Plan Year 1/01/2021 through 12/31/2021Health Savings Account Contribution Agreement • November 19th, 2020
Contract Type FiledNovember 19th, 2020Effective with respect to amounts earned on or after / / , which date is subsequent to the execution of this Agreement, the employee’s basic salary will be reduced by the amount indicated below and forwarded to the employee’s HSA account at PNC Bank. If the employee does not wish to have a PNC account and has a current HSA with a bank of their choice, Please note the routing number and account number of that bank for the Knox College contribution only. (Salary reductions require an account through PNC.)