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Advanced Flex Plan Administration with the Human Touch
Resources for HRAs
This page provides Employer and participant resources, forms, and guides for Health Reimbursement Arrangements (HRA).
This page shows resources to help you administer your EMPOWER HRA. If you would like to view our Enrollment Resources page that has helpful information for enrollment, click the link below.
Table of Contents
Direct Deposit Authorization Form
Add or change an existing bank account to receive reimbursements right to your bank account
HRA Claim Form
Use this form to submit an HRA claim.
Banking Setup Form
Use this form to set up your Employer bank account with EMPOWER.
Form for Employers to submit information for nondiscrimination testing.
Use this link to download the enrollment spreadsheet to send you enrollments to EMPOWER.
EMPOWERConnect is an optional service that automatically integrates with your HRIS or Payroll system.
Participant Instructional Guides
HRA Welcome Guide (Online)
Comprehensive guide to using the EMPOWER FSA.
HRA Plan Fact Sheet
A single page handout that contains specific details about your Plan.
Your Account Manager will email this to the Employer before open enrollment starts. Participants also have access to this document on their portal.
Participant Portal Quick Start Guide
Learn how to use the Online Portal.
Employer Instructional Guides
Employer Welcome Guides
Guides are available that explain how to administer your EMPOWER Plan.
You will receive guides when setting up a new plan and during open-enrollment. Ask your Account Administrator for additional information.
Employer Portal Quick Start Guide
Use this guide to learn how to use the Employer Online Portal.
Read this guide to determine if you are required to pay PCORI fees to the IRS.