Page 15 - Rubrik 2022 Benefits Guide
P. 15

WELLBEING RESOURCES






        Forma Wellness Reimbursement
        Rubrik provides you with a monthly, accruing benefit to use toward a variety of expenses to help make life easier, healthy
        and well. Accrued balances roll over month-to-month but not year-to-year, so be sure to submit your claims for reimbursement
        before the plan year is over! You can access Forma via the Okta homepage.
          Monthly Benefit            $50/Month (to $600 per year)


                                     You have two options for reimbursement of your eligible expenses:
                                     •  Forma Store: includes a variety of vendors that are automatically considered eligible
          Reimbursement Process
                                     •  Reimbursement Claims: submit a claim through the Forma portal to receive your
                                        taxable reimbursement on the first paycheck of the following month.

                                     Eligible expenses include fitness memberships, exercise and sports equipment, fitness
          Eligible Expenses*         trackers or watches, wellness apps, massages or massage tools, nutrition apps or coaching,
                                     home office peripherals, ergonomic equipment, and family support services.

        *Note: FSA/HSA items are not eligible for reimbursement under this program.


















































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