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If your employer allows it, Recurring Premium Reimbursement can be established for eligible premiums, paid to any insurance carrier. The signNow application is just as productive and powerful as the online app is. *Via Benefits reimbursementaccounts are administered by Extend Health, LLC. Employee E-mail Address: You can also submit a reimbursement request if you provided payment information for aninitial payment with your application. Sign In Help. Note: You must sign up with Via Benefits if you haven't already. How to Navigate Your Via Benefits Dashboard 3,150 views Jan 5, 2021 13 Dislike Share Save OhioPERS1 1.56K subscribers This video is a short tutorial of how to navigate the Via Benefits. The best way to create an signature for a PDF document in the online mode, The best way to create an signature for a PDF document in Chrome, The best way to generate an signature for putting it on PDFs in Gmail, The best way to generate an electronic signature straight from your mobile device, The way to generate an signature for a PDF document on iOS devices, The best way to generate an electronic signature for a PDF document on Android devices, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. Select the document you want to sign and click. Accepted mileage documents include a printout from an online map service, such as Google Maps, a handwritten document, or an Excel or Word printout. A message appears confirming your bank account has been deleted. Contact us! Social Security Number Enter only the last four digits of your Social Security number Get Form How to create an eSignature for the via benefits reimbursement form 2021 Automatic Premium Reimbursement enables you to be reimbursed for your premium payments without submitting a reimbursement request and receipts. Towers Watson Via Benefits Medicare-Eligible Plans - Fermilab Save time and postage by submitting reimbursement requests on the Via Benefits Accounts mobile app or website. The Via Benefits Accounts mobile app gives you the power to manage your account (s) anywhere, anytime. Fermilab provides a subsidy of $175/month, per person, funded to a Health Reimbursement Account (HRA). You receive your payments by check until your banking information is validated (except as noted above). Use professional pre-built templates to fill in and sign documents online faster. 1-866-322-2824 (TTY: 711) Mon-Fri 8am - 7pm Eastern : 1-800-326-5496 ( :1-800-545-8279). Medical Expense Reimbursement Health Coverage Simplified All of the contributed funds for both you and your spouse, if applicable, go into this shared account. 2. When a loss of funding occurs, it means Via Benefits has received notification you may not be meeting your former employers requirements, which causes the funding amount to change. Taking the actions described below reduces the number of steps needed for you to receive your reimbursements and reduces the amount of mail you receive from us.