To be eligible for 2026 HRA Funding, you must complete the 2025 HAI (Wellness Exam) between the dates of October 1, 2024 and September 30, 2025. Please be sure to retain a copy of your sent email once the form has been sent for your records.
For a printable copy of this form, please click on the PDF file link below. 
Join our email list to stay in the loop!
