Page 15 - 2022 Clari Open Enrollment Benefits Guide
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How Much You Can Contribute?
                                                                                         Don’t miss out on HSA money from Clari

                  HSA IRS ANNUAL CONTRIBUTION LIMITS                                                         $1200


         Employee Only              up to $3,650 per year
                                                                                                        per year - Employee only
         Employee + Family          up to $7,300 per year                                                    $1200

        * Annual contribution limits are set by the IRS and are subject to change
                                                                                                  per year - Employee + Dependent(s)
        The annual limit includes both contributions from the company
        and any additional money you choose to contribute to your HSA.                       Amounts per-pay-period are $50 employee only and
                                                                                                        $50 employee + dependents.

         Examples of HSA Eligible Expenses:

        •  Deductibles, copays and coinsurance

        •  Prescriptions and over-the-counter medications
        •  Feminine hygiene products                                                  Manage your HSA on naviabenefits.com

        •  Eye care materials or procedures
                                                                                    Check here for a list of eligible expenses. Participants in an HSA should
        •  Chiropractic care                                                        consult their tax advisor with any questions.
        •  Orthodontic or other dental treatments

        Guidelines for HSA eligible expenses are set by the IRS.









                       Quick Tip                                                                  Important

                       If you are over age 55, you can contribute an                              State tax applies to HSA contributions for residents of
                       additional $1,000 to your HSA annually.                                    California, Alabama and New Jersey.







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