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This document is a salary reduction agreement for the Lee University Health Savings Account, allowing employees to authorize salary withholding for contributions to their health savings account and
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How to fill out LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT

01
Obtain the LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT form from the HR department or the university's website.
02
Carefully read the instructions provided on the form to understand the requirements.
03
Fill in your personal information, including your name, employee ID, and department.
04
Specify the amount you wish to contribute to your Health Savings Account (HSA) per pay period.
05
Indicate whether this is a new agreement or a modification to an existing one.
06
Sign and date the form to authorize the salary reduction.
07
Submit the completed form to the HR department by the designated deadline.

Who needs LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT?

01
Employees of Lee University who wish to contribute to a Health Savings Account through payroll deductions.
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The HSA Offset affects contributions and payroll taxes. HSA contributions, whether from the employee or employer, are generally excluded from federal income tax, Social Security tax, and Medicare tax. This tax-exempt status offers significant savings, particularly for employees in higher tax brackets.
The Salary Reduction Agreement (SRA) is to be used to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) and/or 457(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions.
This Salary Reduction Agreement (SRA) authorizes your employer to reduce your salary by the indicated amount shown below for the exclusive purpose of facilitating a contribution to your Health Savings Account.
An HSA allows you to put money away and withdraw it tax free, as long as you use it for qualified medical expenses, like deductibles, copayments, coinsurance, and more.
This allows you to make pre-tax salary reductions for HSA contributions which lowers your taxable income, reducing income and payroll taxes. Employer Contributions: Some employers contribute to your HSA. Remember, the total contributions (from both you and your employer) must not exceed IRS limits.
The Salary Reduction Agreement (SRA) is utilized to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions.

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The LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT is a document that allows employees to designate a portion of their salary to be set aside for contributions to a Health Savings Account (HSA), which can be used for qualified medical expenses.
Employees who wish to participate in the Health Savings Account program offered by Lee University and want to make pre-tax contributions from their salary are required to file the LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT.
To fill out the LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT, employees need to provide personal information, specify the amount of salary reduction they wish to contribute to their HSA, and sign the agreement to authorize the reduction.
The purpose of the LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT is to facilitate pre-tax contributions to an employee's Health Savings Account, thereby reducing their taxable income and allowing them to save for medical expenses in a tax-advantaged manner.
The information that must be reported on the LEE UNIVERSITY HEALTH SAVINGS ACCOUNT SALARY REDUCTION AGREEMENT includes the employee's name, employee ID, amount of salary reduction, and authorization signature.
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