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A Health Reimbursement Account (HRA) is an employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses. The health plan must be integrated with a qualified employer-sponsored group health insurance plan to avoid excise tax penalties. 
Using a Health Reimbursement Arrangement yields "tax advantages to offset health care costs" for both employees and employers. 
Employees are reimbursed tax-free for qualified medical expenses up to a maximum amount for a specific coverage period. 
HRAs reimburse only items (co-pays, coinsurance, deductibles, and services) agreed to by the employer that are not covered by the employer's selected standard insurance plan. 
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