How to Apply for HCRA Payments Clause Samples

How to Apply for HCRA Payments. 1. You can claim reimbursement from the account for HCRA Medical Expenses by filing a SASMI form for reimbursement and agreeing to have payments electronically transferred. HCRA Benefits require an initial application and separate claims forms. 2. Reimbursement will be made as soon as administratively possible up to the balance of the account. ▇▇▇▇▇ may collect and reimburse eligible claims for smaller amounts and reimburse quarterly or annually. 3. A claim for reimbursement of an HCRA Medical Expense must include a SASMI Claim Form and the documentation required to support a deduction of the expense as a medical expense deduction under IRC Section 213 (disregarding the limitation based on adjusted gross income in that section) and such other information as deemed necessary by the Trustees. A claim can be denied for failure to submit supporting documentation on a timely basis.