Montana VEBA HRA

Account Information

For general information on the Montana VEBA HRA, how to enroll, or to file a claim, contact the Claims Administrator.

Your participant account will be opened when your employer sends your completed Montana VEBA HRA enrollment form and an employer contribution to the Claims Administrator.

The Claims Administrator will mail you a welcome packet confirming that your account has been set up, provide you with your account number, a Claim Form, Systematic Premium Reimbursement Form, Account Information/Fund Allocation Change Form, and a Plan Summary. After your account is set up, you may submit a Medical Claim Form for you, your spouse or tax-qualified dependents for the following qualified health care expenses:

  • Medical,
  • Dental, or
  • Vision expenses
  • Premiums for Medical, Dental, Vision, Long Term Care Insurance, Medicare Part B or Medicare Supplement Insurance

Qualified health care expenses may be reimbursable if incurred on or after the day after you terminate your employment. Reimbursement requests are processed in the order received by the Claims Administrator. You may choose to have the funds directly deposited to your bank account or you may request that a reimbursement check be mailed to you.  

If you wish to receive monthly reimbursement of your health insurance premium payments without filing a claim each month, fill out a Systematic Premium Reimbursement form. You must provide documentation of the payment of your monthly health insurance premium to the Claims Administrator. Documentation may be obtained from your health insurance carrier.

If you return to employment after your initial separation from service and your participant account is set up, your enrollment will be limited to the Limited Scope HRA option. Additionally, if you are under 65 years of age and elect Marketplace coverage and take the premium subsidies, your enrollment will be limited to the Limited Scope HRA option. The Limited Scope HRA option limits reimbursement to dental and vision expenses (including premiums for dental and vision coverage). After you terminate your employment again, you may elect the Full Scope HRA option. Contact the Claims Administrator for more information.

You will receive semi-annual participant account statements each July and January for the previous six month period. Statements are be mailed to the address on file with the Claims Administrator. 

If you have questions about your participant account, contact the Claims Administrator to access your account.

Participant accounts will be charged a pro rata share of asset fees, based on the value of each account. Those fees will be listed on your statements. The fee is 0.5% of your asset balance on an annualized basis and a fixed monthly fee of $2.00. For example, an account with a $10,000 balance has first month fee of $6.16 = $4.16 Asset balance + $2.00 monthly flat fee. Potential earnings on the account balance may offset account fees. Most participants immediately begin using account funds, so ongoing monthly fees are based the declining monthly account balance. 

Your agency HR/payroll staff can assist you with the Montana VEBA HRA Enrollment form and submit it for processing. It is best to complete the enrollment form before you leave employment. 
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