HEALTH REIMBURSEMENT ARRANGEMENT (HRA)

A Health Reimbursement Arrangement account (HRA) is an IRS-approved tax-free benefit that reimburses plan members for out-of-pocket expenses not paid by the insurance.  If you enroll on the city’s health insurance, the City will place a designated amount of money into an HRA.  The account is administered by Employee Benefits Corporation (EBC).  You can then use your HRA to request reimbursement for out-of-pocket expenses, or save the money for future expenses.  HRA money can be used for all IRS Code Section 213(d) eligible medical expenses including:

  • Co-insurance
  • Prescription Drugs
  • Out of pocket medical expense
  • Eligible dental/vision expenses
  • All other 213(d) eligible medical expenses (same as for flex spending)

A list of eligible expenses, current account balances, HRA reimbursement forms, and other information is available on EBC's website at www.ebcflex.com.

How to Log In

How do I maximize my benefit?

Employees and spouses enrolled in the health plan are eligible to receive additional dollars in their Health Reimbursement Account (HRA) on an annual basis with completion of preventative exams (annual physical and age appropriate screenings with your primary care provider and dental exam and cleaning).

Preventative Exams

Employees/spouses must submit completed preventative screening forms which demonstrates compliance with preventative screenings in order to receive the additional HRA dollars. The preventative screenings include a physical and age appropriate screening such as breast, cervical and colorectal screenings (frequency for the medical exams/screenings would be determined by the member’s physician).   In addition, employees/spouses must complete a preventative dental exam and cleaning one time per year to be considered to have participated.  Employees/spouses must complete the screenings in current year to receive the following year's funds (i.e. must complete the screenings in 2023 to receive 2024 funds).

Physical Preventative Services Form
Dental Preventative Services Form

 2024 HRA Contribution Amounts

The HRA is not a use it or lose it benefit; funds remaining in the HRA at the end of the plan year will roll over from year to year.

Health Reimbursement Account

City Contribution

Preventative Exams Completion Credit (Employee)

Preventative Exams Completion Credit (Spouse)*

Total Credit 

SINGLE

$500

$500

$1,000

EMPLOYEE+1/FAMILY

$1,000

$500

$500

$2,000

* If an employee is on an employee +1 or family plan, but does not have a spouse, the employee will receive full credit ($1,000).

When can I turn in my preventative exam forms and who do I turn them into?

The City of De Pere uses MyHealics to make submission of preventative exam forms easy. The City will use the Healics rewards platform called MyHealics Rewards for submission and tracking of preventative exam forms for the Health Reimbursement Account (HRA) incentive.

Once a participant (employee or spouse) is logged into their MyHealics dashboard, the participant can easily upload documentation and verify submission at any time during the year.  

All preventative exam forms must be uploaded to Healics at www.myhealics.com to receive credit into the employee’s HRA.

To receive full HRA funds by January 1st, forms should be uploaded by Thanksgiving*.  

To upload documentation:

  1. Either scan your form to a PDF or take a photo of it (Max. Size: 2 MB; supported file types: PDF, PNG, GIF, JPG, ZIP)
  2. Log into your Healics account at myhealics.com (reminder Company ID is CityDePere; your ID is your legal first and last name, no spaces) Please note: Do NOT upload anyone’s forms but your own when logged into your dashboard.
  3. Click on the “Upload Center” tab from the top menu bar.
  4. Choose your file, select “Wellness Program Points” as the document type, and enter notes such as “2024 annual physical form” then click on upload.
    • Healics will verify documentation submitted; please allow 1 -2 business days.
      • If the documentation is not complete or “No” was circled, Healics will email the participant to let them know what on the form needs to be corrected in order to receive credit.
    • You can verify form receipt by logging into your Healics account. Once the document has been verified, you will see a blue checkmark under the status column.

*If you are unable to upload your forms prior to Thanksgiving because your physical or dental appointment is scheduled after that date, it will still be until the end of the year, however, you may see a delay in receiving your full HRA funds.

Plan Information

HRA Summary Plan Description (SPD)
Frequently asked questions (FAQ)
Summary of Benefits and Coverage (SBC)
HRA Plan Document

Contact Information

Employee Benefits Corporation
PO Box 44347
Madison, WI 53744-4347
800-346-2126
http://www.ebcflex.com/

The City of De Pere Employee Benefits Plan Notice of Privacy Practices

This notice describes the privacy practices that the City of De Pere has established for the self funded benefit plans.

City Of De Pere Benefit Plan Notice Of Privacy Practices