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Medical Plan Choices 4

Understanding Health Savings Accounts

Who’s Eligible
You’re eligible to open a Health Savings Account (HSA) if:
• You enroll in the Anthem Blue Cross Lumenos HSA Plan or the Kaiser Permanente HSA Deductible
HMO Plan.
• Your only coverage is a high-deductible health plan. If you are covered under your spouse’s plan and
that plan is not a high-deductible plan, you are not eligible to contribute to an HSA.
• You are not covered by a traditional Health Care Flexible Spending Account (FSA) through your spouse.
• You have not signed up for Medicare coverage.
Your HSA Account is Provided through Optum
If you enroll in the Anthem Blue Cross Lumenos HSA Plan or the Kaiser Permanente HSA Deductible HMO
Plan, you will be asked to complete an Optum Health Savings Account Authorization Form. Once the
form is completed and submitted to Human Resources, your HSA will be opened with Optum.

Contributions
The maximum that you may contribute to your HSA account in 2018 is $3,450 for an individual and $6,900 for
a family. ABC Company contributes an amount equal to your deductible as follows:
Annual HSA Contributions from ABC Company

Anthem Blue Cross Kaiser Permanente
Lumenos HSA HSA Deductible HMO
Employee Only $2,700 $2,000
Family (includes one or more covered $5,400 $4,000
dependents)

ABC Company’s annual contribution amount will be paid in twelve equal monthly installments and will be
deposited directly into your HSA. If you enroll mid-year due to a life event change or as a new employee,
ABC Company’s contribution is prorated based on when you enroll. ABC Company’s contributions to your
HSA will appear on your W-2. The contributions are not subject to Federal income tax, but are subject to
State income tax if you reside in California.

You decide how much you want to contribute to your HSA up to the IRS-specified maximums:
Your HSA Contribution Maximums

Anthem Blue Cross Kaiser Permanente
Lumenos HSA HSA Deductible HMO

Employee Only $750 $1,450
Family (includes one or more covered $1,500 $2,900
dependents)

These amounts are based on IRS limits reduced by ABC Company’s contributions. You are not required to
make HSA contributions, though it is a good idea to add to your account for the tax savings and to help
pay for medical expenses. You can contribute by making tax deductible deposits directly to Optum. Visit
www.irs.gov for more information.