skip navigation

Search Help
Navigation Help


Main Topics
A B C D E F G H I
J K L M N O P Q R
S T U V W X Y Z #


FAQs
Forms
Publications
Tax Topics


Comments
About Tax Map

previous page Previous Page: Publication 969 - Health Savings Accounts and Other Tax-Favored Health Plans - Flexible Spending Arrangements (FSAs)
next page Next Page: Publication 969 - Health Savings Accounts and Other Tax-Favored Health Plans - How To Get Tax Help
 Use previous pagenext page to find additional occurrences of topic items.Index for this Publication
taxmap/pubs/p969-003.htm#en_us_publink100038877

Health Reimbursement Arrangements (HRAs)(p17)


rule
spacer

previous topic occurrence Health Reimbursement Arrangement next topic occurrence

A health reimbursement arrangement (HRA) must be funded solely by an employer. The contribution cannot be paid through a voluntary salary reduction agreement on the part of an employee. Employees are reimbursed tax free for qualified medical expenses up to a maximum dollar amount for a coverage period. An HRA may be offered with other health plans, including FSAs.
For information on the interaction between an HRA and an HSA, see Other employee health plans under Qualifying for an HSA, earlier.
taxmap/pubs/p969-003.htm#en_us_publink100038878

What are the benefits of an HRA?(p17)


rule
spacer

You may enjoy several benefits from having an HRA.
taxmap/pubs/p969-003.htm#en_us_publink100038879

Qualifying for an HRA(p17)


rule
spacer

Qualifying for an HRA

HRAs are employer-established benefit plans. These may be offered in conjunction with other employer-provided health benefits. Employers have complete flexibility to offer various combinations of benefits in designing their plan. You do not have to be covered under any other health care plan to participate.
Self-employed persons are not eligible for an HRA.
EIC
Certain limitations may apply if you are a highly compensated participant.
taxmap/pubs/p969-003.htm#en_us_publink100038881

Contributions to an HRA(p17)


rule
spacer

Contributions to an HRA

HRAs are funded solely through employer contributions and may not be funded through employee salary deferrals under a cafeteria plan. These contributions are not included in the employee's income. You do not pay federal income taxes or employment taxes on amounts your employer contributes to the HRA.
taxmap/pubs/p969-003.htm#en_us_publink100038882

Amount of Contribution(p17)


rule
spacer

previous topic occurrence Amount of Contribution next topic occurrence

There is no limit on the amount of money your employer can contribute to the accounts. Additionally, the maximum reimbursement amount credited under the HRA in the future may be increased or decreased by amounts not previously used. See Balance in an HRA, later.
taxmap/pubs/p969-003.htm#en_us_publink100038883

Distributions From an HRA(p17)


rule
spacer

Distributions From an HRA

Generally, distributions from an HRA must be paid to reimburse you for qualified medical expenses you have incurred. The expense must have been incurred on or after the date you are enrolled in the HRA.
Debit cards, credit cards, and stored value cards given to you by your employer can be used to reimburse participants in an HRA. If the use of these cards meets certain substantiation methods, you may not have to provide additional information to the HRA. For information on these methods, see Revenue Ruling 2003-43 on page 935 of Internal Revenue Bulletin (IRB) 2003-21 at 
www.irs.gov/pub/irs-irbs/irb03-21.pdf, Notice 2006-69, 2006-31 I.R.B. 107 available at 
www.irs.gov/irb/2006-31_IRB/ar10.html, and Notice 2007-2, 2007-2 I.R.B. 254 available at 
www.irs.gov/irb/2007-2_IRB/ar09.html.
If any distribution is, or can be, made for other than the reimbursement of qualified medical expenses, any distribution (including reimbursement of qualified medical expenses) made in the current tax year is included in gross income. For example, if an unused reimbursement is payable to you in cash at the end of the year, or upon termination of your employment, any distribution from the HRA is included in your income. This also applies if any unused amount upon your death is payable in cash to your beneficiary or estate, or if the HRA provides an option for you to transfer any unused reimbursement at the end of the year to a retirement plan. However, see Qualified HSA distribution, later.
If the plan permits amounts to be paid as medical benefits to a designated beneficiary (other than the employee's spouse or dependents), any distribution from the HRA is included in income. However, if, before August 15, 2006, the plan contains such a provision, this rule will not apply until plan years beginning after December 31, 2008.
Reimbursements under an HRA can be made to the following persons.
  1. Current and former employees.
  2. Spouses and dependents of those employees.
  3. Any person you could have claimed as a dependent on your return except that:
    1. The person filed a joint return,
    2. The person had gross income of $3,500 or more, or
    3. You, or your spouse if filing jointly, could be claimed as a dependent on someone else's 2008 return.
  4. Spouses and dependents of deceased employees.
For this purpose, a child of parents that are divorced, separated, or living apart for the last 6 months of the calendar year is treated as the dependent of both parents whether or not the custodial parent releases the claim to the child's exemption.
taxmap/pubs/p969-003.htm#en_us_publink100038884

Qualified medical expenses.(p18)


rule
spacer

Qualified medical expenses are those specified in the plan that would generally qualify for the medical and dental expenses deduction. These are explained in Publication 502, Medical and Dental Expenses. However, even though non-prescription medicines (other than insulin) do not qualify for the medical and dental expenses deduction, they do qualify as expenses for HRA purposes.
Qualified medical expenses from your HRA include the following. If you are covered under both an HRA and a health FSA, see Notice 2002-45, Part V, which is on page 93 of Internal Revenue Bulletin 2002-28 at 
www.irs.gov/pub/irs-irbs/irb02-28.pdf.
EIC
You cannot deduct qualified medical expenses as an itemized deduction on Schedule A (Form 1040) that are equal to the distribution from the HRA.
taxmap/pubs/p969-003.htm#en_us_publink100038886

Qualified HSA distribution.(p18)


rule
spacer

This is a distribution from your HRA that is transferred to your HSA, discussed earlier. The distribution must not be more than the lesser of the balance in the HRA on: If you were not covered by an HRA on September 21, 2006, you cannot elect to make a qualified HSA distribution from the HRA.
The following conditions must be met to make a qualified HSA distribution. Only one qualified HSA distribution is allowed for each HRA.
For more information, see Notice 2007-22, 2007-10 I.R.B. 670 available at www.irs.gov/irb/2007-10_IRB/ar10.html.
If you do not remain an eligible individual for HSA purposes during the testing period, the distribution is included in your income and is subject to a 10% additional tax. See Qualified HSA distribution under Health Savings Accounts (HSAs), earlier.
taxmap/pubs/p969-003.htm#en_us_publink100038887

Balance in an HRA(p18)


rule
spacer

Balance in an HRA

Amounts that remain at the end of the year can generally be carried over to the next year. Your employer is not permitted to refund any part of the balance to you. These amounts may never be used for anything but reimbursements for qualified medical expenses. See Qualified HSA distribution, earlier.
taxmap/pubs/p969-003.htm#en_us_publink100038888

Employer Participation(p18)


rule
spacer

previous topic occurrence Employer Participation next topic occurrence

For an HRA to maintain tax-qualified status, employers must comply with certain requirements that apply to other accident and health plans. Chapters 1 and 2 of Publication 15-B, Employer's Tax Guide to Fringe Benefits, explain these requirements.
previous pagePrevious Page: Publication 969 - Health Savings Accounts and Other Tax-Favored Health Plans - Flexible Spending Arrangements (FSAs)
next pageNext Page: Publication 969 - Health Savings Accounts and Other Tax-Favored Health Plans - How To Get Tax Help
 Use previous pagenext page to find additional occurrences of topic items.Index for this Publication