Get your Form 1095-B online on or after January 31, 2025. If your HRA qualified as “minimum essential” coverage during any month in 2024, we will furnish you with a Form 1095-B. On or after January 31, 2025 , log in to access and print your form .

Claim Form Use this form to reimburse your qualified out-of-pocket medical expenses Skip this form! Log in at veba.org and submit your claims and supporting documentation online. Submit paper forms to: [email protected] | VEBA Plan, PO Box 80587, Seattle, WA 98108 | 206-577-3020 fax 1/22 PRC

If online claims aren’t your thing, download and print a paper Claim Form, or request one from our Customer Care Center. To learn more, watch our How to File a Claim and Supporting Documentation for Claims videos.

your claims online. Simply log in at HRAveba.org, and click Claims, and fol. ow. it claims on the go. Download HRAgo® from the App . tore or Google Play. To use HRAgo, you must be registered for o. li. reimbursement (APR). You don’t have to submit a …

Your benefits information is now available at your fingertips with the new MyVEBA mobile app. Quickly access your key health plan information and VEBA resources from your phone or tablet. What Is VEBA? Why VEBA? California Schools VEBA provides health care benefits for education, municipal and public agency employees.

Use this form to request reimbursement of qualified healthcare expenses and/or insurance premiums you have incurred on behalf of yourself, your spouse, and/or your eligible dependents.

bmit your claims online. Simply log in at veba.org, click Claims on the menu bar, and. fo. submit claims on the go. Download HRAgo® from the . pp Store or Google Play. To use HRAgo, you must be registered f. r . ium reimbursement (APR). You don’t have to submit a …

Skip this form! Log in at HRAveba.org and submit your claims and supporting documentation online. Submit paper forms to: [email protected] | HRA VEBA Plan, PO Box 80587, Seattle, WA 98108 | 206-577-3020 fax

Use this form to request reimbursement of qualified healthcare expenses and/or insurance premiums you have incurred on behalf of yourself, your spouse, and/or your eligible dependents (fillable version available at veba.org ).

Set up or change your automatic premium reimbursement online. It’s faster and more secure. (1) Log in at HRAgo® (mobile app) or veba.org; (2) Click Claims; and (3) Click Set Up an Automatic Premium Reimbursement. Or, mail completed form and supporting documentation to: VEBA Plan, PO Box 4389, Clinton, IA 52733-4389.