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HEALTH SAVINGS ACCOUNT
 NAME OF WELLNESS PROGRAM




          A Health Savings Account (HSA) is a savings account that belongs to you that is paired with the Base
                                                                                                                                                                                                          make tax-free contributions to a savings account to pay for current and future medical expenses for you and your
        (HDHP) plan. It allows you to make tax-free contributions to a savings account to pay for current and                                                                                             dependents.
        future medical expenses for you and your dependents.





                    START IT                   BUILD IT                    USE IT                   GROW IT
            Contributions  to  the  HSA     All  of  the  money  in  your     You  can  withdraw  your     Unused  money  in  your
             are  tax-free  for  you    HSA  is  yours  (including   money  tax-free  at  any   HSA  will  roll  over,  earn
             whether  they  come  from   any      contributions    time, as long as you use it   interest and grow tax-free
             you or the company. The    deposited   by    the      for  qualified  expenses  (a   over time.
             company     contributes    company)  even  if  you    list  can  be  found  on     You decide how to use the
             $500   for   individual    leave  your  job,  change   www.irs.gov).             HSA  money,  including
             coverage  and  $1,000  for   plans or retire.        You  can  also  save  this   whether  to  save  it  or
             family coverage.          In 2022, the total of your   money  and  hold  onto  it   spend  it  for  eligible
            Plans   with   an   HSA    contributions  and  the    for  future  eligible  health   expenses.  When  your
             typically  cost  less  than   company’s  can  be  up  to   care expenses.        balance  is  large  enough,
             other plans so the money   $3,650   for   individual                             you  can  invest  it  —
             you save on premiums can   coverage  and  $7,300  for                            tax-free.
             be put into your HSA. You   family coverage.
             save money on taxes and
             have  more  flexibility  and
             control  over  your  health
             care dollars.



                                                   Eligibility Details


            If you are age 55 or older, you can contribute an additional $1,000 per year.
            You are not allowed to be enrolled in any other health coverage, and cannot have an HSA if you are enrolled in
            any other health coverage or Medicare, or claimed as a dependent on someone else’s tax return.






               Company HSA Contribution
               If you choose to participate in the HSA, the company will contribute $500 for individual coverage, or
               $1,000 for those covering additional family members.












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