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Health Insurance FAQs
Health Insurance FAQs

questions and answers about health insurance and employee benefits

Do employees need to submit receipts or documentation for HRA reimbursements?

March 27, 2025March 28, 2025

Yes. In almost all cases, employees must submit receipts or other documentation to be reimbursed from a Health Reimbursement Arrangement (HRA). These plans are employer-funded and tax-advantaged, so the IRS requires proof that each expense is qualified under Section 213(d) of the tax code.

The employer—or a third-party administrator (TPA) hired by the employer—is responsible for reviewing and approving claims before reimbursement can be issued.


đź“‹ What Documentation Is Required?

To be reimbursed, employees must typically submit:

  • A detailed receipt or Explanation of Benefits (EOB) showing:

    • Date of service or purchase

    • Name of the provider or merchant

    • Description of the product or service

    • Name of the person receiving care (if applicable)

    • Amount paid

Credit card statements or canceled checks are not sufficient—they don’t show what was actually purchased.


🔄 How the Process Works:

  1. Employee incurs an eligible expense and pays out of pocket.

  2. Employee submits a claim through the HRA portal, app, or paper form, attaching required documentation.

  3. Administrator reviews the claim for eligibility.

  4. Reimbursement is issued—often through direct deposit or a mailed check.

Some HRAs may offer a debit card, but even then, documentation is usually required for substantiation unless the system auto-verifies the expense at the point of sale.


đź§  Tip for Employers:

Using a reputable TPA can help ensure IRS compliance and reduce the administrative burden of reviewing and storing receipts. The employer remains legally responsible for ensuring all reimbursements are valid.

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Tax-Advantaged Accounts

  • POPs – Premium Only Plans
  • FSAs – Flexible Spending Accounts
  • DCAs – Dependent Care Accounts
  • HSAs – Health Savings Accounts
  • HRAs – Health Reimbursement Arrangements
  • MERPs – Medical Expense Reimbursement Plans
  • MPRAs – Medicare Premium Reimbursement Arrangements
  • ICHRAs – Individual Coverage HRAs
  • QSEHRAs – Qualified Small Employer HRAs
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