Page 15 - 2015 Four Seasons Sante Fe/Vail Enrollment Guide
P. 15
2015 Open Enrollment
Spouse/Partner Double z You and your spouse/partner
Coverage are enrolled in Four Seasons
HSA plan option, while
Special Issues only your spouse/partner
is enrolled in HDHP medical
If you and your spouse/partner are enrolled in the Four Seasons HSA coverage through your spouse/
plan option, at the same time your spouse/partner also may be enrolled partner’s employer. In this
in other major medical plan coverage. Any time your spouse/partner is situation, your spouse/partner
covered by two plans, the coordination of beneits rules will apply. (See the is also eligible to contribute to
coordination of beneits rules in the summary plan description). In addition, an HSA in his/her name. For
special HSA contribution rules also apply as follows: spouses, both you and your
z You and your spouse/partner are enrolled in Four Seasons HSA option, spouse are treated as having
while only your spouse/partner is enrolled in Medicare. In this situation, only HSA family coverage,
you can contribute the maximum HSA family contribution. However, combined. This means that the
your spouse/partner’s claims will be coordinated between the Four maximum HSA contribution
Seasons HSA plan option and Medicare. For your spouse/partner’s must be divided between you
claims, you can only obtain tax-free reimbursement from the HSA for and your spouse. For domestic
the portion of the claims that are not paid by either Four Seasons HSA partners, different rules apply
plan option or Medicare. to HSA contributions and you
should contact your tax advisor.
z You and your spouse/partner are enrolled in Four Seasons HSA plan For claims purposes, your
option, while only your spouse/partner is enrolled in non-HDHP spouse/partner’s claims will be
medical coverage through your spouse/partner’s employer. In this coordinated between the Four
situation, you can contribute the maximum HSA family contribution. Seasons HSA plan option and
However, your spouse/partner’s claims will be coordinated between the your spouse/partner’s employer
Four Seasons HSA plan option and your spouse/partner’s employer plan. You and your spouse/
plan. For your spouse/partner’s claims, you can only obtain tax-free partner can only obtain tax-
reimbursement from the HSA for the portion of the claims that are not free reimbursement from an
paid by either Four Seasons HSA plan option or the spouse/partner’s the HSA for the portion of the
employer plan. spouse/partner claims that are
not paid by either Four Seasons
HSA plan option or the spouse/
partner’s employer plan.
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Spouse/Partner Double z You and your spouse/partner
Coverage are enrolled in Four Seasons
HSA plan option, while
Special Issues only your spouse/partner
is enrolled in HDHP medical
If you and your spouse/partner are enrolled in the Four Seasons HSA coverage through your spouse/
plan option, at the same time your spouse/partner also may be enrolled partner’s employer. In this
in other major medical plan coverage. Any time your spouse/partner is situation, your spouse/partner
covered by two plans, the coordination of beneits rules will apply. (See the is also eligible to contribute to
coordination of beneits rules in the summary plan description). In addition, an HSA in his/her name. For
special HSA contribution rules also apply as follows: spouses, both you and your
z You and your spouse/partner are enrolled in Four Seasons HSA option, spouse are treated as having
while only your spouse/partner is enrolled in Medicare. In this situation, only HSA family coverage,
you can contribute the maximum HSA family contribution. However, combined. This means that the
your spouse/partner’s claims will be coordinated between the Four maximum HSA contribution
Seasons HSA plan option and Medicare. For your spouse/partner’s must be divided between you
claims, you can only obtain tax-free reimbursement from the HSA for and your spouse. For domestic
the portion of the claims that are not paid by either Four Seasons HSA partners, different rules apply
plan option or Medicare. to HSA contributions and you
should contact your tax advisor.
z You and your spouse/partner are enrolled in Four Seasons HSA plan For claims purposes, your
option, while only your spouse/partner is enrolled in non-HDHP spouse/partner’s claims will be
medical coverage through your spouse/partner’s employer. In this coordinated between the Four
situation, you can contribute the maximum HSA family contribution. Seasons HSA plan option and
However, your spouse/partner’s claims will be coordinated between the your spouse/partner’s employer
Four Seasons HSA plan option and your spouse/partner’s employer plan. You and your spouse/
plan. For your spouse/partner’s claims, you can only obtain tax-free partner can only obtain tax-
reimbursement from the HSA for the portion of the claims that are not free reimbursement from an
paid by either Four Seasons HSA plan option or the spouse/partner’s the HSA for the portion of the
employer plan. spouse/partner claims that are
not paid by either Four Seasons
HSA plan option or the spouse/
partner’s employer plan.
15
