Page 7 - 2017 Benefits Enrollment
P. 7
Lanter Delivery Systems, Inc.
HSA Funding From Lanter for HSA Plan Participants
Employee Employee and Employee and Family
Spouse Child(ren)
Wellness Incentives
Non-Tobacco User $25 $50 $50 $50
Rally Health Risk Survey $25 $50 $50 $50
Completion of 3 Rally Missions $75 $150 $150 $150
TOTAL ANNUAL INCENTIVE POTENTIAL $125 $250 $250 $250
“Seed” Money (one-time for new enrollees only) $250 $500 $500 $500
Participation is voluntary to earn wellness incentives.
Employee only needs to complete activities to earn wellness incentives, not dependents.
How the HSA Works
Wellness Incentives and “Seed” When You Have a Healthcare Once Your Deductible is Met
Money Expense
In 2017 you are able to earn up to You decide whether or not to use You are responsible for paying
$125 for employee only and $250 the funds from your HSA or pay coinsurance expenses until you
for employee plus dependents for out-of-pocket. meet the out-of-pocket maximum.
completion of wellness activities. There will be no copays. You Once you meet the annual out-
If you are a new enrollee, you will are responsible for paying for all of-pocket maximum the plan pays
receive one-time “seed” money of medical services and prescriptions 100% of your eligible medical
$250 for employee only coverage until you meet your annual expenses.
and $500 for employee plus deductible.
dependents
Want to pay for your eligible medical expenses tax-
free?
There is no “use it or lose it” rule. Make pre-tax contributions to your HSA through payroll deduction. The IRS
contribution limits for 2017 are $3,400 for individuals and $6,750 for
Any unused money will remain in families. Individuals age 55 and older may contribute an additional $1,000 to
your HSA for future use. If you their HSA. These funds can be withdrawn at any time to pay for qualiied medical
leave, you take your HSA funds with expenses tax-free. Refer to IRS Publication 502 for a complete list of eligible
expenses at www.irs.gov/pub/irs-pdf/p502.pdf.
you.
You can contribute 1/12th of the annual IRS contribution limit for each month you are enrolled in the qualiied high deductible
health plan—Option 2—HSA plan.
If you are enrolled in a qualiied high deductible health plan as of December 1, it is deemed you had coverage in the plan for all
12 months. You can opt to make the maximum HSA contribution if you will be enrolled in a qualiied high deductible health plan
for the entire next calendar year.
7
HSA Funding From Lanter for HSA Plan Participants
Employee Employee and Employee and Family
Spouse Child(ren)
Wellness Incentives
Non-Tobacco User $25 $50 $50 $50
Rally Health Risk Survey $25 $50 $50 $50
Completion of 3 Rally Missions $75 $150 $150 $150
TOTAL ANNUAL INCENTIVE POTENTIAL $125 $250 $250 $250
“Seed” Money (one-time for new enrollees only) $250 $500 $500 $500
Participation is voluntary to earn wellness incentives.
Employee only needs to complete activities to earn wellness incentives, not dependents.
How the HSA Works
Wellness Incentives and “Seed” When You Have a Healthcare Once Your Deductible is Met
Money Expense
In 2017 you are able to earn up to You decide whether or not to use You are responsible for paying
$125 for employee only and $250 the funds from your HSA or pay coinsurance expenses until you
for employee plus dependents for out-of-pocket. meet the out-of-pocket maximum.
completion of wellness activities. There will be no copays. You Once you meet the annual out-
If you are a new enrollee, you will are responsible for paying for all of-pocket maximum the plan pays
receive one-time “seed” money of medical services and prescriptions 100% of your eligible medical
$250 for employee only coverage until you meet your annual expenses.
and $500 for employee plus deductible.
dependents
Want to pay for your eligible medical expenses tax-
free?
There is no “use it or lose it” rule. Make pre-tax contributions to your HSA through payroll deduction. The IRS
contribution limits for 2017 are $3,400 for individuals and $6,750 for
Any unused money will remain in families. Individuals age 55 and older may contribute an additional $1,000 to
your HSA for future use. If you their HSA. These funds can be withdrawn at any time to pay for qualiied medical
leave, you take your HSA funds with expenses tax-free. Refer to IRS Publication 502 for a complete list of eligible
expenses at www.irs.gov/pub/irs-pdf/p502.pdf.
you.
You can contribute 1/12th of the annual IRS contribution limit for each month you are enrolled in the qualiied high deductible
health plan—Option 2—HSA plan.
If you are enrolled in a qualiied high deductible health plan as of December 1, it is deemed you had coverage in the plan for all
12 months. You can opt to make the maximum HSA contribution if you will be enrolled in a qualiied high deductible health plan
for the entire next calendar year.
7
