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Sample HRA Plan Document
Revised 9/2007
Handle: Document-937
Owner: Finance Office (User-16, fit:DocuShare)DS
Friday, September 8, 2006 04:42:41 PM CDT
Friday, December 21, 2007 08:36:37 AM CST
Modified By: Finance Office (User-16, fit:DocuShare)DS
Locked By:
  • 50 Healthcare Reimbursement Arrangement (HRA) _______________________________ Baptist Church desires to provide medical care bene?ts relat-ing to expenses not covered under a medical insurance policy.Therefore, the church establishes a Health Reimbursement Arrangement (HRA) effective ____________________, 20_____ for the bene?t of all full-time employees (working at least 30 hours or more per week) and their dependents (employee’s spouse and minor children) under Section 105(b), (e) of the Internal ...
  • Church-funded reimbursements to an employee shall not exceed $_______ during one calendar year.
  • Church-funded reimbursements to an employee with dependents shall not exceed $________ during...
Adobe Portable Document Format (.pdf) - application/pdf
Appears In: Health Reimbursement Plans New Employee Documents - Forms needed for new hires
Preferred Version: HRA Plan Document