IBM Employee Benefits | Via Benefits | Service Center Its faster and more secure than receiving a paper check. are paid to you out of a Health Reimbursement Account (HRA) at Via Benefits. Only your former employer can contribute funds to this account. Note: Effective September 1, 2020, only Direct Deposit Authorization Forms with a barcode are accepted. Read the Setting Up or Canceling Direct Deposit on the Website section if you want to set up direct deposit on the website. Update Your Reimbursement Notification Settings One-Time reimbursement requests for premium expenses should be used in limited situations when: You paid in advance for future premiums for a medical insurance annual premium. Sign into Via Benefits and select the name of the family member whose information you wish to view. : 1-800-326-5496 (TTY: 1-800-545-8279) View HRA contributions. 3. Having separate reimbursement accounts means you and your spouse each receive a funding contribution and your funds are put into separate accounts. If you're requesting funds be deposited into a checking account, a voided check is also required. Printing and scanning is no longer the best way to manage documents. 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. Select View accounts under Funds and Reimbursements. Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout. 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. Ensure the security of your data and transactions Select our signature solution and leave behind the old days with affordability, efficiency and security. Search or browse the FAQ section and see if we have the answer. Select View accounts under Funds & Reimbursements. Typically, Via Benefits reaches out to retirees 6-9 months before turning 65. Towers Watson Via Benefits Medicare-Eligible Plans - Fermilab We apologize that our site is not fully accessible to customers using screen readers at this time. Connect to a strong connection to the internet and start executing forms with a fully legitimate electronic signature within a few minutes. With signNow, you are able to design as many papers per day as you need at a reasonable price. 1-6945-623-800 ( : 1-9728-545-800). Select Save. Select Yes, Delete Account in the Delete Bank Account box. Go to the Chrome Web Store and add the signNow extension to your browser. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. Via Benefits reimburses you for the premium, up to the available balance in your reimbursement account, according to your chosen reimbursement method. Read Direct Deposit for instructions. This allows us to speak to them if you're unable to manage your account yourself. Get access to thousands of forms. Your proof of mileage must be kept in a mileage log or similar document. Using automatic reimbursement, your insurer will draft your premium payments directly from your bank account and submit your request for premium reimbursement to Via Benefits automatically. This article applies to you if you have a Via Benefits reimbursement account (sometimes known as a Health Reimbursement Arrangement).*. We can't sign you in. Use its powerful functionality with a simple-to-use intuitive interface to fill out My viabenefits forms online, e-sign them, and quickly share them without jumping tabs. Start automating your signature workflows right now. If your employer doesn't allow Recurring Premium Reimbursement, each month you need to submit a reimbursement request, along with proof of payment. Individuals can't add funds to their accounts. A printout from the SSA may also have the required information, including your name. * Save Username on this Browser - Do not check the Save Username option if you are using a public computer, for example in a Library. Via Benefits makes available Medicare supplemental plans from more than 90 health insurers (carriers) nationwide. You have two opportunities to set up direct deposit on the mobile app. 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. You also need to submit a new request if your premium changes during the year, even if you have the same plan. and signature of the Dependant Care Provider. Read Reimbursement Request Deadlines Explained to learn more. Read Access Your Reimbursement Account on the Websiteto learn how. Asavings deposit slip may not have all the necessary information. PDF 2021 Retiree Reimbursement Account Summary Plan Description - Via Benefits Who may request reimbursement from your account is determined by your former employer. After entering your username, click Sign In. All you have to do is download it or send it via email. To getto your reimbursement account on the website,follow these steps: 1. The signNow extension gives you a selection of features (merging PDFs, including multiple signers, and many others) for a much better signing experience. *Via Benefits reimbursement accounts are administered by Extend Health, LLC. This takes you to your reimbursement account. For out-of-pocket expenses, such as prescriptions and doctor's office copays, we need third-party documentation that includes all of the following: Amount incurred or charged (not amount paid). Nevada Division of Public & Behavioral Health, Basic Life Insurance, the MAP & Travel Assistance, View Via Benefits (formerly Towers Watsons OneExchange) FAQs, Qualified out-of-pocket health care expenses for medical, dental, and pharmacy expenses. One Exchange Reimbursement Forms Direct Deposit Slip - signNow On the My Account page, select the name of the family member whose information you wish to view. If you have not heard from them and you are approaching age 65, feel free to contact them at (866) 249-7784. Contact us - Via Benefits Also,your transportation expenses (except for mileage and parking meters) must have receipts or statements that include the expense amount, dates, provider, and address to and from. Health Reimbursement Arrangement | University of Rochester Your direct deposit takes effect once your banking information is validated. We recommend setting up direct deposit on the website or on the mobile app. Read Recurring Premium Reimbursement to learn more. Sign into Via Benefits and select the name of the family member whose information you https://help.viabenefits.com/help1/access-your-reimbursement-account-on-the-website-1 New supporting documents are needed each year. There are several events that can cause a loss of funding, for example: You stopped paying your premiums, and your health plan was canceled, You canceled your supplemental Medicare coverage and returned to Original Medicare Parts A and B, You enrolled in a health plan with an insurance carrier or independent agent, not Via Benefits, An error occurred with the reporting to Via Benefits, You went back to work and lost eligibility, Your employer changed the eligibility status for your reimbursement account. Get connected to a strong web connection and begin executing forms with a fully legitimate signature within a few minutes. 1-800-326-5496 (TTY: 1-800-545-8279) . If your employer allows it, Recurring Premium Reimbursement can be established for eligible premiums, paid to any insurance carrier. * Username - Enter your username. A message appears confirming your bank account has been deleted. Follow the instructions below to complete Via benefits reimbursement form 2022 online quickly and easily: Sign in to your account. In the Actions section of the Profile page, select Edit.6. Forms received between January 1 and March 31 can take up to 45 calendar days to be processed and validated. Sign up with your credentials or register a free account to try the service prior to choosing the subscription. View Via Benefits (formerly Towers Watson's OneExchange) HRA Presentation (PDF) Use a via benefits reimbursement request form 0 template to make your document workflow more streamlined. If you've chosen people to manage your affairs or help you in the event you become incapacitated or pass away, add them to your Via Benefits profile as authorized representatives. You're also given the opportunity after you submit reimbursement requests. Proof of premium payment (e.g., canceled check, bank statement, payment receipt). 2. Origin or starting address (usually your home address), Provider's address (where medical care was incurred), Total distance traveled between locations, in miles, Expense recipient (who the expense was for), Requested amount (mileage rate x miles traveled). 2023 airSlate Inc. All rights reserved. If you've chosen people to manage your affairs or help you in the event you become incapacitated or pass away, add them to your Via Benefits account as authorized representatives. Individual and Family Plan Premium Reimbursement (Copy) Select Reimbursement Center on the Funds and Reimbursements page. View Via Benefits (formerly Towers Watsons OneExchange) HRA Presentation (PDF), View Via Benefits (formerly Towers Watsons OneExchange) FAQs (PDF). For example, Form 1099 dated 2021 can only be used to get reimbursed for 2021 Part B premiums. You each submit your reimbursement requests through your own account. Eligible retirees enrolled in a medical plan throughVia Benefits (formerly Towers Watsons OneExchange), and retirees enrolled in TRICARE for Life and Medicare Parts A and B, receive a monthly Years of Service contribution to a Health Reimbursement Arrangement (HRA). You can also use a Reimbursement Request Form; however, it may take as much as 10 days longer for us to receive and process your request. Via Benefits - Account Management. The Funds & Reimbursements section might not appear on your Home page if: Funds haven't been loaded into your account, You aren't eligible for a reimbursement account, You're opting for a Premium Tax Credit rather than the HRA (health care). We believe the name Via Benefits is a door opener and sets the stage much more effectively for clients to appreciate the full scope of our offerings and the value of our approach. You may also submit a reimbursement request on the website, on the Via Benefits Accounts mobile app, or on a Reimbursement Request Form. 1-866-322-2824 (TTY: 711) Mon-Fri 8am - 7pm Eastern To get voice-activated account information, call us, verify your identity, and when prompted, say "options" to hear the automated service options. Setting Your Notification Preferences Your notification settings allow you to choose how you receive Via Benefits communications about your reimbursement account (email or paper). Monday Friday, 8 a.m. 7 p.m. Eastern Time, Copyright 2022 Extend Health, LLC All Rights Reserved. Direct Deposit Health Coverage Simplified (Copy) You can download the signed [Form] to your device or share it with other parties involved with a link or by email, as a result. ACERA provides the funds for your HRA. On the Dashboard, select your name and then select Banking Information.5. You can be reimbursed for your monthly plan premiums in one of two ways, Recurring Premium Reimbursement or One-Time reimbursement. What is Via Benefits? You may also set up direct deposit or update your banking information by returning a completed Direct Deposit Authorization Form. On the Dashboard, select your name and then select Banking Information.