Get the free HSA ELECTION FORM 2017

HSA ELECTION FORM 2017Congratulations on selecting the HSA! The maximum combined contribution cannot exceed $3,400 for individual coverage or $6,750 for family coverage per the 2017 IRS Health Saving

How to fill out hsa election form 2017

How to fill out hsa election form 2017

1. Read the instructions provided with the HSA election form carefully.
2. Obtain the HSA election form for the year 2017 from your employer or benefits administrator.
3. Fill out your personal information accurately, including your name, address, and social security number.
4. Indicate your desired contribution amount for the HSA account on the form.
5. If applicable, choose your spouse or dependent information and indicate their contribution amount.
6. Sign and date the form once you have completed filling it out.
7. Submit the HSA election form to your employer or benefits administrator within the designated deadline.

Who needs hsa election form 2017?

1. Employees who are eligible for a health savings account (HSA) can use the HSA election form 2017.
2. Individuals who wish to contribute to an HSA and have an HSA-eligible high deductible health plan (HDHP) can make use of this form.
3. Those who want to set aside pre-tax money for future medical expenses and enjoy certain tax advantages can benefit from completing the HSA election form 2017.

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What is hsa election form?

The HSA election form is a document used to elect the amount of pre-tax contributions to be made to a Health Savings Account (HSA) during a benefit plan year.

Who is required to file hsa election form?

Employees who are eligible to participate in a High Deductible Health Plan (HDHP) and have opted to open an HSA are required to file the HSA election form.

How to fill out hsa election form?

To fill out the HSA election form, employees need to indicate the desired contribution amount for the benefit plan year and sign the form to authorize payroll deductions.

What is the purpose of hsa election form?

The purpose of the HSA election form is to specify the amount of pre-tax contributions that will be deducted from an employee's paycheck and deposited into their HSA account.

What information must be reported on hsa election form?

The HSA election form must include the employee's name, desired contribution amount, signature, and any other relevant personal information required by the employer.

What's the penalty for the late filing of hsa election form?

The penalty for late filing of the HSA election form can vary depending on the employer's policies, but it may result in a delay in processing contributions to the HSA or a missed opportunity for pre-tax savings.