Health Savings Account (HSA). The District shall establish a Health Savings Account plan providing for pre-tax payroll deductions by the employee which conforms to the Internal Revenue Service Code for employees who qualify for, and are enrolled in, a Qualified High Deductible Health Plan (HDHP). All contributions are owned by the employee and can be rolled over and accumulated year to year.
Health Savings Account (HSA). An HSA is a tax-favored savings arrangement for members covered by high-deductible health plans (HDHPs). With HDHP coverage, an individual must pay for a certain amount of medical expenses before the HDHP begins to pay for medical expenses. In exchange for paying a certain amount up front, individuals receive less expensive insurance premiums. Individuals can use the money they save in an HSA to pay for medical expenses incurred by themselves, their spouses, or their dependents. Joint owners are not allowed on an HSA, however an authorized signer may be added. Revocable Trust Account You may open an account for a revocable trust created by you if you are a member of TruStone. The revocable trust must name a beneficiary. All transactions on the account must be performed by a trustee in their representative capacity. We may demand the Trustee(s) file a copy of the trust with us, an attorney’s opinion concerning validity of the trust and a waiver of liability. We may interview you concerning the trust. We may, in our sole discretion, refuse to open a Primary Share account in the name of the Trust, and may terminate the membership of the Trust. The Trust and its terms and conditions must be in accordance with the law. All Trustees agree to indemnify, keep indemnified and hold TruStone Financial harmless from, and against, any and all claims, demands, actions, proceedings, judgments, losses, damages, counsel fees, payments, expenses and liabilities whatsoever, which it at any time shall or may sustain or incur by and reason of: TruStone having complied with the request of the Trustee(s) concerning the account, any claims or demands which may be made with respect to the Trust, TruStone declining to honor the Trust or Certification of Trust instrument, or payment or transfer of credit which TruStone may give, make or permit with respect to this Agreement on the Trust, whether through inadvertence, accident, oversight, neglect or otherwise. The liability of the Trustee(s) under this Agreement is joint and severable, and shall accrue immediately upon the presentation of any claim by any of the Trustee(s), or any of their assigns, heirs or beneficiaries. This Agreement shall be effective and binding upon the Trustee(s)’ respective assigns, successors and legal representatives. Funds may be withdrawn on the Trust account by any Trustee.
Health Savings Account (HSA). A benefit eligible employee who selects the OEBB high deductible medical insurance plan, or declines medical insurance through the District and is enrolled in their spouse’s or partner’s non-District eligible HSA qualified high deductible plan, and who is eligible to participate in an HSAwill be eligible to receive a District contribution to their HSA account.
Health Savings Account (HSA). The County shall provide a Health Savings Account (HSA) contribution of up to $750 per year, to be provided per pay period in the amount of twenty-eight dollars and eighty-five cents ($28.85), for each employee who elects to enroll in both a High Deductible Health Plan (HDHP) and meets the requirements for HSA eligibility.
Health Savings Account (HSA). If your daily balance is $50.00 or more, a dividend rate of % will be paid on the entire balance in your account, with an annual percentage yield of % for this dividend period. Dividend rate and annual percentage yield may change within a quarter, as determined by the Board of Directors.
Health Savings Account (HSA). A. The Board will contribute fifty percent (50%) of the applicable HSA deductible amount.
Health Savings Account (HSA). Effective January 1, 2007, the County shall contribute to an employee’s HSA in the amount of one-thousand one-hundred and twenty-five dollars ($1,125) for employees with single health coverage, and two-thousand two- hundred and fifty dollars ($2,250) for employees with family health coverage. Said contribution shall be made on the first payroll in January.
Health Savings Account (HSA). The Employee has the option to participate in a Health Savings Account and pay an amount equal to the lesser of 16% or that percentage assessed to non-contractual Township employees, effective 1/1/2019, of the monthly premiums and monthly premium equivalents including, but not limited to, any applicable HRA reimbursement or fees owed by the Township to participate in the program, rounded to the nearest tenth of a dollar.
Health Savings Account (HSA). If you elect a deductible-based plan (DBP or HDBP) you may set aside an annual election of up to [$3,600] (single) and [$7,200] (family) per IRS guidelines deducted from your paycheck pre-tax and deposited directly into your HSA. The Institution will contribute into your HSA (based on your plan and coverage category election). These employer dollars count towards the IRS limit(s). For employees age 55 and older, an additional catch up contribution of $1,000 can be contributed and can be included in the total election identified below. Are you or will you be enrolled in Medicare or receiving Social Security Income in 2021: Yes No Please check your number of pay periods in the Plan Year: 20 24 26 HSA Account Type University Contribution Employee Per Pay Election Employee Total Annual Election Individual $750 (DBP) $1,200 (HDBP) Family $1,500 (DBP) $2,400 (HDBP) GRAND TOTAL * I understand that I can modify my per-pay contributions into my HSA at any time during the calendar year but that the total election noted above* cannot exceed the statutory contribution maximum allowance as defined under applicable IRS guidelines. My signature below indicates that I have read and understand this election form and the descriptive material(s) provided. I acknowledge that I have been provided access to the PayFlex Fee Schedule and PayFlex HSA Custodial Agreement which contains important disclosure information about enrollment in a HSA. Further, I have been provided the necessary authorization that will enable PayFlex to open and administer a PayFlex HSA on my behalf. ________________________________________ _______________ Employee Signature Date ________________________________________ _______________ Human Resources Development Representative Date HRD USE ONLY: [ ] PDADEDN (initials): _______ Date: ________ Audit Completed by (initials): _________ [ ] Total annual election(s) entered into reference field Date: _________ [ ] Combined Limit Field Updated
Health Savings Account (HSA). If eligible, employees enrolled in the High Deductible Health Plan will have access to a HSA. See Benefit Summary for details.
