Common use of Medical Savings Account Clause in Contracts

Medical Savings Account. Nurses will have a choice of either a Health Reimbursement Account (HRA) or a Health Savings Account (HSA) based on their medical plan election. Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings (HSA) Medical Plan Earned health incentive cContribution – up to Note: Amounts are prorated for nurses hired mid-year $700 Individual $1,400 Family $700 Individual $1,400 Family Annual in-network net deductible (deductible minus health incentive) $450 per person $900 max per family $800 employee only $1,600 if covering dependents Annual in-network out- of-pocket maximum (with in-network deductible) $3,300 per person $6,600 max per family $3,000 employee only $6,000 if covering dependents Annual in-network net out-of-pocket maximum (with in-network deductible minus health incentive) $2,600 per person $5,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network net deductible (deductible minus health incentive) $1,600 per person $3,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network out-of-pocket maximum (with out-of-network deductible) $6,600 per person $13,200 per family $6,000 employee only $12,000 if covering dependents Annual out-of-network $5,900 per person $5,300 employee only net out-of-pocket maximum (with out-of- network deductible minus health incentive) $11,800 max per family $10,600 if covering dependents Any balance left in year in the Health Reimbursement Account (HRA) or the Health Savings Account (HSA) that is unused at the end of the plan year may be rolled over to the HRA or HSA account for the next plan year in accordance with the terms of the accounts. If the nurse has been employed for at least five (5) consecutive years with the Medical Center, he or she may use the money in the HRA deposited prior to 2016 upon termination of employment for purposes permitted by the plan. Nurses on an unpaid leave may also use the balance in the HRA to pay for COBRA premiums.

Medical Savings Account. 3 Nurses will have a choice of either a Health Reimbursement Account (HRA) or a Health Savings 4 Account (HSA) based on their medical plan election. Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings (HSA) Medical Plan Earned health incentive cContribution – up to contribution Note: Amounts amounts are prorated for nurses hired mid-year $700 Individual $1,400 Family $700 Individual $1,400 Family Annual in-network net deductible (deductible minus health incentive) $450 per person $900 max per family $800 employee only $1,600 if covering dependents Annual in-network out- ofout-of- pocket maximum (with in-network deductible) $3,300 per person $6,600 max per family $3,000 employee only $6,000 if covering dependents Annual in-network net out-out- of-pocket maximum (with in-network deductible minus health incentivedeductible) $2,600 per person $5,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network net deductible (deductible minus health incentive) $1,600 per person $3,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network out-of-pocket maximum (with out-of-network deductible) $6,600 per person $13,200 per family $6,000 employee only $12,000 if covering dependents Annual out-of-network $5,900 per person $5,300 employee only net out-of-pocket maximum (with out-of- network deductible minus health incentive) $11,800 max per family $10,600 if covering dependents 1 Any balance left in year in the Health Reimbursement Account (HRA) or the Health Savings 2 Account (HSA) that is unused at the end of the plan year may be rolled over to the HRA or HSA 3 account for the next plan year in accordance with the terms of the accounts. If the nurse has 4 been employed for at least five (5) consecutive years with the Medical Center, he or she may 5 use the money in the HRA deposited prior to 2016 upon termination of employment for 6 purposes permitted by the plan. Nurses on an unpaid leave may also use the balance in the 7 HRA to pay for COBRA premiums.. 8

Medical Savings Account. 2 Nurses will have a choice of either a Health Reimbursement Account (HRA) or a 3 Health Savings Account (HSA) based on their medical plan election. Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings (HSA) Medical Plan Earned health incentive cContribution – up to Health Incentive Contribution Note: Amounts are prorated Prorated for nurses hired midNurses Hired Mid-year Year $700 Individual per person $1,400 Family max per family $700 Individual employee only $1,400 Family if covering dependents Annual inIn-network net deductible Network Net Deductible (deductible minus health incentiveDeductible Minus Full Health Incentive) $450 per person $900 max per family $800 employee only $1,600 if covering dependents Annual inIn-network out- ofNetwork Out- Of-pocket maximum Pocket Maximum (with inIn-network deductibleNetwork Deductible) $3,300 per person $6,600 max per family $3,000 employee only $6,000 if covering dependents Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings (HSA) Medical Plan Annual inIn-network net outNetwork Net Out-ofOf-pocket maximum Pocket Maximum (with inOut-network deductible minus health incentiveOf- Pocket Maximum Minus Full Health Incentive) $2,600 per person $5,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network net deductible (deductible minus health incentive) $1,600 per person $3,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network out-of-pocket maximum (with out-of-network deductible) $6,600 per person $13,200 per family $6,000 employee only $12,000 if covering dependents Annual out-of-network $5,900 per person $5,300 employee only net out-of-pocket maximum (with out-of- network deductible minus health incentive) $11,800 max per family $10,600 if covering dependents 1 Any balance left in year in the Health Reimbursement Account (HRA) or the Health 2 Savings Account (HSA) that is unused at the end of the plan year may be rolled 3 over to the HRA or HSA account for the next plan year in accordance with the terms 4 of the accounts. If the nurse has been employed for at least five (5) consecutive 5 years with the Medical Center, he or she may use the money in the HRA deposited 6 prior to 2016 upon termination of employment for purposes permitted by the plan. 7 Nurses on an unpaid leave may also use the balance in the HRA to pay for COBRA 8 premiums.

Medical Savings Account. 2 Nurses will have a choice of either a Health Reimbursement Account (HRA) or a Health 3 Savings Account (HSA) based on their medical plan election. Plan Feature Health Reimbursement (HRA) Medical Plan Health Savings (HSA) Medical Plan Earned health incentive cContribution contribution – up to Note: Amounts are prorated for nurses hired mid-year $700 Individual $1,400 Family $700 Individual $1,400 Family Annual in-network net deductible (deductible minus health incentive) $450 per person $900 max per family $800 employee only $1,600 if covering dependents Annual in-network out- ofout-of- pocket maximum (with in-in- network deductible) $3,300 per person $6,600 max per family $3,000 employee only $6,000 if covering dependents Annual in-network net out-of-of- pocket maximum (with in-in- network deductible minus health incentive) $2,600 per person $5,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network net deductible (deductible minus health incentive) $1,600 per person $3,200 max per family $2,300 employee only $4,600 if covering dependents Annual out-of-network out-of-of- pocket maximum (with out-of-of- network deductible) $6,600 per person $13,200 per family $6,000 employee only $12,000 if covering dependents Annual out-of-network $5,900 per person $5,300 employee only net out-of-pocket maximum (with out-of- of-network deductible minus health incentive) $5,900 per person $11,800 max per family $5,300 employee only $10,600 if covering dependents 1 Any balance left in year in the Health Reimbursement Account (HRA) or the Health 2 Savings Account (HSA) that is unused at the end of the plan year may be rolled over to 3 the HRA or HSA account for the next plan year in accordance with the terms of the 4 accounts. If the nurse has been employed for at least five (5) consecutive years with 5 the Medical Center, he or she may use the money in the HRA deposited prior to 2016 6 upon termination of employment for purposes permitted by the plan. Nurses on an 7 unpaid leave may also use the balance in the HRA to pay for COBRA premiums.