- "Type of HRA Plan" is a required field.
- "Purchaser Name (First/Last)" is a required field.
- "Purchaser: (Address/City/State/Zip)" is a required field.
- "Purchaser Phone" is a required field.
- "Purchaser E-mail" is a required field.
- "Church / Organization" is a required field.
- "Church / Organization (Address/City/State/Zip)" is a required field.
- "Church / Organization Phone:" is a required field.
- "Name of Plan Administrator: (Employer unless otherwise stated)" is a required field.
- "Church Federal ID#" is a required field.
- "State of Incorporation" is a required field.
- "Number of Employees" is a required field.
- "Effective Date:" is a required field.
- "Eligible Employee Work More than _____ hours per week" is a required field.
- "Waiting Period" is a required field.
- "Benefit Limits" is a required field.
- "Choose your Benefits" is a required field.
- "Will premium reimbursement be the same for all ages?" is a required field.
- "Will your ICHRA offer different Benefits by Employee Class?" is a required field.
- "If yes, please provide class structure" is a required field.
- "Please designate the annual limit on expenses to be reimbursed" is a required field.
- "Carryover of Unused Funds:" is a required field.
- "Name the person who will be responsible for the proper handling of medical information protected under HIPAA law" is a required field.
- "Notes" is a required field.
- "Order Submitted by" is a required field.

HRA Plan Support For Churches
$900.00
Maintaining an HRA plan requires more than just setup—it requires ongoing attention to compliance, documentation, and administration. Our annual HRA support services ensure your plan stays current, compliant, and running smoothly. From required updates and employee documentation to guidance on reimbursements and IRS regulations, we provide year-round expertise so you can focus on your mission with confidence.


