University of St. Thomas 2015 Health Savings Account and High Deductible Health Plan Education

1. University of St. Thomas 2015 Health Savings Account and High Deductible Health Plan Education Take Charge Your Health, Your Money And Your Future

2. Health Savings Account (HSA) Basics

3. What Is An HSA? • It is a funding program that must be combined with a medical high deductible health insurance plan • 100% coverage for preventive care • All other services (including office visits and prescription drugs) are subject to the plan’s deductible • Allows you to put money aside to pay for eligible medical care expenses tax-free • You can roll over unused dollars into the next year – there is no “use it or lose it” provision • You retain control and you make choices about how to spend your health care dollars

5. Who Is Eligible for a Health Savings Account? • Participants in a qualified high-deductible health plan (HDHP) • Must not be enrolled in Medicare • Must not be covered by other medical insurance • Must not have received VA medical benefits at any time in the past three months • You and your spouse can not be contributing to/participating in a general-purpose FSA (healthcare reimbursement account) • If you are currently participating in UST’s flexible spending account for 2014, you need to have a $0 balance in that account on 12/31/14 or you will not be eligible to contribute to an HSA account until 4/1/15 (IRS rule)

6. How Much Can You Contribute? • For 2015, the federal government has established the following employee maximum contributions:Single: $3,350 Family:$6,650 • Annual maximum limits tied to cost of living adjustments • Catch-up contributions available for individuals over 55 and older ($1,000) • Contributions maximums are subject to the number of months that you are eligible to make HSA contributions. If you lose HSA eligibility, certain tax ramifications may apply to the amount you have over-contributed.

7. Eligible Expenses • Most out-of-pocket health care expenses: • Deductibles • Eyeglasses and contacts • Out-of-pocket dental expenses • Prescription costs • The incurred date of the expense must be after the Health Savings Account has been established and funded • It is important to maintain all receipts for distributions you take from your HSA. You are responsible for proving to the IRS that you used your HSA funds for eligible expenses.

9. How are contributions made to an HSA? • Employees can make pre-tax contributions through regular payroll deductions • Employees can make direct contributions on an after-tax basis • Employees can make a one-time transfer to their HSA from an IRA (no greater than the annual contribution allowed) • Employees can send in contributions throughout the year and up until April 15th of the following year

10. How are contributions accounted for at tax time? • If contributions are made through payroll deductions, contributions are excluded from gross income • If contributions are via a direct submission, employee will be able to deduct this from taxes – even if employee does not itemize • Employee will receive forms 5498 and 1099 from Alliance Benefit Group to support contributions and withdrawals and to aid in tax preparation. Form 8889 is required to be filed

11. HSA Advantage: Long-Term Savings • Save for future medical needs • Earnings on an HSA are tax-free • Your unused balance rolls over from year to year HSA Advantage: Tax Savings • Tax-Free Contributions: Deductions from your pay can be made on a pre-tax basis • Tax-Free Earnings: At a nominal interest rate for as long as the money stays in your HSA • Tax-Free Withdrawals for qualified healthcare expenses

12. HSA Advantage: Ownership • You control how you spend the money in your account • Use it for eligible expenses today • Save it for the future • You can change health care coverage in the future and still keep the money in your account • If you enroll in a different plan at UST in the future, or move to another employer, you can always continue to spend down the amount that is in your HSA on any qualified medical expense • As a consumer, you become actively involved in the entire healthcare process

13. Non-Qualified Withdrawals • Under age 65 • Ordinary income tax plus a 20% penalty • Over age 65 • Subject to income tax, but likely at a lower rate • 20% penalty does NOT apply

14. High Deductible Health Plan Benefits All benefits displayed are a summary only. If there is a discrepancy between this summary and the contract, the contract shall prevail. Out-of-network subject to accepted fee for in-network charges.

15. Cost of the HDHP Plan

16. 2014 and 2015 Medical Plan Rate Comparison

17. Questions? Thank You!