HRA Plan Documents & Forms
The links below lead to documents and forms related to your HRA Plan.
- Open Enrollment Postcard
- Open Enrollment Newsletter
- Open Enrollment Form
- Enrollment Guide/Summary of Material Modifications
- Participant Meeting Presentation
- Plan A Summary of Benefits and Coverage
- Plan B Summary of Benefits and Coverage
- Plan C Summary of Benefits and Coverage
- HRA Claim Reimbursement Form
Most forms on this site are in Adobe PDF format and require the Adobe Acrobat Reader plug-in to view or print. Click here to download Adobe Acrobat Reader.