Page 8 - Future Steps
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Benefits Enrollment

Health Savings Account
Qualifying Medical

Expense (HSA)

HSA funds may be withdrawn
without tax or penalty if used for Health Savings Account (HSA)
qualiied medical expenses.
The second part of the consumer driven health plan is the HSA, a tax-
“ Qualiied medical expenses favored savings account for qualiied health expenses. Below is a summary
from IRS Section 213 (this of key features of the HSA.
is the same list used for
qualiied FSA expenses) “ Contributions made by both you and NISC are exempt from income

“ Or reference IRS Publication and social security taxes
502, “Medical and Dental “ Company HSA contributions will be made the irst payroll of each
Expenses”
month and employee contributions will be made semi-monthly
“ Employee owns and manages the account

“ Remaining balances accumulate from year to year

“ Balances over $2,500 may be invested with tax-free growth
“ You can change your contribution at any time during the year

“ HSA withdrawals for qualiied medical expenses are tax-free (all
other withdrawals are subject to tax and a 20% penalty)

HSA Contributions

Employee Employee +1 Family
NISC HSA contribution $1,200 $1,200 $1,200

HSA contribution maximum* $3,400 $6,750 $6,750

* Employees age 55 or older prior to December 31 may contribute an additional $1,000
annually as a catch-up contribution

Eligibility for HSA Contribution

“ Must elect NISC health coverage
“ Generally you cannot be covered under any other health insurance
plan, healthcare lexible spending account (FSA), Medicare part A or
B, and you cannot be claimed as a dependent on another person’s tax
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