump sum. Sign In Help. If you choose not to take advantage of automatic reimbursement, or if your insurance carrier does not offer automatic reimbursement, you may send your This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement). Direct deposit is faster than getting a check in the mail, provides convenient reimbursement when you're away from home, and is more secure than mailed checks. There are 3 types of reimbursement options: automatic premium reimbursements, recurring pre- This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. Start completing the fillable fields and carefully type in required information. Browse the board meeting section to view details, download documents and find remote site information. Include documents from your bank with routing and account numbers. The balance reflects the current available funds for both of you together. What is Via Benefits? Automatic Premium Reimbursement enables you to be reimbursed for your premium payments without submitting a reimbursement request and receipts. 6. Select Reimbursement Center on the Funds and Reimbursements page.4. Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Select View accounts in the Funds & Reimbursements section. Go digital and save time with signNow, the best solution for electronic signatures. The whole procedure can take a few moments. Your Reimbursement Guide provides more details on reimbursable expenses. STEP 2: Under Insurance Premium Expenses, complete the following fields. Cookies are small text files stored on your . The Via Benefits Accounts mobile app gives you the power to manage your account (s) anywhere, anytime. How to Navigate Your Via Benefits Dashboard 3,150 views Jan 5, 2021 13 Dislike Share Save OhioPERS1 1.56K subscribers This video is a short tutorial of how to navigate the Via Benefits. Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. Select Reimbursement Center on the Funds and Reimbursements page. Sign up with your credentials or register a free account to try the service prior to choosing the subscription. Read Authorize Others to Access Your Account for more information. Via Benefits Recurring Reimbursement Form - signNow You also need to submit a new request if your premium changes during the year, even if you have the same plan. Any approved reimbursements for either you or your spouse are taken from your joint funds until they're exhausted. : , . Via Benefits Accounts on the App Store Select Reimbursement Center on the Funds and Reimbursements page.4.