Page 39 - 2019 CommScope AE

How to Receive a CommScope Contribution in Your

Health Savings Account (HSA)

Participate Conirm Participation Receive CommScope Paid Use Your Money
Dollars
„ Choose from many „ Use the Rally website „ Based on the programs „ Once deposited into your
diferent types of to let us know what you participated in, HSA, the money is yours
programs programs you’ve CommScope contributes to use right away on
„ Physical, emotional and completed money to your HSA in eligible expenses or save
inancial well-being „ Each program has a $ 2019 for the future
opportunities value you can receive
toward your 2019 HSA

All employees hired between October 1 and December 31, 2018 and enrolling in either Health & Investment Plans A or B
in 2019 will receive the full HSA reward in 2019, depending on their HDHP coverage type as a one-time exception.

Remember, to receive CommScope’s contribution to your HSA, you must be eligible to contribute to an HSA, you
must have an open HSA that is administered through our partnership with Bank of America, and the contribution
must not cause you to exceed the IRS limits.

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