Analyze the Value of an HRA

Client Name: Broker: Phone:

Plan Descriptions

Current Plan Proposed Plan
Marketed by:
Purchasing Alliance Solutions, Inc.
$ Individual Deductible $
$ OOP (Exclude Deduct) $
$ Office Co-Pay $
$ Rx Co-Pay $
$ Monthly Premium $
Annual Premium
Annual Savings

Health Reimbursement Arrangement (HRA) Calculations

# of EESCoverage
Options
Maximum Exposed
$$ Per EE
Amount HRA
$$ Per EE
EE
ES
EC
FF
- Total
Maximum
HRA Dollars

  Estimated Utilization Factor: %
  Estimated Reimbursement Cost:
Estimated Annual Admin Cost ($1,200 Minimum)

Summary of Potential Savings

Current Plan Cost:
Proposed Plan
Premium
Maximum HRA
Reimbursement
Admin
Cost
Maximum
Plan Cost
Minimum
Savings/Loss
Proposed Plan
Premium
Estimated HRA
Reimbursement
Admin
Cost
Estimated
Plan Cost
Estimated
Savings/Loss
If you desire personal assistance, please call 770-579-1214 or 800-782-8254.

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