№ lp_1_2_43704
File format: docx
Character count: 6946
File size: 30 KB
This document provides instructions and model attestations for individuals to confirm their enrollment in individual health insurance coverage or Medicare as part of the Individual Coverage Health Reimbursement Arrangement process.
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
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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
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:
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:
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
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:
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