EMPOWER

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Advanced Flex Plan Administration with the Human Touch

Participant Resources for the HRA

This page provides you with all forms and instructional guides for your EMPOWER HRA Plan.

Table of Contents

Forms

HRA Claim Form

Use this form to submit an HRA claim.

QSEHRA Claim Form

Use this form to submit a QSEHRA claim.

Instructional Guides and Tutorials

HRA Plan Fact Sheet

Details the plan-specific details of your HRA.

  1. Log into the EMPOWER Online Portal.
  2. Click on Tools & Support.
  3. On the Tools & Support Page, click on the HRA Plan Fact Sheet link to download.

HRA Welcome Page (Online)

Online guide to using your EMPOWER HRA.

QSEHRA Welcome Guide

PDF Guide that explains the QSEHRA.

Online Portal Quick Start Guide

Learn how to use the Online Portal.

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.