07-D TML Health Reimbursement Acct

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How to Get Reimbursed Claiming your before-tax dollars to pay covered expenses is an easy process. Remember you must have at least $25 in expenses to be reimbursed. In addition, the medical care must be provided during the plan year for which you have set up your account. Your expenses will be reimbursed up to the amount you have pledged for the year in your Umeimbursed Health Care Spending Account. The total yearly amount is available for reimbursement as soon as the plan year starts and the expense incurred. Step 1: When you have a covered medical expense, obtain a receipt showing that date of service and the service provided (you do not have to pay for the service before submitting it for reimbursement). Before applying for reimbursement, submit any medical bills covered by insurance as you normally would to any insurance company that covers you or your dependents. IRS allowable expenses not reimbursable by insurance can then be submitted for reimbursement. If the service provided is for a TML IEBP covered employee or dependen~ the amount reimbursable by flex will automatically process a flex check after the claim is processed. If the service is covered under another insurance policy, submit a copy of the Explanation of Benefits from that insurance company along with a Flex Reimbursement Form for reimbursement (A copy of the form 'is included in this booklet). If you are emolled in both an Unreimbursed Health Care Spending Account and a Health Savings Account, your Umeimbursed Health Care Spending Account will not reimburse you for any allowable expenses applied toward satisfaction of your medical plan deductible. If you are enrolled in a Health Savings Account, expenses applied toward your medical plan deductible can be reimbursed only under you Health Savings Account. Except, if your medical plan deductible is more than the minimum deductible established by federal law for a qualified high- deductible health plan, after you have satisfied the minimum deductible required under federal law, either your. Unreimbursed Health Care Spending Account or your Health Savings Account may be used to reimburse expenses applied to your deductible that exceed the federally-established minimum. Step 2: Mail your completed reimbursement claim form and documentation to: TML Intergovernrnental Employee Benefits Pool PO Box 140167 Austin, Texas 78714-0167 Step 3: You will receive a spending account reimbursement check made out to you and mailed to your home address. Claims are paid within 10 working days from the date of receipt. PRIVACY OF YOUR HEALTH INFORMATION A Federal regulation, called the Privacy Rule, requires the Plan Sponsor of a Umeimbursed Health Care Spending Account to protect the privacy of your and your dependent's health information. The Plan Sponsor and the Plan Supervisor take their responsibilities to protect your health information seriously and will use and disclose individually identifiable health information only when needed to pay claims submitted for reimbursement under the Health Care Spending Account, when needed to administer the Health Care Spending Account or when required by , law. The Privacy Rule prohibits the Plan Sponsor from using or disclosing any health information from the Health Care Spending Account for employment-related actions and decisions, or for the administration of any other employee benefit plan of the Plan Sponsor. In addition to restrictions on how the Plan Sponsor and Plan Supervisor may use and disclose individually identifiable health information, the Privacy Rule gives you and your covered dependents certain rights. These rights include the right to access your health information, to amend (or correct) your health information and to receive an accounting of certain disclosures of your health information. Page 9