№ lp_1_40738
File format: docx
Character count: 7469
File size: 40 KB
Provides instructions for using model attestations for individual coverage HRAs to verify insurance coverage status for reimbursement of medical expenses.
Year:
2026
Region / City:
United States
Subject:
Individual coverage health reimbursement arrangements (HRAs)
Document Type:
Instruction Manual
Organization / Institution:
U.S. Departments of the Treasury, Labor, and Health and Human Services
Author:
U.S. Departments of the Treasury, Labor, and Health and Human Services
Target Audience:
Employers, plan sponsors, and individuals using individual coverage HRAs
Effective Period:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / city:
United States
Subject:
Healthcare, Health Insurance
Document Type:
Instructions
Organ / institution:
U.S. Departments of the Treasury, Labor, and Health and Human Services
Author:
U.S. Department of Labor
Target audience:
Employers, participants in health reimbursement arrangements (HRAs)
Period of validity:
Ongoing
Approval Date:
Not specified
Date of changes:
Not specified
Contextual description:
Instructions document outlining the requirements and model attestations for individual coverage HRAs, detailing the annual and ongoing substantiation processes for health insurance coverage verification.
Note:
Year
Type of Document:
Attestation
Institution:
Bureau of Internal Revenue
Documents Included:
Sales Invoices, Official Receipts, Airway Bills, Billing Statements, Supplier Invoices, VAT Payment Certification
Year:
2026
Region / City:
United States
Subject:
Health Reimbursement Arrangements (HRA) for Individual Coverage
Document Type:
Instructions and Attestation Forms
Organization / Institution:
Departments of the Treasury, Labor, and Health and Human Services
Author:
Not specified
Target Audience:
Individuals enrolled or enrolling in Individual Coverage HRAs
Period of Validity:
Until 11/30/2026
Approval Date:
Not specified
Date of Revisions:
Not specified
Year:
2015
Region / City:
Washington
Subject:
Attestation form for post-tax grant application
Document type:
Declaration form
Organization / Institution:
Washington State
Author:
Not specified
Target audience:
Applicants for post-tax grants
Period of validity:
Not specified
Date of approval:
Not specified
Date of changes:
Not specified
Year:
2015
Region / City:
Washington
Topic:
Grant application
Document type:
Authorization form
Organization / Institution:
Not specified
Author:
Not specified
Target audience:
Grant applicants
Validity period:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Context:
A declaration form for applicants of a post-tax grant under RCW 43.101.540 confirming various attestations.
Year:
2015
Region / State:
Washington, USA
Subject:
Law enforcement grant application
Document Type:
Declaration / Attestation Form
Agency:
Sheriff, Chief, or Marshal Offices
Author:
Authorized agency representative
Target Audience:
Law enforcement agencies applying for grant
Applicable Period:
Round 1 grant cycle
Date Signed:
[to be filled by signatory]
Location Signed:
[city, state]
Sections Included:
Use of Force Data, Incident Reporting, Training Requirements, Jail or Correctional Facilities Contracts
Note:
Year
Year:
2018–2019
Organization:
City of Chicopee
Plan Type:
Health Reimbursement Arrangement (HRA)
Coverage Period:
July 1, 2018 – June 30, 2019
Individual Deductible:
$500
Family Deductible:
$1,000
Maximum Reimbursement:
$1,500 individual / $3,000 family
Medical Plan Partners:
BCBSMA, HNE
Administrator:
HEALTH EQUITY
Target Audience:
Employees of the City of Chicopee
Year:
2023
Region / City:
California, USA
Topic:
Health Reimbursement Arrangement for Infertility Care
Document Type:
Plan Summary Description
Organization:
The Regents of the University of California
Author:
The Regents of the University of California
Target Audience:
Eligible employees and qualified beneficiaries of the University of California
Period of Coverage:
March 1, 2023 - December 31, 2023
Date of Approval:
March 1, 2023
Date of Last Modification:
N/A
Note:
Year
Year:
2023
Region / city:
United States
Subject:
Healthcare, Health Insurance
Document Type:
Instructions
Organ / institution:
U.S. Departments of the Treasury, Labor, and Health and Human Services
Author:
U.S. Department of Labor
Target audience:
Employers, participants in health reimbursement arrangements (HRAs)
Period of validity:
Ongoing
Approval Date:
Not specified
Date of changes:
Not specified
Contextual description:
Instructions document outlining the requirements and model attestations for individual coverage HRAs, detailing the annual and ongoing substantiation processes for health insurance coverage verification.
Year:
2025
Region / City:
Swansea
Theme:
Research Governance, Health Research
Document Type:
Policy Guidance
Institution:
Swansea University
Author:
Paola Griffiths
Target Audience:
Researchers, University Staff
Period of Validity:
2025-2026
Approval Date:
21/02/25
Review Date:
21/02/26
Year:
2024
Region / City:
South Downs National Park, Sussex, UK
Theme:
Environmental Impact Assessment, Conservation
Document Type:
Screening and Appropriate Assessment Statement
Agency / Institution:
South Downs National Park Authority
Author:
South Downs National Park Authority
Target Audience:
Planning Authorities, Environmental Consultants, Developers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2026
Region / City:
United States
Subject:
Health insurance, employee benefits, tax credits
Document type:
Official government notice
Author:
Departments of the Treasury, Labor, Health and Human Services
Target audience:
Employees eligible for individual coverage HRAs
Effective period:
N/A
Approval date:
N/A
Modification date:
N/A
Year:
2026
Region / City:
United States
Subject:
Health Reimbursement Arrangements (HRA) for Individual Coverage
Document Type:
Instructions and Attestation Forms
Organization / Institution:
Departments of the Treasury, Labor, and Health and Human Services
Author:
Not specified
Target Audience:
Individuals enrolled or enrolling in Individual Coverage HRAs
Period of Validity:
Until 11/30/2026
Approval Date:
Not specified
Date of Revisions:
Not specified
Year:
2023
Region / City:
United States
Subject:
Health Reimbursement Arrangement
Document Type:
Government Regulation
Organization / Institution:
U.S. Departments of Treasury, Labor, and Health and Human Services
Author:
U.S. Government
Target Audience:
Employees eligible for Individual Coverage HRA
Effective Period:
Ongoing
Approval Date:
[Not specified]
Amendment Date:
[Not specified]
Year:
2017
Region / city:
Moray
Theme:
Forestry, Nature Conservation, Tourism
Document Type:
Report
Organization:
Moray Council
Author:
Not specified
Target Audience:
Public authorities, local stakeholders, environmental professionals
Action Period:
2017-2037
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2022
Region / City:
Metro HRA (Anoka, Carver, Hennepin, Ramsey Counties)
Topic:
Housing Assistance for Veterans
Document Type:
Request for Proposals (RFP)
Agency:
Metropolitan Council Housing and Redevelopment Authority (Metro HRA)
Author:
Metropolitan Council Housing and Redevelopment Authority
Target Audience:
Property owners, housing developers, veterans support organizations
Period of Action:
From March 15, 2022, to April 15, 2022
Approval Date:
March 15, 2022
Amendment Date:
Not specified
Year:
2021
Region / City:
Broadland District, Norfolk
Subject:
Environmental Impact Assessment, Planning Applications
Document Type:
Template
Author:
Broadland District Council
Target Audience:
Planning officers, developers
Period of Validity:
Until next review of guidance
Approval Date:
Not specified
Modification Date:
Not specified
Year:
Not specified
Region:
Global
Subject:
VPN access and endpoint security compliance
Document Type:
Technical support instruction
Organization:
GBL/GBL
Related Systems:
HRA, Cisco Systems AnyConnect VPN
Security Software:
McAfee Endpoint Security (ENS)
Issue:
Login Denied error message during VPN connection
Requirements:
Windows Firewall enabled; McAfee ENS running; DAT file updated within 30 days
Referenced Articles:
KBA00047504; KBA00047503
Intended Audience:
IT support staff and service desk personnel