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Health Savings Account (HSA)



If you enroll in either the Health & Investment Plan A Your HSA is your own account. The funds accumulate
or B (High Deductible Health Plans or HDHPs), you and rollover year to year. If you terminate your
may be eligible for an HSA. An HSA allows you to coverage or employment you are able to take those
save for your health expenses by contributing pre-tax funds with you and use them for future eligible health
dollars from your paycheck. If you are enrolled in a expenses. Please note: if you terminate enrollment in
CommScope Health & Investment Plan A or B with a qualiied HDHP you can no longer contribute to the
an HSA in 2019 through Bank of America, you can HSA but you can still access your existing HSA balance.
also receive a company contribution in your HSA in The company HSA contribution counts toward your
2019. Active employees with employee only coverage annual HSA contribution maximum.
can receive up to $500 and active employees with 2019 HSA Limits
employee + dependent coverage can receive up to
$1,000 in 2019, depending on their completion of In the 2019 calendar year, the IRS limits the amount
well-being activities through October 31, 2018. Active you can contribute to your HSA to the following caps:
eligible employees will receive up to $500 in January, 2019 Maximum HSA Contribution*
2019 and up to $500 in July 2019 if they enrolled in Employee Coverage $3,500
employee + dependent HDHP coverage in 2019. Family Coverage $7,000
You can receive CommScope’s contribution or make When deciding how much you want to contribute
pre-tax contributions on your own only if you are to your HSA, be sure to account for what you might
eligible to contribute to an HSA (under IRS rules), you receive in company contributions toward your annual
have an open HSA that is administered through our maximum HSA contribution. Your contribution limit
partnership with Bank of America, and the contribution must include any funds received from CommScope.
will not cause you to exceed the IRS limits. You may use The 2019 HSA catch-up contribution limit for
your HSA funds to cover eligible healthcare expenses, participants who will be age 55 or older in 2019
now or in the future. If you do not have your HSA debit remains $1,000.
card at the time of service you can pay your healthcare
provider with check or credit card, then reimburse * Different limits may apply if you are not enrolled in
the same coverage for all of 2019 or if you had a
yourself later from your HSA account. Remember to CommScope general purpose Healthcare Flexible
keep all receipts for tax purposes. Spending Account in 2018.

Did You Know?

Your HSA funds can be used to pay for qualiied health expenses for dependents not covered on your plan,
dental and vision expenses, and long-term care or Medicare premiums.


CommScope Benefits Bank of America
Service Center „ www.myhealth.bankofamerica.com

„ Go to the CommScope Spectrum homepage and „ 800.718.6710
access the U.S. employee beneits website
„ Download the free Bank of America mobile app
„ www.commscopeconnect.com from your smartphone’s app store

„ 833.554.4110

14 ANNUAL ENROLLMENT GUIDE BENEFITS 2019
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