Page 15 - Rubrik 2022 Benefits Guide
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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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