Page 5 - Cylance EE Guide 01-19 All Employees

BENEFITS

Medical Insurance

How the Health Savings Account (HSA) Works

A Health Savings Account (HSA) is a tax-advantaged account that you own. In 2019 based upon your length of employment,
Cylance will make annual contributions totaling up to $500 toward your employee health savings, $1,000 toward your Employee +
Spouse OR Child(ren) health savings, or $1,500 toward your Employee + Spouse AND Children health savings. Cylance’s
contribution will be deposited in your account whether or not you decide to make your own contributions. In addition to Cylance’s
contribution, you may elect to make contributions into your account up to IRS maximums. IRS maximums for 2019 are $3,500 for
employee coverage and $7,000 for family coverage. If you are 55 years of age or older in 2019, the IRS also permits you an
additional catch-up contribution of $1,000. The portion of your paycheck that you contribute to your HSA will be taken out before
you pay federal income taxes, Social Security taxes and most state taxes (excluding state taxes in AL, CA and NJ). Any contributions
you make can be increased or decreased over the course of the year. The total of all contributions cannot be more than the
maximums defined by the U.S. Treasury and the IRS.

The money in your HSA is yours to save and spend on eligible health care expenses whenever you need it, whether in this plan year
or in future plan years. You can use the funds in your account to pay tax-free for qualifying out-of-pocket Medical, Dental and
Vision expenses such as deductibles, coinsurance and copays. Your account balance earns interest and the unused balance rolls-
over from year to year. The money is yours to keep even if you leave Cylance, no longer participate in a high deductible health plan
(like the HSA), or retire. You may continue to make contributions to your HSA if you enroll in another qualified high deductible
health plan, or elect COBRA continuation coverage of your HSA coverage if your employment terminates.

Eligible HSA Expenses Include:

Medical Dental Vision Other
Doctors/Nurses Artificial Limbs Dentists Optometrists COBRA
Prescription Drugs Insulin Treatment Orthodontists Ophthalmologists Premiums
Hospital Sterilization Teeth Cleaning Exams Long-Term Care
Lab work Alcohol Treatment X-Rays Glasses Premiums
X-Rays Acupuncture Fluoride Contact Lenses Medicare
Ambulance Chiropractic Treatments Lasik Surgery Premiums
Durable Medical
Equipment
Ineligible HSA expenses include expenses that are not medical or health related as well as cosmetic surgery.
HSA Tax Savings Comparison Without the HSA With the HSA

Gross Annual Pay $45,000 $45,000
Employee pre-tax HSA contributions are used to pay for annual healthcare Not Elected $2,500
expenses (Medical, Dental, Vision and Other—see above)

Taxable Gross Income $45,000 $42,500
Payroll Taxes (at 30%) $13,500 $12,750
Employee-Funded HSA Bank Account $0 $2,500

Net Pay $31,500 $32,250
Annual Savings with Pre-Tax HSA Deduction $0 $750

About Anthem ActWise
Anthem ActWise is the administrator of our HSA plan through Cylance. It is fully integrated with Anthem Blue Cross so when you
enroll in the HSA Plan, a tax advantaged Health Savings Account (HSA) will be automatically created for you. It’s up to you to acti-
vate the HSA account with PNC Bank. In order to check your balance and control your account, go to www.anthem.com/ca
After you log in, select Spending Accounts under the Menu tab. There you will find your current HSA balance.

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