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Advanced Flex Plan Administration with the Human Touch

Enrollment Resources for Health Reimbursement Arrangements (HRA)

This page shows enrollment resources for your HSA. If you wish to view all resources for your Plan, please click below.

Enrollment is Easy with EMPOWER's Four-step Process!

1

Send Pre-enrollment educational materials to employees

2

Use EMPOWER’s enrollment forms or use your own. 

3

Send Enrollment to EMPOWER through our enrollment spreadsheet or EMPOWERConnect.

4

Send Welcome materials to employees to help them use their new benefits.

Pre-enrollment Employee Education

Although employees are typically automatically enrolled in an HRA when they enroll in the associated Group Health Plan, EMPOWER has provided materials below to educate employees.

Flyers

English

Spanish

Traditional HRA Flyer (PDF)

PDF guide that explains HRAs to employees.

HRA Plan Fact Sheet (PDF)

A single page handout that contains specific details about your Plan.

Your Account Manager will email this to you before open enrollment starts.

ICHRA Flyer (PDF)

PDF guide that explains ICHRAs to employees.

QSEHRA Notice

Employers are required to send a notice to employees 90 days prior to the start of the QSEHRA Plan Year.

Ask your Account Manager for this notice.

Videos

HRA Benefits (Video)

Learn the advantages of enrolling in an HRA.

Enrollment Forms

QSEHRA Enrollment Form

Employees should use this form to provide initial attestation of minimum essential coverage.

Enrollment Spreadsheet

EMPOWER accepts enrollment through EMPOWERConnect or the below enrollment spreadsheet. Please click the link below for instructions on how to submit the enrollment spreadsheet. Note that this enrollment spreadsheet will work for all EMPOWER benefits.

Enrollment Spreadsheet

This link contains instructions on how to submit enrollments to EMPOWER. The instructions include a link to download the spreadsheet template.

Post-enrollment Employee Education

EMPOWER accepts enrollment via our enrollment spreadsheet or EMPOWERConnect. We have provided the following enrollment forms if you would like to distribute and collect from your Employees.

Flyers

English

Spanish

HRA Plan Fact Sheet (PDF)

A single page handout that contains specific details about your Plan.

Your Account Manager will email this to you before open enrollment starts.

QSEHRA Welcome Guide

PDF Guide that explains the QSEHRA for participants.

Coming Soon

Webpages

Welcome Guide (Online)

Webpage that details the HRA Plan for new participants.

Coming Soon

EMPOWER Participant
Mobile App Download

If you have an FSA, HRA, or HSA with EMPOWER, we encourage you to
download the Mobile App to manage your benefits on the go!
Apple iOS
Google Android

EMPOWER LOGIN

I am a Participant
Click the above link if you are a participant who has an FSA, HSA, or HRA with EMPOWER.
I am an Employer
Click the above link if you are an Employer or Consultant.

Download Forms

Click one of the links below to view the available forms.

I am a Participant
Click the above link if you are a participant who has an FSA, HSA, or HRA with EMPOWER.
I am an Employer
Click the above link if you are an Employer or Consultant.