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Colorado Health Benefit Plan Description Form Rocky Mountain Health Care Options SOLO OUTLOOK HSA (HSA-Eligible) PPO Individual $2,500/$3,250/$5,000 PART A: TYPE OF COVERAGE 1. TYPE OF PLAN 2. OUT-OF-NETWORK
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Solo Outlook HSA is a health savings account designed for individuals who are self-employed or own a small business.
Individuals who are self-employed or own a small business are required to file solo Outlook HSA.
To fill out solo Outlook HSA, individuals need to provide information about their business, income, and expenses related to health care.
The purpose of solo Outlook HSA is to provide self-employed individuals and small business owners with a tax-advantaged way to save for health care expenses.
Information such as contributions, distributions, and investment earnings must be reported on solo Outlook HSA.
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