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This document authorizes Yale University to reduce an employee's salary to fund their Health Savings Account (HSA) for the year 2009. It details the amount to be deducted, options for the timing of
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How to fill out Yale University Benefits Health Savings Account (HSA) Payroll Reduction Authorization

01
Obtain the Yale University Benefits Health Savings Account (HSA) Payroll Reduction Authorization form from the HR website or your HR representative.
02
Read the instructions carefully to understand the form's purpose and the benefits of the HSA.
03
Fill in your personal information, including your name, employee ID, and department.
04
Specify the amount you wish to contribute to your HSA through payroll deductions.
05
Review your selections to ensure that they align with the IRS contribution limits and your financial goals.
06
Sign and date the form to confirm your consent to the payroll reduction.
07
Submit the completed form to the HR department or through the designated submission channel.

Who needs Yale University Benefits Health Savings Account (HSA) Payroll Reduction Authorization?

01
Employees of Yale University who are enrolled in a High Deductible Health Plan (HDHP).
02
Individuals who wish to set aside pre-tax dollars for qualified medical expenses.
03
Employees looking to maximize their tax savings while funding their healthcare needs.
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If you have not used any benefits or received a plan contribution to your HSA, you may cancel your enrollment no later than 60 days after the effective date of your enrollment, and you may enroll in another plan with a retroactive effective date.
You can deduct the amount you deposit in an HSA from your taxable income. Unspent HSA funds roll over from year to year. You can hold and add to the tax-free savings to pay for medical care later. HSAs may earn interest that can't be taxed.
HSAs Have Tax Advantages This can save you money during tax time. You can also make after-tax contributions to your HSA and claim these as deductions when you file your federal income tax return. Distributions from your HSA are also not taxed as long as they're what the IRS considers “qualified” distributions.
HSAs Have Tax Advantages When you contribute to your HSA, the money comes from your paycheck before taxes are taken out. This lowers your taxable income. In other words, if you earned $70,000 and put $5,000 into your HSA, you'll only owe income taxes on $65,000 for that year. This can save you money during tax time.
You can claim a tax deduction for contributions you, or someone other than your employer, make to your HSA even if you don't itemize your deductions on Schedule A (Form 1040). Contributions to your HSA made by your employer (including contributions made through a cafeteria plan) may be excluded from your gross income.
The money you contribute to a health savings account is tax-deductible or pre-tax, and any increase in the value of your account (such as through capital gains and dividends on investments held in the HSA) is free from federal taxes — so long as withdrawals are made for qualified medical expenses (see No. 6).

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The Yale University Benefits Health Savings Account (HSA) Payroll Reduction Authorization is a form that allows employees to direct a portion of their pre-tax salary into a Health Savings Account (HSA) for medical expenses.
Employees who wish to contribute to a Health Savings Account (HSA) through payroll deduction must file the Yale University Benefits Health Savings Account Payroll Reduction Authorization.
To fill out the form, employees must provide their personal information, indicate the amount they wish to contribute from their salary, and sign the authorization.
The purpose of this authorization is to facilitate tax-advantaged contributions to an HSA, enabling employees to save for qualified medical expenses.
The information that must be reported includes the employee's name, employee ID, the amount of payroll reduction, and the employee's signature to authorize the contributions.
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