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MAKING THE MOST OF HEALTH SAVINGS. HEALTH SAVINGS ACCOUNTS. abgaccess.com/hsa

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MAKING THE MOST

OF HEALTH SAVINGS.

HEALTH SAVINGS

ACCOUNTS

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What is an HSA?

A health savings account

(HSA) is a tax-exempt savings

vehicle used to accumulate

money for eligible health

care expenses. Your HSA

may be used to pay for

health care expenses as

they occur, or the funds may

remain in your account until

you need them later in life.

HSA & HDHP

To open or contribute to a health savings account (HSA), you must be covered by a qualified high-deductible health plan (HDHP). An HSA may be funded by your contributions, your employer’s contributions or both. Contributions can easily be made by payroll deduction through your employer.

HSA Advantages

HDHPs combined with the tax advantages of HSAs provide employers and employees with alternatives to the rising costs of health care by:

• Reducing premium cost.

• Paying out-of-pocket costs with pre-tax dollars. • Investing money for future needs.

Some of the significant advantages of using an HSA include:

• Contributions to the HSA and qualified expenses dispersed from the HSA are not subject to tax.

• Contributions may be invested in a variety of funds, providing excellent long-term growth potential.

• Interest and investment earnings are tax-free.

• Funds roll over from year to year so there is no “use it or lose it.” • HSAs are individually owned and portable so they are never

forfeited when you change employment, when you are no longer covered by an HDHP or when you retire.

• Upon death, the HSA becomes the property of a designated beneficiary. A spousal beneficiary receives it as an HSA and any other beneficiary as a taxable event.

• At age 65, or in the event you become disabled, disbursements for non-qualified health care expenses may be made without penalty but will be subject to income tax.

Tax Savings

Contributions made via pre-tax payroll deductions are not subject to Federal, State*, Social Security or Medicare tax. Contributions made outside of payroll are exempt from Federal and State* income tax.

*State tax applies to HSA contributions and earnings in AL, NJ and CA.

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The saving example above may vary by state and income tax bracket. Additionally, any unused money will stay in the account for future health care expenses.

Eligibility

In addition to having an HSA qualified HDHP, to be eligible for an HSA, you cannot receive benefits under Medicare or be claimed as a dependent on any other person’s tax return. Additionally, the law prohibits you from opening or contributing to an HSA if you are covered by any other health plan that is not an HDHP. However, this provision excludes specific accident, injury, disability, dental, vision and long- term care insurance as well as limited purpose flexible spending accounts (those which only pay for expenses such as vision, dental, and orthodontia).

Enrollment

Once you have determined you are eligible for an HSA, you must take the necessary steps to establish your account and set up your pre-tax payroll deductions (if applicable). Your employer will provide specific directions for this process. When you enroll, an account will be created for you at Alliance Benefit Group North Central States, Inc. (ABGNCS) and with our Trustee partner, as referenced in the terms and conditions of your HSA agreement. You will also be issued two Benny™ Prepaid

Visa® Cards for point-of-sale use to pay for approved health care expenses.

Contributions

If you are eligible for an HSA, you may

contribute up to the maximum allowed by law for each tax year. These limits are based on your level of HDHP coverage (Single or Family) and are adjusted annually for inflation. HSA owners who are or will attain age 55 during a tax year are also eligible to make a catch-up contribution. The catch-catch-up contribution is only available for the HSA owner, spouses would have to establish their own HSA to take advantage of the catch-up. Refer to the

insert for the current contribution amounts.

If you are married and each spouse has single HDHP coverage, you can both contribute the single amount into your own HSA. If at least one spouse has family coverage, the family amount can be split any way you choose between both accounts.

If you begin HDHP coverage mid-year, you may contribute the entire annual maximum contribution allowed. However, you must remain HSA-eligible through the following calendar year in order for the entire contribution to be excluded from taxation Example: An employee begins coverage in an HDHP in May and puts the entire annual maximum into his/her HSA. In order for the entire amount to be excluded from taxation, the employee must remain on the HDHP

through December of the following year. If the employee ceases to be covered by an HDHP, then one-third of the contribution (January through April) is ineligible and would need to be withdrawn and taxed.

.

investing for the future.

Without HSA With HSA Annual Wages $40,000 $40,000 Expenses Paid by HSA N/A $3,000 Taxable Wages $40,000 $37,000 Expenses not paid by HSA $3,000 N/A Take Home Pay $27,000 $27,750

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Distributions

You can take a distribution from your HSA at any time. Distributions for eligible health care expenses are tax-free. If you take a distribution from your HSA for non-health care expenses, the distribution will be subject to income tax and a 20% excise tax until age 65 and then only income tax would apply. If you are disabled or reach age 65, you can receive non-health care distributions without penalty, but such distributions are subject to income tax.

Eligible Expenses

Your HSA covers a wide variety of health care expenses as defined by Section 213(d) of the Internal Revenue Code. These expenses must be necessary for the treatment or alleviation of a specific injury or illness, including:

• Hospital or clinic services, prescription

medications and many other health-related expenses.

• Some services are not covered by the HDHP and therefore do not accumulate towards your deductible, such as dental, orthodontia or vision expenses.

• Eligible expenses incurred by your spouse and qualified tax dependents, even if they are not covered by your HDHP.

• Premiums for COBRA, long-term-care insurance (federal limits apply) and health coverage you have while

receiving unemployment compensation. Additionally, once you reach age 65 your HSA also covers Medicare and other health plan premiums, with the exception of Medicare supplements.

Eligible HSA expenses do not include services which have been reimbursed by another source or any expense for which you have claimed a tax deduction.

Examples of eligible

medical expenses:

Acupuncture Alcoholism Treatment Ambulance Artificial Limbs/Teeth Bandages

Birth Control Pills Blood Pressure

Monitoring Devices Blood Sugar Test Kit Body Scan Chelation (EDTA) Therapy Chiropractors Circumcision Copays/Deductibles Contact Lenses/ Related Material Counseling (excludes marriage) Crutches Dental Treatment Dentures Diabetic Supplies Diagnostic Services Drug Treatment Egg Donor Fees Eye Exams/Glasses Fertility Treatment Flu Shots Glucose Monitoring Devices Guide Dog Hearing Aids Home Care Hormone Replacement Therapy Hospital Services Immunizations Inclinator Insulin Laboratory Fees

Laser Eye Surgery Learning Disability Medical Records Charge Medical Services Nursing Services Obstetrical Expenses Occlusal Guards Operations Optometrist Organ Donors Orthodontia Osteopath Oxygen Physical Exams Physical Therapy Prescription Drugs Prosthesis Psychiatric Care Psychoanalysis Psychologist Reading Glasses Screening Tests Sleep Deprivation Treatment Smoking Cessation Programs Sterilization Procedures

Supplies for Medical Condition Surgery Therapy Transplants Vaccines Vasectomy Vision Correction Procedures Wheelchair X-Ray Fees

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Use your debit

card to get more

out of your HSA:

• Swipe your debit card at places where you and your family members have health care services.

• Request a distribution payment online. Payment can be sent to you or to the service provider for a small fee.

• Complete and submit a Distribution Request Form and payment is sent to you by check or direct deposit.

Submit a Claim

Go online to www.abgaccess.com and log into your HSA. Upon signing in, select ‘Make HSA Distribution’ from the main page, complete the fields and click Submit.

Regardless of the method used to request funds, only the amount in your account is available. This amount may fluctuate due to interest earnings, investment returns or appropriate fees.

Your Responsibilities

As the account owner, you are responsible for the following important items pertaining to your HSA: • Determining that you are eligible to establish

and fund an HSA, and that you remain eligible throughout the year.

• Ensuring your contributions do not exceed the annual limit, including the prorated limit if you lose HSA eligibility during the year.

• Maintaining records of all health care documentation.

• Filing Form 8889 with your income taxes.

Saving Receipts

Since the HSA is in an individually owned Trust, it is the account owner’s responsibility to retain records for all health care expenses paid from the account. It is important to retain all receipts and adequate records for expenses paid with HSA funds in the event of an IRS audit, such as: • Medical plan Explanation of Benefits (EOB) • Prescription Drug Receipts

• Itemized Provider Statements

Our Expense Tracker assists you with this process by allowing you to securely upload and store your itemized health care documentation on our website. This secure storage solution means no shoebox full of receipts sitting on your shelf! Plus, you are able to flag expenses for reimbursement whenever you choose. Documentation can be added to the Expense Tracker online or via our mobile app.

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Investing HSA Funds

The money contributed to your HSA will be deposited into an interest-bearing, FDIC-insured account. Once your HSA balance exceeds $2,000, you will have the option to invest in a variety of mutual funds. You will be required to maintain a minimum $2,000 “threshold” or cash balance in order to invest additional money in the mutual fund options. If you elect to invest in the mutual funds, you will be asked to define your investment threshold. This can be the $2,000 minimum or any greater amount. Your debit card will always be linked to the balance in your cash

account. Keep this in mind when deciding the right threshold amount for your HSA. Remember, you can easily transfer your HSA funds from cash to mutual funds, and vice versa, at any time.

Discover more information on managing investments on the abgaccess. com login page under “Resources”.

Auto-Sweep:

If you swipe your debit card for $100 or more, it will trigger an auto-sweep, meaning money is transferred from the mutual fund investments back to your cash account to replenish the available cash balance. The sale from the mutual funds will be pro-rata by fund balance. If the swipe is under $100, the auto-sweep will not happen until additional swipes occur, bringing the cumulative total to $100 or more.

Living today.

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Account Access

Once you are enrolled, you may access your account online at

www.abgaccess.com. This one-stop portal provides you with anytime,

anywhere access to your HSA, allowing you to:

• Review your HSA balance, update personal information and request disbursements.

• Access your HSA investment portal including fund performance and prospectus information for the available mutual funds.

• Access monthly account summary reports.

• Upload and store itemized receipts for health care expenses to your Expense Tracker.

Go Mobile

You can also manage your HSA on the go! The BeneFIT access™ mobile app allows you to:

• View your account balance, activity and transaction details.

• Submit new items to the Expense Tracker using your device’s camera. • Easily contact with our customer service team.

Download the App

The BeneFIT access™ mobile application is available for iPhone, iPad, iTouch and Andriod devices. To access this free mobile application:

• Search for “BeneFIT™ access” at the Apple App Store or Google Play, or; • Download the application directly at www.abgaccess.com.

• Log into your account and select ‘Download Mobile App’ from the message center.

Logging in

• Upon successful installation, enter your username and password on our website, abgaccess.com.

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HSA.15.02.26

Learn more and discover the possibilities.

Visit www.abgaccess.com for additional HSA information and resources.

201 East Clark Street | P.O. Box 1226 | Albert Lea, MN | 56007-1226 | 877.661.4727

Future you

References

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