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Are there tax considerations I should be aware of?

Yes, there are. Hess intends that benefits you receive through the Adoption Assistance Program not be considered income for federal income tax purposes, to the extent permissible under Internal Revenue Code section 137. The IRS adjusts the tax credits and income limits periodically. You should consult with a professional tax advisor regarding the latest published figures. Please note that state and local taxes may also apply to benefits you receive through this program.

You are responsible for understanding the tax treatment of benefits you receive through the program and for claiming any applicable income exclusion by filing a Form 8839 along with your federal income tax return.

Consult your tax advisor for information about the tax consequences and help in filing Form 8839.

Where can I get more information about the program?

Adoption Assistance Program Overview

Hess Adoption Assistance Reimbursement Form

How do I get the Adoption Assistance Program Reimbursement Form?

Click here. You can also get the form by calling myHR at 1-713-496-7600.

Will taxes be taken out of the reimbursement?

It depends. No federal taxes will be taken out of the reimbursement, but state and local taxes may apply.

Where do I send my completed form?

Submit your form—along with scanned bills or receipts—to myHR@Hess.com. Alternatively, you can mail this form and copies of your bills or receipts to:

Adoption Assistance Program
Hess Corporation
1501 McKinney Street
Houston, TX 77010
Attn: myHR Team

How do I get reimbursed?

When the adoption is finalized, complete the Adoption Assistance Program Expense Reimbursement Request Form and submit it to:

WINFertility, Inc.
Greenwich American Center
One American Lane, Terrace Level
Greenwich, CT 06831
Attn: WINFertilitySpecialty Services

Or email to: WINSpecialtyServices@Win-Healthcare.com

Along with the form, you’ll need to submit copies of bills or receipts that substantiate the nature and amount of each expense incurred. For more information, see the Adoption Assistance Program Overview.

If I leave Hess, do I have to return reimbursements I’ve already received?

No. Any reimbursements you received prior to leaving Hess are yours to keep.

What happens if I leave Hess before I am reimbursed?

If you leave Hess, any eligible expenses incurred but not reimbursed prior to your last day at work are not eligible for reimbursement.

Must I be employed by Hess to be reimbursed?

Yes. To be eligible for reimbursement, expenses must have been incurred and the adoption must be finalized while you are employed by Hess.

What expenses are eligible for reimbursement?

Necessary and reasonable expenses for the primary purpose of adoption are eligible for reimbursement through the program. These include:

Application fees
Home suitability studies
Agency and placement fees
Legal fees and court costs
Immigration, immunization and translation fees
Parent, child and family adoption counseling