Understanding Your Health Reimbursement Arrangement

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1 Understanding Your Health Reimbursement Arrangement School District of Black River Falls Corporate Office: 250 South Executive Drive, Suite 300 Brookfield, WI

2 Health Reimbursement Arrangement (HRA) helps you pay for medical expenses TAX-FREE You own it Earns interest tax-free Goes with you wherever you go Leave to tax dependents 2

3 MidAmerica, National Insurance Services, and GWN Securities, Inc. are not affiliates of American United Life Insurance Company (AUL), a OneAmerica company, and are not OneAmerica companies. 3 Member FINRA, SIPC. National Insurance Services is not affiliated with GWN Securities, 3Inc.

4 Fixed Annuity* Guaranteed never to fall below 3.10% through 2011 and 2.50% through 2014.** 4 Guarantees are subject to the claims paying ability of AUL. * American United Life Insurance Company s unallocated group Fixed Annuity. **After 2014 the minimum guarantee is a floating rate between 1-3%, reset annually. Not FDIC insured. Based on the claimspaying ability of the investment provider.

5 What can I use the HRA for? Call MidAmerica for additional details Health Insurance Premiums Dental Prescription drugs Eye glasses Co-pays or deductibles Laser eye surgery Long-term care Long-term care insurance Nursing home care Surgeries Etc 5

6 Mail-in Reimbursements 1. Incur eligible medical expenses totaling $100 or more. 2. Fill out a form. Attach your receipt or Explanation of Benefits (EOB). 3. Mail or fax the form and receipt to MidAmerica. 4. MidAmerica will send a check $5 fee for each reimbursement, not to exceed $30 per year.

7 Online Reimbursements 1. Incur eligible medical expenses totaling $100 or more. 2. Fill out a digital PDF form (found on MidAmerica s website). 3. Use a digital copy of your Explanation of Benefits (EOB), prescription record or scan your receipt. 4. to 5. MidAmerica will send a check. 6. $5 fee for each reimbursement, not to exceed $30 per year. 7

8 Recurring Claims Monthly Payments Recurring claims are expenses that you incur on a monthly basis and cost the same each month. Example: Health Insurance, Medication 1. Fill out the Recurring Claim Form found on MidAmerica s website. 2. After paying your first bill, provide a copy of the bill, along with the form, to MidAmerica either electronically or by paper mail. The bill should state name of the expense, amount and frequency. 3. MidAmerica will send a check each month. 4. Participants are required to submit monthly documentation as proof of continued payment, such as a cancelled check or receipt. 5. $5 fee for each reimbursement, not to exceed $30 per year. 8

9 Questions 9

10 Things to remember: HRA helps pay medical expenses and health insurance HRA is not taxed when deposited or when reimbursed Fixed rate guaranteed at 3.10%* for 2011 Leave unused funds to a dependent $5 fee per reimbursement, not to exceed $30 annually 10 *Not FDIC insured. Based on the claims-paying ability of the investment provider.

11 To view balance and transactions: Log into: User name: Social security number* Password: Last 4 digits of social security* *Note: You will be prompted to change your user name and password after your first login. Address/beneficiary change, claims, forms, statements, etc: Questions: National Insurance Services Ken Zastrow NIS Corporate Office

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