Per-Pay-Period Cost
$271.84
01/01/
01/01/
You
Pat
Morgan
Cameron
1 Who do you want to cover?
2 Which Medical plan would you like?
| Plan Options |
Per-Pay-Period Cost View All Costs |
|---|---|
| $ | |
| $ | |
| $ | |
| $ |
Note If you choose a High Deductible Health Plan (HDHP), you get additional tax savings. Don't forget to open your Health Savings Account (HSA) or select your contribution amount.
Note The IRS maximum contribution is $3,500 for individuals or $7,000 for families. If you are age 55 or older, or turn age 55 anytime in , you can add an additional $1,000 contribution. If you have already made contributions to another HSA this year, you will need to factor that into your planned contributions below. Your total HSA contributions cannot exceed the annual limits.
Health Savings Account Eligibility
To be eligible to open a BenefitWallet HSA you must meet all the IRS criteria.
- You are covered by a qualified High Deductible Health Plan (HDHP). For example, the Consumer Choice 1200/2400 plan.
- You are not covered by another health insurance plan with a low deductible (such as being covered by a spouse's low deductible plan).
- You do not have a spouse enrolled in an employer's general purpose Health Care FSA plan or Health Reimbursement Account (HRA). (tell me more)
- You are not enrolled in Medicare, and
- You cannot be claimed as a dependent on another individual's tax return.
View detailed HSA Eligibility requirements at the IRS web site.
HSA Contributions
Maximize your HSA contributions. Save more on today's health care expenses and build your health care safety net. (tell me more)
| Your Contributions |
Company Contributions |
Total Contributions |
|||
|---|---|---|---|---|---|
|
|
$0 in
|
$1,000 in
|
$1,000 in
|
||
|
|
$0 per pay period
|
$1,000 in
|
$1,000 in
|
||
|
|
$6,000 in |
$226.92 per pay period |
$1,000.00 in
|
$7,000 in
|
|
|
|
|||||
Warning This amount exceeds the Federal 2018 HSA contribution limit of $6,900 per year.
Alert If you choose to not open a Health Savings Account (HSA), you will not receive up to $1,000 in contributions from your company!
Success You have completed your application for a Health Savings Account (HSA) with BenefitWallet. Please allow 3 - 5 business days to complete processing.
Per-Pay-Period Cost
$0.00
01/01/
01/01/
You
1 Who do you want to cover?
| You Only |
| You + Spouse |
| You + Child(ren) |
| You + Family |
2 Which option would you like?
| Plan Options | Per-Pay-Period Cost |
| I do not have a working spouse | $0.00 |
| My working spouse is not eligible for other coverage | $0.00 |
| My working spouse is eligible for other coverage | $27.00 |
1 Who do you want to cover?
2 What dental plan would you like?
| Plan Options | Per-Pay-Period Cost View All Costs |
|---|---|
| $ | |
| $ | |
| $ |
1 Who do you want to cover?
2 What vision plan would you like?
| Plan Options | Per-Pay-Period Cost View All Costs |
|---|---|
| $ | |
| $ | |
| $ |
1 Which option would you like?
| Plan Options | Coverage Amount | Per-Pay-Period Cost |
| No coverage | $0.00 | $0.00 |
| 1 x Base Pay | $50,000.00 | $0.00 |
| 2 x Base Pay | $100,000.00 | $7.00 |
| 3 x Base Pay | $150,000.00 | $10.50 |
| 4 x Base Pay* | $200,000.00 | $14.00 |
| 5 x Base Pay* | $250,000.00 | $17.50 |
* Indicates you must complete Evidence of Insurability (EOI) for this level of coverage.
Total
$319.54
Did you know your Employer will pay $1,200.00 towards your benefits? (tell me more)
Phone: 877.776.6211