MERP PLAN
Associates who have access to a qualified alternate group health plan other than Famous Supply Medical Plan may qualify for the MERP. MERP offers medical and drug expense reimbursement, reimbursement of deductibles, co-pays, co-insurance, and premium differentials. Associates covered by their spouse’s benefits may be eligible for premium reimbursements and all out-of-pocket expenses. There is no cost to participate in the MERP. Associate must be enrolled in Famous’ benefits for one year or opt for the MERP at hire date to qualify. To find out if you qualify, contact Famous’ HR Team.
WHAT IS A MERP?
The Medical Expense Reimbursement Plan (MERP) reimburses you (the employee) and your eligible dependent children for eligible health care expenses (co-pays, deductibles and co-insurance) incurred under alternate group medical coverage.
MERP BENEFITS
The Medical Expense Reimbursement Plan (MERP) reimburses you (the employee) and family for eligible health care expenses (co-pays, deductibles and co-insurance) incurred under alternate group medical coverage.
OPPORTUNITIES FOR ENROLLMENT
• Famous Supply open enrollment
• Qualifying event: marriage, birth of child, part time to full time, etc.
• Spouse’s open enrollment
IRS RULES
• You may be enrolled in a HRA or FSA. You CANNOT be reimbursed from both the MERP and your HRA or FSA
• You are NOT eligible for the MERP if your alternate coverage is:
– a high deductible health plan (HDHP) with active contributions to a Health Savings Account (HSA);
– Medicare, Medicaid, Tricare (Retiree only)
– Healthcare Exchange Policy made available thru the Affordable Care Act
– an Individual Policy
– Limited Benefit Health Plan
PREMIUM CONTRIBUTION REIMBURSEMENTS
• Proof required for reimbursements
• Paystub showing premium contribution amount, pre-tax or post-tax, frequency (other pay information may be removed)
• If employee does not have a pay stub at time of enrollment, they may submit a letter on employer’s letterhead or a Benefit Confirmation outlining information, but must submit a paystub once it becomes available.
• If the entire family is not enrolling in the MERP, then the employee must provide the tiers of coverage indicating the cost for each tier.
COMPARATIVE RATES
The rates listed below are the comparative rates used in the MERP Plan. For example, if you (as an individual) are on another group’s (non-Famous) Family Medical Plan and pay a bi-weekly premium greater than the rate of $257.92 that is listed below, you would be reimbursed bi-weekly for the difference.
| ASSOCIATE | ASSOCIATE and CHILDREN | |||||||
| BI-WEEKLY RATES | Tobacco | Non-Tobacco | Tobacco | Non-Tobacco | ||||
| Wellness | $190.80 | $257.92 | ||||||
| Wellness Lite | ||||||||
| No Wellness |
HOW IT ALL WORKS
Download the MERP booklet for all information on how the MERP actually works.
CONTACTS
Catilize Health – (877) 872-4232
Click here to access the MERP Contact form
