If you enroll in the Choice HSA Plan or a Kaiser HMO with HSA Plan (CA, CO, OR, WA), you have the option to contribute to a Health Savings Account (HSA). The HSA offers tax savings and can be used to cover medical, pharmacy, dental and vision expenses now or in the future. Unlike money in a Flexible Spending Account (FSA) that you must “use or lose,” the funds in your HSA roll over each year and continue to build. You can use funds as soon as they are deposited, or you can save them to pay for future eligible health expenses, even those you incur after you retire. Your HSA funds are also portable, so if you leave the Company, you can take your account balance with you. Health Savings Account Open Your HSA with Fidelity If you enroll in the Choice HSA Plan or Kaiser HMO with HSA, you must open your HSA online with Fidelity using the netbenefits.com website. Follow these steps: 1) After you make your enrollment elections in Workday, watch for an email or postcard from Fidelity with information about your Fidelity HSA. 2) Log in to netbenefits.com. You will be prompted to create an account if you don’t already have an account for your 401(k). 3) Once you are logged in to the Fidelity website, click on the link to Open Your HSA. If you have questions, call Fidelity at 800-835-5095. Health Savings Account At-a-Glance Who is eligible? You are eligible to contribute to an HSA if you are: • Enrolled in an HSA-qualified medical plan; • N ot covered by any other medical plan (through your spouse or as a retiree), including a Health Care FSA; • Not enrolled in Medicare, Medicaid or TRICARE; and • Not claimed as a dependent on another person’s tax return. HSA advantages • Your contributions are tax-free* and reduce your overall taxable income. • You never pay taxes on withdrawals for qualified health care expenses. • U nlike the Medical FSA, you won’t lose your HSA balance if you don’t spend it. You take it with you if you change jobs, retire, or leave the health plan. How much can be contributed to an HSA? • Up to $4,300 if you have Employee Only coverage. • Up to $8,550 if you have Employee + Dependents coverage. • Additional $1,000 if you are age 55 or older. • I f your spouse contributes to an HSA, your combined contributions may not exceed $4,300 if you have Employee Only coverage or $8,550 if you have Employee + Dependents coverage. • You can invest your HSA balance, and there is no minimum account balance required. What can be paid from your HSA? • Y ou can use your HSA for medical, dental, vision and pharmacy expenses for you and any family member who qualifies as a dependent on your tax return. • F or a complete list of eligible expenses visit the official IRS website at http://www.irs.gov/publications/p502/index.html. Using your HSA • U se the Fidelity HSA debit card, or submit expenses online at netbenefits.com. • Y our account balance and information on claims is available 24/7 on your netbenefits.com or in the Fidelity app. • Your account balance is NEVER forfeited; unused amounts stay in your account. *State taxes will apply if you live in California, Alabama or New Jersey. 17
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