Health and Welfare Summary Plan Description
10.3 Submitting Claims.
You may request reimbursement by filing a paper claim form for any out-of-pocket health care expenses you incur after the date you become eligible for the Plan coverage. After 2 consecutive months of coverage under the Plan, each member will receive a debit card ("Health Debit Card") linked to their HRA account that can also be used to pay out-of-pocket health care expenses. Either payment method requires that you retain documentation of the medical expenses you incur. If you use a claim form, you must submit proper documentation along with the form. If you use the Health Debit Card, you may be asked for copies of this documentation afterward. The card will remain active as long as you remain covered under the Plan and provide proper documentation for expenses paid with the card if requested by the HRA administrator.