


Health Savings Account
HEALTH SAVINGS ACCOUNT
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AN HSA IS EASY TO USE:
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•If you enroll in the medical HDHP, an HSA will automatically be opened for you. Account information will be mailed to your home in January
•There is no cost for you to open an HSA
•Monthly fees are paid by RoadHouse Cinema
HSA ELIGIBILITY
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You are eligible to contribute to an HSA if you are enrolled in the HDHP plan. You may not fund an HSA if:
You are enrolled in a non-HSA-eligible medical plan (e.g., your
spouse’s PPO plan) or a health care FSA
You are claimed as a dependent on someone else’s tax return
You are enrolled in Medicare, TRICARE, or TRICARE for Life
You have received Veterans Administration benefits in the previous three months, unless you received treatment for a condition that was/is related to your service
Additional rules apply. Please see IRS Publication 969 for more information.
CONTRIBUTIONS ARE MADE PER PAYCHECK
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Contribute up to the IRS limits
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Contributions to an HSA cannot exceed the annual IRS contribution limits. The IRS calendar year maximum contributions are:
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Employee-only coverage: $4,300
All other coverage tiers: $8,550
Employees age 55+ by December 31 may contribute an additional $1,000 catch-up contribution to their HSA.
