Health Reimbursement Arrangement (HRA)

A Health Reimbursement Account (HRA), is an employer-funded benefits plan that reimburses employees for eligible medical expenses such as co-pays, deductibles and other out of pocket medical expenses. Unused HRA funds are forfeited to the employer at the end of each plan year.  

The contribution amount is the last $3,500 of the employee only deductible (employee is responsible for the first $2,000), and the last $7,000 of the Employee + Spouse, Children, or Family coverage (employee is responsible for the first $4,000). 

Your Health Reimbursement Arrangement is administered by Basic Pacific.  For more helpful information on HRA's and how to submit claims for reimbursement, create an online account here. 

IMPORTANT INFORMATION FOR YOUR HRA – For you to be reimbursed for covered medical expenses, you must have incurred them during the Plan Year. An 
expense is incurred when the service is provided, not when the expense was paid.  Please note that you have 90 days to submit claims after the end of the plan year, or after your coverage/you terminate from the Plan, to be eligible for reimbursement. 

How to submit a claim for reimbursement:
1. Obtain the necessary receipt(s) and Explanation of Benefits (EOB) showing date of service and 
description of service.
2. Complete and sign the HRA Reimbursement Form.
3. Send back to Basic via fax, mail, or through your the Basic Pacific employee portal

FAX: 269.327.0716
USPS: BASIC CDA, PO Box 6278 Monona, WI 53716
Employee Portal: You may submit your claims through the employee online portal here

If you have additional questions you can email the HRA Benefits team at flex-hrasupport@basiconline.com or give Basic Pacific a call at 800-372-3539