Health Reimbursement Agreement Sample Contracts

ADOPTION AGREEMENT
Health Reimbursement Agreement • March 2nd, 2021

Bank of Travelers Rest hereby establishes a Health Reimbursement Arrangement (the “Plan”) with one or more Health Reimbursement Accounts (“HRAs”) for its Employees. The Plan’s purpose is to reimburse eligible Employees of the Employer for the certain Eligible Medical Expenses incurred by them, their Spouses, and eligible Dependents. It is intended that the Plan meet the requirements for qualification under Internal Revenue Code § 106, and that benefits paid employees hereunder be excludable from their gross incomes by virtue of Internal Revenue Code § 105(b).

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Health Reimbursement Agreement ADOPTION AGREEMENT Effective Date: 1/1/2012
Health Reimbursement Agreement • March 3rd, 2014

CITY OF DE PERE hereby establishes a Health Reimbursement Arrangement (the “Plan”) with one or more Health Reimbursement Accounts (“HRAs”) for its Employees. The Plan’s purpose is to reimburse eligible Employees of the Employer for the certain Eligible Medical Expenses incurred by them, their Spouses, and eligible Dependents. It is intended that the Plan meet the requirements for qualification under Internal Revenue Code § 106, and that benefits paid Employees hereunder be excludable from their gross incomes by virtue of Internal Revenue Code § 105(b).

ADOPTION AGREEMENT
Health Reimbursement Agreement • February 22nd, 2021

Southside Christian School of the Upstate hereby establishes a Health Reimbursement Arrangement (the “Plan”) with one or more Health Reimbursement Accounts (“HRAs”) for its Employees. The Plan’s purpose is to reimburse eligible Employees of the Employer for the certain Eligible Medical Expenses incurred by them, their Spouses, and eligible Dependents. It is intended that the Plan meet the requirements for qualification under Internal Revenue Code § 106, and that benefits paid employees hereunder be excludable from their gross incomes by virtue of Internal Revenue Code § 105(b).

ADOPTION AGREEMENT
Health Reimbursement Agreement • February 22nd, 2021

Fellowship Greenville hereby establishes a Health Reimbursement Arrangement (the “Plan”) with one or more Health Reimbursement Accounts (“HRAs”) for its Employees. The Plan’s purpose is to reimburse eligible Employees of the Employer for the certain Eligible Medical Expenses incurred by them, their Spouses, and eligible Dependents. It is intended that the Plan meet the requirements for qualification under Internal Revenue Code § 106, and that benefits paid employees hereunder be excludable from their gross incomes by virtue of Internal Revenue Code § 105(b).

AGREEMENT FOR HEALTH REIMBURSEMENT AND/OR HEALTH INCENTIVE ACCOUNTS
Health Reimbursement Agreement • February 2nd, 2012 • Virginia

This AGREEMENT (this “Agreement”) made as of the date set forth in (the "Effective Date") between (hereinafter referred to as the "Group") and Anthem Health Plans of Virginia, Inc. (“Anthem”) upon the following terms and conditions and incorporate by reference certain terms and conditions of the Fully Insured Master Contract (the “Contract”) between the parties.

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