Elite Microwave Solutions Corporation Employee Benefits Guide 2021

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Health Savings Account (H.S.A.) If you choose to enroll in the High Deductible Health Plan (HDHP), you will have an H.S.A. provided by Optum Bank. An H.S.A. is a tax-advantaged savings and spending account that can be used to pay for qualified health care expenses.

THERE ARE TWO COMPONENTS TO AN H.S.A.-BASED COVERAGE PLAN: 1. A qualified health plan (the HDHP 3000) is the insurance component that provides medical coverage for you and your family.

Elite Microwave Solutions contributes $69.32 monthly to an employee’s H.S.A. bank account when enrolled in the HDHP base plan.

2. An H.S.A. with Optum Bank is the banking component which can be funded by pre-tax payroll contributions from you, Elite Microwave, or both.

HOW AN H.S.A. WORKS: 1. Enroll in HDHP 3000 plan offered by Elite Microwave The money contributed to the account is yours to keep and will roll over year after year – no ‘use it or lose it’ rule!

2. Contribute to your H.S.A. by payroll deductions: Up to $3,600 for an individual or $7,200 for a family based on 2021 IRS allowed contributions (includes total contributions allowed from you and/or your employer) An additional $1,000 may be contributed if you are 55 or older.

3. With your HSA debit card, use those funds to pay for qualified expenses such as: • copays

• hearing aids

• deductibles

• glasses/ contacts

• chiropractor

• prescriptions

• dental treatment

H.S.A. ELIGIBILITY To make tax-free contributions to an H.S.A., the IRS requires that: • You are covered by an H.S.A.-qualified medical plan (such as the HDHP 3000 plan)

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• You have no other health coverage (such as other health plan, Medicare, military health benefits, medical FSA’s)


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