securities offered through gwn securities inc. 11440 jog road, palm beach gardens fl 33418...

Securities offered through GWN Securities Inc. 11440 Jog Road, Palm Beach Gardens FL 33418 866.650.0132 Member FINRA, SIPC. National Insurance Services is not affiliated with GWN Securities, Inc.

PEHSPThe Post-Employment Health Savings Plan

Cedar Rapids Education Association

Steve Ott, Regional Vice President9202 West Dodge Road , Suite 302, Omaha, NE 68114

PH: 800.627.3660 ext. 1351/FX : 402.592.1808www.NISBenefits.com – [email protected]

Stacy WanderscheidPerspective Consulting Partners

http://www.nisbenefits.com/


What is PEHSP

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• It is a negotiated benefit in which the District regularly deposits funds into individual accounts on behalf of teachers while they are employed.

• These Funds, with earnings, are used tax-free by a teacher who separates from service or retires to pay for qualifying medical expenses and premiums including but not limited to the District’s health insurance plan.


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NIS (National Insurance Services) is the “face” of the plan, providing onsite service and support. NIS also coordinates the activities of:

The Plan AdministratorMidAmerica (MidAmerica Administrative & Retirement Solutions, Inc.)402 South Kentucky AvenueSuite 500Lakeland, FL 33801www.midamerica.biz800-430-7999

The Investment ProviderAmerican United Life Insurance Company®, a ONEAMERICA Company® (AUL)

The Team


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Administrative Fees• There is a participant administrative fee of $5 per quarter ($20 per year). This fee

ceases when a participant leaves employment or retires.• Participants eligible to access funds for reimbursement of eligible medical expenses

and premiums will be charged a $5 per reimbursement claim fee for up to a maximum of $30 a year. To reduce claim fees and maximize interest earnings, one claim form can be submitted for the entire year for only $5.

Fixed Interest Investment*and Asset Based Fees• There is a .50% (one half of one percent) annual asset based fee for all variable

investments. There is no asset based fee for fixed interest investment.• The fixed interest rate of return is *guaranteed as 2.50% for 2014.• Rates are set annually and are not known until December for the subsequent year.

*Fixed interest accounts are not FDIC insured and are guaranteed based on the claims paying ability of the investment provider, AUL www.AUL.com

Costs and Fees


The District’s website www.cr.k12.ia.us and click on District Resources>Human Resources>Benefits>PEHSP or go directly to www.creaonline.org and click on Association Q&A.

• Copy of presentation• MidAmerica Investment Change/Transfer Form (used also for initial election)

MidAmerica (Plan Type Health Reimbursement Agreement) log into the plan at www.midamerica.biz, 855-329-0095

• Account Activity and Balance information• AUL Investment Prospectus• Investment Change Form• Reimbursement Questions and Answers• Reimbursement Claim Forms and Directions

Your Primary Personal Contact, Steve Ott, [email protected], 800.627.3660 Ext 1351• Individual Questions• Investment Support• Help on Getting Information, Answers

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Where to Get Additional Information


To be eligible, you must have either separated from service or retired from the District.

• The IRS requires you to provide documentation for all expenses submitted.• HRA Questions and Answers, Eligible Expenses and Directions can be found at www.midamerica.biz or you can

call customer service at 855-329-0095. Reimbursement Claim Forms can be found by logging into the plan at www.midamerica.biz.

Using Funds to Continue on the District Health Insurance Plan• Premiums will be paid directly to the District.• Complete the MidAmerica Recurring Claim Form.

Initial documentation showing the name/type of recurring insurance premium expense to be reimbursed, along with the amount and frequency of the expense is required for the first month of reimbursement.

• During months 2 – 12, a monthly “I attest” statement confirming that the established recurring insurance premium expense continues to be accurate and reimbursable, is required. This statement may be delivered by fax, mail, or electronically.

Fax: (863) 577-4460 Mail: P.O. Box 24927, Lakeland, FL 33802 Electronic: Email your attestation to [email protected]

• Your Recurring Claim Form on file with MidAmerica must be renewed annually.• MidAmerica will reimburse participants for the full amount or a lesser amount if requested by the participant.

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Claims Submission (does not apply to active employees)

http://www.midamerica.biz/


•Using Funds For Other Medical Premiums– Forwarded to MidAmerica

• Letter or invoice showing the premium due (first premium request only) with recurring claims• Proof that the premium was paid (each time with individual claims)• A Recurring Claims Form • After completing name, address, etc, make copies for your future convenience• Direct Deposit Request Form (once, optional)

•Using Funds For Other Eligible Medical Expenses– Forwarded to MidAmerica

• Proof that an expense is owed or has been paid, such as an EOB (Explanation of Benefits)• A Claims Form (each time)• After completing name, address, etc., make copies for your convenience• Direct Deposit Request Form (once, optional)

•Reimbursement Fees– The reimbursement fee for premiums and medical expenses is $5 per claim form, not to exceed

$30 year. To maximize interest earnings and reduce fees, it is required you accumulate expenses until they total at least $100 or more (not applicable to recurring claims). You can also turn in one claim for the entire year for only $5.

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Claims Submission continued…


Partial Listing of IRS Publication 502 Eligible Medical Expenses

This is a partial listing of Publication 502 eligible reimbursable expenses. You must read IRS Publication 502 to determine exactly whether or not your expenses are reimbursable. Publication 502 may be obtained at: www.irs.ustreas.gov/formspubs.com.

Acupuncture Fertility Enhancement Osteopath Alcoholism Guide Dog or Other Animal Oxygen Ambulance Health Institute Prescribed Medicines & Drugs Artificial LimbHealth Maintenance Organization Psychiatric Care Artificial Teeth Hearing Aids Psychoanalysis Birth Control Pills Hospital Services Psychologist Braille Books and Magazines Insurance Premiums Sterilization Chiropractor Laboratory Fees Stop Smoking Programs Christian Science Practitioner Laser Eye Surgery Therapy Contact Lenses Learning Disability Transplants Crutches Long Term Care Insurance Vasectomy Dental Treatment Medicare Supplements, Part B & D Weight Loss Program Drug Addiction Nursing Services Wheelchair Eyeglasses Operations X-ray Fees

If the reimbursement is to the employer or the carrier, then only the one-time Recurring Claim Form is required unless the premium changes. If the reimbursement is paid directly to the participant, then a monthly Attestation Form is required in addition to the one-time Recurring Claim Form.

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Summary of Eligible Medical Expenses


American United Life Insurance Company®, a ONEAMERICA Company® (AUL)”

American United Life Insurance Company®, a ONEAMERICA Company® (AUL), headquartered in Indianapolis, Indiana, provides variable and fixed investments. AUL has been in business for over 135 years, has billions in assets under management, and has excellent financial ratings. Cedar Rapids Community Schools can offer to its employees and retirees a wide variety of variable annuity investment options to offer to plan participants covering the entire risk-return spectrum. Investments include actively managed asset allocation portfolios and a high quality fixed interest annuity option. The NAIC, National Association of Insurance Commissioners, annually sets the minimum rate of return for fixed annuities.

AUL has an A.M. Best rating of A+ (Superior), the second highest of 16 possible ratings, according to the release dated May 2014. Standard and Poor’s debt rating of AA- (Very Strong) is the fourth highest of 22 possible ratings, according to its report dated July 2013. (www.aul.com).

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