I have a Premera Health Plan
I offer Premera coverage to employees
I represent Premera plans
I'm a healthcare professional
(for members only)
Looking for a consumer-driven approach to improving your business' bottom line? Premera's health savings accounts (HSA), health reimbursement accounts (HRA), and flexible spending accounts (FSA) combine quality healthcare coverage with a choice of tax-advantaged healthcare spending accounts.
Personal funding accounts:
With Premera, you can provide personal funding account options with the following key features to make the transition smooth and maximize the effectiveness:
Premera offers the following personal funding account options. After choosing your group benefit plan, you may pair it with one or, in some instances more, of the following:
HSAs are employee-owned, tax-advantaged, fully portable accounts that work in combination with a qualified, high- deductible health plan. In an HSA plan:
With an HSA, employees can:
Learn more about HSAs
HRAs are employer-owned and -funded arrangements that members can use to pay their cost-share for covered expenses. It is important to note that HRAs are not portable. If the employee leaves the company, any unused portion of the HRA (after all prior claims have been paid) reverts back to the employer.
FSAs are employer-sponsored, tax-advantaged healthcare spending accounts that members can use to pay for eligible expenses. With an FSA:
Learn more about FSAs
Once you've worked with your producer or Premera account manager to determine which Personal Funding Account is right for your group, use these tools to make sure your plan is active on the effective date:
Completed enrollment materials for NEW GROUPS must be received at Premera for HRA and HSA products for small groups beginning coverage on the first of the following month to ensure eligibility is active on the effective date.
Miss a deadline? Include a signed Late Enrollment Acknowledgementform if you're turning in forms past one of these dates:
Use this checklist to make sure you have your paperwork in order and know how to enroll before the due date.
Complete the necessary enrollment forms. All forms are available at premera.com
Group Master Application up to 50
Group Master Application Benefit Selections up to 50
Member Enrollment and Change Application
Waiver of Coverage Every eligible employee (members must include date of hire and prior coverage)
Deductible Credit Form (include prior carrier's Explanation of Benefits)
Late Enrollment Acknowledgement (if applicable)
Funding Account Setup- For Metallic Groups
Electronic Funding Authorization
ERISA Business Associate Agreement - For Metallic Plans
Non-ERISA Business Associate Agreement- For Metallic Plans
Use this checklist to make sure you have your paperwork in order and your renewal is completed before the due date.
Funding Account Setup - For Metallic Groups
ERISA Business Associate Agreement- For Metallic Plans
Premera has partnered with UMB Bank to provide a unique banking experience. Unlike any other HSA health plan or HSA qualified bank, Premera and UMB Bank work together to offer our members comprehensive online access of HSA activity. In addition, our relationship with UMB Bank means we make saving and paying for qualified medical expenses with an HSA simple. We've included some helpful UMB member forms and information below for you convenience.
UMB HSA Beneficiary Designation Form
UMB HSA Name Change Request Form
UMB HSA Account Closure/Withdrawal Request
UMB HSA Funds Transfer
HSA Expense Manual Claim Form
UMB Bank Fact Sheet
UMB Financial Services Fact Sheet
UMB List of Mutual Funds
UMB Annual Report
UMB Welcome Letter
UMB Terms and Conditions
UMB Bank, member of the FDIC, is one of the largest independent banks in America since 1913. They have been an industry leader in financial healthcare accounts since 1997.
If you have additional questions regarding funding arrangements, please contact your Producer or Premera account manager.
This material is not intended to be tax or legal advice. The reader should consult with his or her own tax advisor to determine the tax implications of purchasing the products discussed herein. Advice, if any, included in this material was not intended or written by Premera or to be used, and it cannot be used, by any taxpayer for the purpose of avoiding penalties that may be imposed on the taxpayer.