Page 12 - Guide
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HSA Eligibility Requirements
Because there are so many advantages with the HSA, there are a few eligibility

requirements you must meet in order to open and fund an HSA. To open an HSA,
you must meet the following criteria.

X You must be enrolled in an HSA qualiied high deductible health plan, like
Hussmann’s HDHP

X You must not be covered by any other health plan which is not a HDHP

X You must not be covered by a health FSA for the tax year in which you will claim
your HSA deposits as tax deductions
X You must not be eligible to be claimed as a dependent on someone else’s tax
return

X You must not be enrolled in Medicare, TRICARE, or TRICARE for Life

X You must not have received veterans administration beneits within the past 3
months (with some exceptions)


Employer Contribution to HSA/“Seed Money”
To give you a head start to your savings, Hussmann places seed money into all
current HSA participant accounts and new HDHP participants who open an HSA.
Hussmann seeds $750 for employees enrolled in employee only coverage, and $1,500

for those enrolled in family coverage. Please note, Hussmann only places seed money
into a Optum Bank administered HSA. If you choose to go to a inancial institution
of your choice, then you will not receive the seed money.


HSA Contribution Limits for 2017* Individual Family
Maximum limit per IRS $2,650 $5,250
Hussmann HSA seed money contribution $750 $1,500

* The annual contribution limit is a combined employee + employer contribution, while the actual IRS
limits are higher than the values shown in this chart, these values include the employer contribution from
Hussmann.
Note: if you are age 55 or older, you can contribute an additional $1,000.













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