Using Your Account
Below is a list of frequently asked questions (FAQs) regarding the use of your account. If you cannot find what you are looking for, check one of the other FAQ categories: General Information; Funding and Benefits of Participation; or Investment Options.
When can I start filing claims?
You can file claims at any time after you become claims-eligible. You will become eligible to file claims for qualified expenses incurred on or after your retirement date, provided the VEBA MEP has received both your completed Enrollment form (or online enrollment) and a contribution from your employer.
Who is eligible for benefits?
Your legal spouse and qualified dependents, including your young-adult children through the calendar year in which they turn age 26, are eligible for coverage. Read the Definition of Dependent handout to learn more. To get a copy, log in and click Resources, or request a copy from our customer care center.
You may choose to enroll and cover your Washington State registered domestic partner who does not otherwise qualify for coverage as your dependent under the VEBA MEP. The value of non-dependent domestic partner (NDDP) coverage is taxable. Therefore, if you choose to enroll your NDDP, applicable taxes will be deducted from your VEBA MEP account for each month of NDDP coverage. In addition, the VEBA MEP will issue an IRS Form W-2 showing taxable income to you based on the NDDP coverage value.
Starting and stopping NDDP coverage is not automatic. You must submit a Non-dependent Domestic Partner Enrollment/Disenrollment form if you want to enroll or disenroll your NDDP. If elected, coverage will continue until (a) you disenroll your NDDP during the next annual open enrollment period or special open enrollment or (b) your participant account balance runs out. NDDP enrollment and disenrollment policies are described below. Forms are available after logging in or upon request from our customer care center.
What types of expenses are eligible for reimbursement?
Common qualified expenses include deductibles, co-pays, coinsurance, and prescription drugs. Retiree medical insurance premiums, including Medicare and Medicare supplement plans, and tax-qualified long-term care insurance premiums (subject to IRS limits) are also eligible for reimbursement. Read our Qualified Expenses and Premiums handout to learn more. To get a copy, log in and click Resources, or request a copy from our customer care center.
Can I use my account to reimburse retiree insurance premiums?
Yes. Medical (including marketplace exchange premiums that are not, or will not be, subsidized by the Premium Tax Credit), dental, vision, tax-qualified long-term care (subject to annual IRS limits), Medicare Part B, Medicare Part D, and Medicare supplement plan premiums are eligible for reimbursement. Read our Qualified Expenses and Premiums handout to learn more. To get a copy, log in and click Resources, or request a copy from our customer care center.
NOTE: IRS regulations provide that insurance premiums paid by an employer, deducted pre-tax through a section 125 cafeteria plan, or subsidized by the Premium Tax Credit are not eligible for reimbursement. If requesting reimbursement of premiums deducted from your paycheck after tax, you must include a letter from your employer that confirms no pre-tax option is available.
Can I have my insurance premiums reimbursed automatically?
Yes. Automatic reimbursement of your monthly retiree insurance premiums is available. To set up an automatic premium reimbursement, log in and click Claims, or submit an Automatic Premium Reimbursement form. Forms are available after logging in or upon request from our customer care center.
How long does it take to process a claim?
Standard claims processing time is five to seven business days from the day we receive your claim. If you are not enrolled in direct deposit, remember to allow adequate time to receive your paper check reimbursements in the mail.
Get your money back faster by submitting claims and supporting documentation online after logging in or by using our mobile app, HRAgo.
Is direct deposit available?
Yes, direct deposit is available and recommended. You will get your money back faster, and it is more secure and convenient than waiting for paper check reimbursements in the mail. Funds availability is subject to your banking institution's policies and procedures. To enroll, log in and click My Profile or submit a Direct Deposit Enrollment form. Forms are available after logging in or upon request from our customer care center.
Do I have to use up my account right away?
No, your unused account balance carries over from year to year. There is no annual “use-it-or-lose-it” requirement.
What is "limited-purpose" VEBA MEP coverage?
"Limited-purpose" VEBA MEP coverage is a form of coverage that is typically elected by participants who want to become eligible to make or receive contributions to an HSA. Only the types of expenses listed below are covered while a “limited-purpose” coverage election is in force. All other expenses incurred while coverage is limited, including qualified insurance premiums, are not covered.
Standard dental care services (not related to a medical condition or accident), including dentures
Routine eye exams, contact lenses, and eyeglasses (excluding initial lenses and standard frames after cataract surgery)
What happens if, after retiring, I become re-employed by the same agency that contributed to my VEBA MEP account?
If, after retiring, you subsequently become re-employed by the same agency that contributed to your VEBA MEP, your claims eligibility will be turned off while you are re-employed. During the term of your re-employment, you may submit claims for qualified medical care expenses incurred while you were previously retired and claims-eligible. However, medical care expenses, including qualified insurance premiums, incurred during the term of your re-employment are not eligible for reimbursement.
What happens to my account if I pass away?
If you pass away, remaining funds in your account may continue to be used by your surviving legal spouse (or your enrolled non-dependent domestic partner) and qualified dependent(s) to reimburse qualified healthcare expenses and premiums. Surviving spouses and dependents enjoy the same tax advantages as participants. In the unlikely event you pass away with an unused account balance and have no eligible survivors, the executor of your estate can spend down your account by filing claims for any unreimbursed medical care expenses you may have incurred prior to your death. Remaining funds (if any) after all final claims have been reimbursed would then be forfeited and re-contributed per the terms of the VEBA MEP document or otherwise applied as directed by your employer. IRS Revenue Ruling 2006-36 does not permit the payment of benefits to non-dependent heirs.
How often will I get a participant account statement?
Paper participant account statements are mailed in January and July. If you are signed up for e-communication in lieu of paper (recommended), participant accounts statements are generated quarterly, and we will notify you via email when statements are available for online viewing. To sign up for e-communication, log in and click My Profile, contact our customer care center, or submit an Account Change form. Forms are available after logging in or upon request from our customer care center.
What are the fees?
Plan expenses include claims processing, customer service, account administration, printing, postage, legal, consulting, local servicing, auditing, etc. To cover these costs, a monthly per-participant fee of $1.50, plus an annualized asset-based fee of approximately 1.25%, is charged to your account. The monthly fee is waived if your account balance is more than $5,000. In addition, a 0.25% asset-based fee discount applies to any portion of your account balance in excess of $10,000.
To the extent permitted or required by law, certain fees, assessments, or other amounts payable to the federal government may also be deducted from your account.
Investment fund manager fees and other fund expenses vary by fund. To view these fees, refer to our Investment Fund Overview.