Page 14 - 2015 Four Seasons Sante Fe/Vail Enrollment Guide
P. 14
IMPORTANT 2015 Four Seasons’ Contribution to the HSA

Please note: if your account When you enroll in the HSA Plan for 2015, Four Seasons will make an
is not successfully opened by annual contribution of $500 for single or $1,000 for family coverage into
November 30, 2015, no employer your HSA. Contributions are made twice a year, 50% in mid-January and
contributions will be made to your another 50% in mid-July. Employees must be enrolled in the HSA Plan on
HSA for the 2015 plan year. January 1, 2015 to receive the January contribution. Employees must also be
In some instances, Chase may enrolled in the HSA Plan by July 1, 2015 to receive the July contribution. For
require additional information example, if you enroll in the HSA Plan in April, you will only receive the July
in order to successfully open an contribution. If you enroll in the HSA Plan after July 1, you will not receive
HSA for you. If this is the case,
you are required to call Chase at a Four Seasons HSA contribution for 2015.
1-866-524-2483 and provide them
with the required information. You can make pre-tax contributions to your HSA through payroll
It is your responsibility to ensure deductions. It’s your choice to contribute or not. Four Seasons will
that your account is successfully contribute to your HSA regardless.
opened through Chase.

Four Seasons cannot fund the 2015 IRS contribution limits:
January employer contribution
if your HSA is not successfully z $3,350 for single coverage
opened by January 14, 2015. It z $6,650 for family coverage
will be funded at the end of the
month in which the account is Since Four Seasons is contributing to your HSA, the maximum you can
successfully opened but not after contribute in 2015 is:
November 30, 2015.

If you elect payroll deductions, no z $2,850 for single coverage ($3,350—$500)*
deductions will be made until after z $5,650 for family coverage ($6,650—$1,000)*
your HSA is successfully opened.
The above limits are for enrollments in the HSA Plan for the full 12 months.
If you enroll mid-year, you need to prorate your personal contribution limit.

Note: if you are age 55 or older by the end of 2015, you may also contribute an additional
$1,000 as a catch-up contribution for 2015

* If you receive a 50% contribution in 2015 your maximum contribution is $3,100/Single and
$6,150/Family


Important Note

Aon Hewitt does not prorate the annual contribution limit for mid-year
enrollments or changes. They will allow you to contribute up to your annual
Colour Elements limit amount based on whether you have single or family coverage at any
given time.

If you contribute over your annual limit or do not participate in the HSA Plan
for the full-year, there could be tax implications. Consult with your tax advisor
for further clariication.
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