Please complete the attached HSA contribution form if you would like to participate. You do not need to complete the form if you will not be contributing. Contact HR with any questions.
HSA LIMITS FOR 2022
(See IRS Publication 969 for complete HSA rules)
| FAMILY COVERAGE | SINGLE COVERAGE | CATCH UP (AGE 55 & OLDER) |
| $7,300 ANNUAL LIMIT | $3,650 ANNUAL LIMIT | $1,000 ANNUAL LIMIT |
| $1,800/yr. FCC CONTRIBUTION | $900/yr. FCC CONTRIBUTION | NO FCC ANNUAL CONTRIBUTION |
| $150/mo. FCC CONTRIBUTION | $75/mo. FCC CONTRIBUTION | NO FCC MONTHLY CONTRIBUTION |
| $5,500/yr. EMPLOYEE CONTRIBUTION LIMIT | $2,750/yr. EMPLOYEE CONTRIBUTION LIMIT | $1,000/yr. EMPLOYEE CONTRIBUTION LIMIT |
| $229.17/24 PAYCHECK DEDUCTIONS LIMIT | $114.58/24 PAYCHECK DEDUCTIONS LIMIT | $41.67/24 PAYCHECK DEDUCTIONSLIMIT |
CONTRIBUTION AMOUNTS CAN BE CHANGED AT ANY TIME.