Page 7 - 2016 Enrollment
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Capsa Solutions




Health Savings Account Reimbursements


(HSA) Money must physically be in your HSA
before you can be reimbursed. You
will not be taxed on reimbursements
A health savings account (HSA) is a banking account that provides an for qualiied medical expenses which

option to set aside tax-free money for medical expenses that can be include but are not limited to the
used anytime in the future, even after you leave Capsa. following.

Eligibility „ Out-of-pocket medical, dental, and

In order to establish an HSA the following must apply. vision expenses
„ Lasik eye surgery
„ You enroll in one of the BCBS Qualiied HDHP options „ Orthodontia
„ You ARE NOT enrolled in health insurance (including a spouse’s
plan) that is not qualiied HSA compatible coverage „ COBRA premiums

„ You ARE NOT enrolled in Medicare, TRICARE, or TRICARE Additional Information
for Life HSAs are banking accounts and

„ You ARE NOT a dependent on another person’s tax return banking fees may apply. Many HSAs

„ You have NOT received Veterans Administration beneits in earn interest and provide options to
preceding three months (unless you are receiving VA beneits for invest in mutual funds.
a service related disability)
To read more about HSAs, go to
Contributions www.optumhealthbank.com.

Each year, the IRS establishes limits on the amounts that can be
contributed to HSAs. The annual limits for 2016 are $3,350 for
persons enrolled in employee only coverage and $6,750 for persons
covering one or more dependents. There is also an annual catch-up
contribution of $1,000 for persons aged 55 and over.


If you establish an HSA, Capsa will send pre-tax deductions from
your paycheck to your HSA. If you are opening an HSA for the
irst time and are unsure of where to start, you can open your HSA

through OptumHealth Bank. You can ind out more about an HSA
through OptumHealth Bank at www.optumehealthbank.com. Please
note deduction amounts can be changed throughout the year if
necessary.


Your account balance rolls over from year-to-year. Your account is
also portable, and you take it with you when you leave the company.



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