*You must include all employer HSA contributions towards the annual maximum you can contribute per year.
I understand that in order for my employer to contribute to a health savings account (HSA on my behalf, I must meet all of the following HSA eligibility conditions.
1. I have self-only or family coverage under the Employer Group Health Plan, which I understand qualifies as a high deductible health plan (HDHP) under Code 223 (c)(2).2. I cannot be claimed as another person's tax dependent. 3. I am not entitled to and receiving Medicare, Tri-Care or VA Benefits (including covered spouse).4. I am not covered by my spouse or domestic partner's non- HDHP, general purpose flexible spending arrangement (Health FSA) or a general purpose health reimbursement arrangement (HRA). 5. I understand that contributions to my HSA cannot exceed IRS maximum contribution guidelines.
The Plan Year funs July 1 through June 30. Note that Employer Contributions are made installments.