Page 11 - NRDC Benefits Guide for 2022

Health Savings Account (HSA)

What is an HSA?

NRDC’s HSA administrator is Fidelity. A Health Savings Account (HSA) 2022 HSA Contribution
is a tax-advantaged savings account that allows you to set aside pre-tax Limits
dollars to pay for qualified medical expenses when you’re enrolled in a (including NRDC and your
qualified High-Deductible Health Plan. It is designed to give you more own contributions)
accountability for your healthcare decisions. If you choose to enroll in the
HSA plan offered by NRDC, a bank account will automatically be opened Individual: $3,650
for you. Family: $7,300
How Does an HSA Work?

Determine the amount you
Enroll in the want to contribute from Pay for eligible
HDHP your paycheck into the medical

account expenses

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Who can use your HSA?

You, your spouse, and dependent children. If your domestic partner is an eligible dependent on your
IRS tax forms, then your domestic partner can also use the HSA, even if they’re not covered by your
health plan.

Important Information This plan offers a triple
tax-savings opportunity
 NRDC will contribute these amounts into your HSA each year: that can put more money
in your pocket because
 Individual Coverage – up to $1,000 ($38.46 bi-weekly) your contributions,
 Family Coverage – up to $2,000 ($76.92 bi-weekly) earnings, and

 NRDC contributions are funded each bi-weekly pay period withdrawals to cover
qualified medical
 Funds are yours and roll over each year. You can still use funds expenses are all tax-free.
and have the account if you switch plans, retire, or leave NRDC.
 There are additional enrollment considerations to contributing Fidelity Login:

toward an HSA when you and/or your spouse has an FSA or Netbenefits.com
prior year FSA balance. For Customer Service:
(800) 544-3716
Who cannot contribute to an HSA?

You are not eligible to contribute to an HSA if you meet the following criteria:
• You are not enrolled in a qualified high deductible health plan
• You enrolled in Medicare or TRICARE
• You are claimed as a dependent on someone else’s tax return
• You have a disqualifying alternative medical savings account, such as a Flexible Spending Account
(not limited purpose) or a Health Reimbursement Account

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