Self Insured Medical Reimbursement Plans

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FAQ?

What is 105 medical reimbursement plan?

What Does Section 105 Medical Reimbursement Plan Mean? A Section 105 medical reimbursement plan is a health insurance plan in which employers self-fund their employees' health insurance costs. This allows them to avoid paying for expensive group health insurance plans.

What are IRS Section 105 and reimbursement plans?

Section 105 of the Internal Revenue Code allows employers to establish a written plan to reimburse medical expenses. There are numerous variations of the Section 105 plan including: Health Reimbursement Arrangements (HRAs), Medical Expense Reimbursement Plans (MERPs), Health Flexible Spending Arrangements (FSAs), Accident and Health Plans (both insured and self-insured), and more.

Which reimbursement plans can be used for health insurance?

Money from a Medical Expense Reimbursement Plan can be used to pay for individual insurance premiums. Employers can offer only the Medical Expense Reimbursement Plan, and employees can use that money to buy their own individual policies rather than offering a group plan and a Medical Expense Reimbursement Plan.

What do you need to know about medical reimbursement?

You need the following documents in hand in order to file for reimbursement claim:

• Health Card Copy
• Hospital Discharge Summary (Original)
• Duly filled claim form
• Investigation Reports ( like scans, X-rays, blood report, etc)
• Case receipts from hospitals or chemists
• If an accident happens, then FIR or medico legal certificate (MLC)
• Doctor’s Consultation papers and pre-admission investigations
• Copy of KYC documents

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