b'Healthcare ElectionsHEALTH SAVINGS ACCOUNT (HSA)Deposit, Grow, Save and Pay. Extend Your Health Care Dollars.When you elect medical coverage under the Gold Plan, a Health Savings Account (HSA) is created on your behalf. An HSA is a pre-tax benefit account used to pay for eligible medical, dental, and vision care expenses that arent covered by your insurance plan, or items that apply towards your deductible, copays, and coinsurance. Its a smart, simple way to save money while keeping you and your family healthy and protected.The money comes out of your paycheck over the course of the year. The amount you contribute to the HSA is not subject to Social Security (FICA), federal, state, or local income taxes effectively adjusting your annual taxable salary.Deposit your health care dollarsPayroll Deduction: Make pre-tax payroll deductionsDeposits: Additional deposits can be made with deposit forms, website and online transfers from your bank.Contribution limits: The IRS sets guidelines for how much you can contribute to an HSA each year. See below for individual, family and catch-up amounts.Grow your savingsEarnings: Deposits to your HSA can eventually be invested and could earn income tax-free interest.Carry-over: There is no use it or lose it - unspent funds remain in your account if you change jobs or retire.Save on taxesContributions: Contributions to your HSA are tax-deductible up to the annual limit.Distributions: HSA funds used to pay for qualified medical expenses are tax free.Earnings: Interest you may earn on your HSA grows income tax free.Pay for health care, now or laterQualified medical expenses: Pay for current and future medical, dental, and vision expenses for you, your spouse and your eligible dependents. You can continue to use the funds in your account even if you stop participating in a high- deductible health plan (although you cannot contribute more to it).Payment methods: Use your debit card to pay pharmacies, doctors, clinics and other health care providers on the spot. Or, withdraw funds to reimburse yourself for out-of-pocket expenses.Tax implications: Keep your receipts! Funds used for non-qualified expenses will be taxed as income and subject to a 20% penalty. If you are 65 and older, the 20% penalty does not apply.12'