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Safeties BC Funding Period: From Jan 1, 2018 to Dec 31, 201801Nov17 Date Prepared Section 1: BUDGET HSA OPERATIONSACTUAL 2016 (12 months)HSA OPERATIONS BUDGETBUDGET2017 YTD (6 months)2017 Budget (a)Revenue:
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How to fill out this hsa budget template

01
Start by identifying your monthly income from all sources.
02
List down all your monthly expenses including fixed expenses like rent, utilities, and loan payments.
03
Include variable expenses like groceries, entertainment, and transportation costs.
04
Calculate your total income and total expenses to determine if you have a surplus or a deficit.
05
Allocate a portion of your budget for HSA contributions and other health-related expenses.
06
Adjust your budget as needed to ensure you are able to meet your financial goals.

Who needs this hsa budget template?

01
Anyone who wants to track and manage their health savings account (HSA) contributions and expenses.
02
Individuals who want to budget for medical expenses and ensure they are saving enough for healthcare costs.
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This hsa budget template is a document used to track and manage expenses related to a Health Savings Account (HSA).
Individuals who have a Health Savings Account (HSA) are required to file this budget template.
To fill out this hsa budget template, you need to input your HSA contributions, withdrawals, and any other related expenses throughout the year.
The purpose of this hsa budget template is to help individuals keep track of their HSA funds and ensure they are used for qualified medical expenses.
Information such as HSA contributions, withdrawals, qualified medical expenses, and remaining balance must be reported on this hsa budget template.
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