Medical: Submitting to EGP (CHM Personal Responsibility, Out-of-Pocket, Health Fund reimbursements)

Enterprise Group Planning, Inc. (EGP) is the carrier the Austin Stone uses for 1) reimbursing CHM Personal Responsibilities, 2) tracking out-of-pocket employee costs once EBC funds have been exhausted, and 3) reimbursing eligible Health Fund charges once out-of-pocket max has been reached.

EGP login portal: https://egpbpppt.lh1ondemand.com/Login.aspx

Setting up Your EGP Account

Submitting CHM Personal Responsibilities

Submitting Medical Bills to EGP

Setting Up Your EGP Account

To set up your EGP account, contact Angela to get your username and password reset. Usernames will look like this: 105830XXX. Use the "Existing User" fields to enter your username and temporary password. Once you have logged in using these credentials, you will reset your password with security questions.


Confirm Your Account Details

At the top of the page, click "Account" > "Profile Summary" to confirm your personal details and contact info and update as needed.


Set Up Direct Deposit

At the top of the page, click "Account" > "Banking".

Click "Add Bank Account." Fill in the banking information for the account that you would like to receive EGP direct deposits for reimbursements.

When you submit your banking information, the below pop-up box will appear:

If you fail to confirm the deposited amount within 10 days, EGP will reimburse you by sending you a check in the mail rather than direct deposit.

You will be asked which EGP accounts (e.g. "Plan.3 2025 Personal Responsibility") you would like to link to direct deposit. Please select all available accounts.

Within a few days, a small amount will be deposited in your bank account from ACH HOLD EMPLOYEE BENEFIT CONS CP ON.

When you see this deposit, log into your EGP portal and activate your bank account for direct deposit. Select "Accounts" > "Banking" > "Activate." You will be prompted to enter the exact amount that was deposited into your bank account.

Upon completion a message should appear stating your account has been successfully activated.

Submitting CHM Personal Responsibilities

CHM will not pay out the first $1,250 of your eligible medical bills submitted. This initial $1,250 is your Personal Responsibility (like a deductible.) CHM will begin sharing the amount of your bills after you have submitted more than this amount in eligible bills.

CHM will send you a letter showing which of your medical bills have been applied to your Personal Responsibility (PR.) This PR letter should be submitted to EGP and the Stone will reimburse you for this amount. If your total reimbursement amount from CHM is LESS than $1,250, you will ONLY receive a PR letter, NOT a check.

You should receive a PR letter prior to receiving your first check from CHM. If you do not receive one, please contact Angela to help you obtain it.

How to Get Reimbursed for your PR

Take a photo or scan of both the front and back sides of your PR letter from CHM.

Log into your EGP portal.

  • Select "Reimburse Myself"
  • Pay From, select "Medical." Pay To, select "Me."
  • Upload valid documentation: Please upload BOTH SIDES of your PR letter. You do NOT need to upload the corresponding bills.

Here is an example of a CHM PR letter. (Note: This example is from when the PR amount was $1000. The new amount as of 1/1/2025 is $1250.)


  • Claim Details: See below for the claim details that would be entered for the above PR letter.

When you have finished entering the claim details, click "Next."

  • Transaction Summary: Verify all details, click that you agree to the terms and conditions, then click "Submit."

EGP reimbursements are usually paid out within 10 business days.

Submitting Medical Bills to EGP


Tracking Out-of-Pocket Expenses

Every January 1st, your EBC/HRA account clears any remaining funds from the prior year and resets your available balance based on your coverage level:

  • Employee Only = $1,650
  • Employee + Spouse or Employee + Child = $2,750
  • Employee + Family (2+ dependents) = $5,500

If you exhaust these funds before the end of the calendar year, you need to track your out-of-pocket medical expenses. Submitting your out-of-pocket medical bills to EGP will enable the amount of your out-of-pocket to be tracked. When you reach your maximum out-of-pocket spending limit, the Stone begins reimbursing your medical bills through EGP.

Your maximum out-of-pocket spending is based on your coverage level:

  • Employee Only = $900
  • Employee + Spouse or Employee + Child = $1,550
  • Employee + Family (2+ dependents) = $2,500

Preventative Care expenses are always reimbursed by either CHM or the Health Fund and do not apply to out-of-pocket totals. When submitting your bill, note in the description box that it is for preventative care. If you do not receive a reimbursement within 10 business days, reach out to Angela to confirm with EGP that this bill was correctly categorized and will be reimbursed.

Health Fund Reimbursement

If you have exhausted your EBC/HRA dollars and reached your maximum out-of-pocket spending amount based on coverage level, you may begin submitting eligible medical expenses to EGP for reimbursement through the Austin Stone Health Fund.

EBC/HRA and Health Fund/Compliance have different standards of eligibility. Not all medical expenses that were eligible for reimbursement through EBC/HRA will be eligible through Health Fund/Compliance. If you have a question about if a charge is eligible, please contact Denise or Angela.

How to Submit a Medical Bill to EGP

Take a photo or scan your itemized bill from your medical provider.

Log into your EGP portal.

  • Select "Reimburse Myself"
  • Pay From, select "Medical." Pay To, select "Me."
  • Upload valid documentation: Upload your itemized bill with discounts, if applicable. (Reminder: You can write or use a PDF text box on an itemized bill to note discounts.)
  • Claim Details:

  • Transaction Summary: Verify all details, click that you agree to the terms and conditions, then "Submit."


OR Use the EGP Mobile App

  • Download the Enterprise Group Planning (EGP) app and enter your username and password.

  • After logging in, you will be taken to the below homepage where you should select, "Reimburse Myself."

  • You will be taken to the below page where you will enter all the required information and then upload your itemized statement. (You can also use the app to submit your CHM Personal Responsibility letter.)

EGP reimbursements are usually paid out within 10 business days.