TO: Participants in the Rainbow Plan
FROM: Brian C. Meekhof, Benefits Administrator
Rainbow Plan Balances
The IRS requires you to forfeit any funds set aside but not used by the end of the Plan Year. To avoid forfeiting your Rainbow Plan funds we urge you to submit claims now. Although claims for the current Plan Year may be submitted for payment until November 26, 1997, the deadline for incurring claims is August 31, 1997.
To submit a claim, complete a Request For Reimbursement form available from your school office and mail it to the address shown at the top of the form. If you have insurance coverage for the expense attach an Explanation of Benefits form (EOB) from the insurance company to the claim form. If the expense is not covered by insurance attach an itemized bill showing the date of service or period of time for which payment was made.
HRM Claim Management, Inc., our Plan Administrator, verifies the claim, issues a check and mails it directly to your home address. Unless additional claim information is required checks will be mailed within 48 hours of receipt of the claim; often the turnaround time is just 24 hours.
Included on the reverse side is a list of eligible and ineligible expenses. If you have a question about these expenses or wish to check on your current account balance, contact HRM at:
800 533-9266 (National)
800 451-4426 (Michigan)