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2018 ENROLLMENT Washington County HEALTH SAVINGS ACCOUNT DEFERRAL ELECTION FORM Name: Initial Effective Date: Social Security Number: Change Effective Date: Health Savings Account Payroll Deduction
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How to fill out health savings account deferral

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How to fill out health savings account deferral

01
To fill out a health savings account (HSA) deferral, follow these steps:
02
Obtain the necessary deferral form from your HSA administrator or employer.
03
Provide your personal information, including your name, address, and social security number.
04
Fill in your HSA account information, such as the account number and the name of the financial institution.
05
Specify the deferral amount you want to contribute to your HSA. This can be a percentage of your income or a fixed dollar amount.
06
Indicate the frequency of the deferral, whether it's a one-time contribution or a recurring deduction from your paycheck.
07
Verify if there are any specific instructions or deadlines for submitting the deferral form to your HSA administrator.
08
Review the completed form for accuracy and make sure all required fields are filled out.
09
Submit the deferral form to your HSA administrator or employer as per their instructions.
10
Keep a copy of the filled-out form for your records.
11
Monitor your HSA account statements to ensure the deferrals are being processed correctly.

Who needs health savings account deferral?

01
Health savings account deferrals are beneficial for individuals who:
02
- Have a high-deductible health plan (HDHP) and are eligible for an HSA
03
- Want to save for medical expenses on a tax-advantaged basis
04
- Prefer to contribute to their HSA on a pre-tax basis, reducing their taxable income
05
- Wish to supplement their healthcare coverage and have funds available for qualified medical expenses
06
- Are looking for a flexible savings tool that can be used for a wide range of medical expenses, including deductible, co-pays, and prescription costs
07
- Desire to have a long-term savings vehicle for future medical needs
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A health savings account deferral is an amount contributed to a health savings account (HSA) that is excluded from taxable income.
Individuals who have contributed to a health savings account and meet the eligibility requirements are required to file health savings account deferral.
Health savings account deferrals can be filled out using Form 8889 and included with your tax return. You may also need to report it to your employer if it was done through payroll deductions.
The purpose of health savings account deferral is to allow individuals to save money for qualified medical expenses on a tax-advantaged basis.
Information such as the amount of contributions made to the HSA, the account balance, and any distributions taken must be reported on the health savings account deferral.
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