Common use of Health Reimbursement Agreement (H Clause in Contracts

Health Reimbursement Agreement (H. R.A. Bridge Plan): Each employee is eligible for a bridge (H.R.A.) plan to cover a portion of the out-of-pocket medical costs based on the following eligibility: Insured H.R.A. Eligibility: Employee Only $2,400 Employee and Child $4,800 Employee and Child x 2 or more $4,800 Employee and Spouse $4,800 Employee, Spouse and Child $4,800 Employee, Spouse and Child x 2 or more $4,800 The H.S.A. and bridge (H.R.A.) work as follows: Employee Only $1500 H.S.A. $2400 Bridge $1100 OoPM Medical Costs Who Pays Funding Source Deductible 0-1,500 Employee H.S.A. 80/20 Co- Insurance 1,500.01-3,900 City Bridge 3,900.01-5,000 Employee Employee / H.S.A. OoPM 5,000 + Insurance Insurance Employee + Dependents $3000 H.S.A. $4800 Bridge $2200 OoPM Medical Costs Who Pays Funding Source Deductible 0-3,000 Employee H.S.A. 80/20 Co- Insurance 3,000.01-7,800 City Bridge 7,800.01-10,000 Employee Employee / H.S.A. OoPM 10,000 + Insurance Insurance

Health Reimbursement Agreement (H. R.A. Bridge Plan): Each employee is eligible for a bridge (H.R.A.) plan to cover a portion of the out-of-out of pocket medical costs based on the following eligibility: Insured H.R.A. Eligibility: Employee Only $2,400 Employee and Child $4,800 Employee and Child x 2 or more $4,800 Employee and Spouse $4,800 Employee, Spouse and Child $4,800 Employee, Spouse and Child x 2 or more $4,800 The H.S.A. and bridge (H.R.A.) work as follows: Employee Only $1500 H.S.A. $2400 Bridge $1100 OoPM Medical Costs Who Pays Funding Source Deductible 0-1,500 Employee H.S.A. 80/20 Co- Insurance 1,500.01-3,900 City Bridge 3,900.01-5,000 Employee Employee / H.S.A. OoPM 5,000 + Insurance Insurance Employee + Dependents $3000 H.S.A. $4800 Bridge $2200 OoPM Medical Costs Who Pays Funding Source Deductible 0-3,000 Employee H.S.A. 80/20 Co- Insurance 3,000.01-7,800 City Bridge 7,800.01-10,000 Employee Employee / H.S.A. OoPM 10,000 + Insurance Insurance