• Save for future medical expenses
• Easy debit card access to your medical savings
• HSA debit card
• Annual fee waived the first year ( $0.95 per month thereafter )
• Funds roll over annually
• Account not tied to your employer

Note: While we can provide information to you about how HSAs work and other account details, Prime Meridian Bank does not provide advice or counsel on whether a Health Savings Account is right for you. Please refer to your tax advisor or financial planner on whether this financial product is right for you.

What is a Health Savings Account (HSA)?

A HSA is an IRA-like account designed exclusively for covering medical expenses incurred by the HSA account beneficiary (the person who establishes the account) and his or her dependents.

HSA Features

• IRA-like account used to pay for medical expenses
• Tax deductible contributions
• Tax free distributions – if used for qualified medical expenses

Prime Meridian Bank's HSA Account Details

• Non-Interest Bearing Account
• No minimum balance requirement
• Annual fee waived the first year
  ( $0.95 per month thereafter )
• Checks (1st box no charge to client)
• MasterCard Debit Card provided

Who is Eligible?

Any individual who is:

• Covered by a high deductible health plan (HDHP)
• Generally not covered by another non-HDHP
• Not enrolled in Medicare
• Not eligible to be claimed as a dependent

What is a High Deductible Health Plan (HDHP)?

• Self Only Coverage 2024: The annual deductible must be at least $1,600 AND the out of pocket expense cap cannot exceed $8,050.
• Family Coverage 2024: The annual deductible must be at least $3,200 AND the out of pocket expense cap cannot exceed $16,100.

Annual Deductible & Maximum Out of Pocket Limits

Tax Advantages

Individual (Owner) Contributions

• Tax deductible by owner
• Tax deferred earnings

Employer Contributions

• Tax deductible by owner
• Excluded from employee's income
• Not subject to withholding
• No FICA, FUTA
• Tax deferred earnings

Contributions

Your eligibility to contribute to an HSA for each month is generally determined by whether you have HDHP coverage on the first day of the month. Your maximum contribution for the year is the greater of:

(1) the full contribution

or

(2) the pro-rated amount

The full contribution is the maximum annual contribution for the type of coverage you have on December 1st.

The pro-rated amount is the maximum annual contribution for the type of HDHP coverage you have, times the number of months that you have the coverage, divided by 12. If your contribution is greater than the pro-rated amount, and you fail to remain covered by an HDHP for the entire following year, the extra contribution above the pro-rated amount is included in income and subject to an additional 10% tax. Contribution limits may also be affected by other retirement plan contributions. ( MAX CONT X # OF MONTHS COVERED/12 )

Annual Contribution Limits

* If the owner is 55 or older by the end of the calendar year, then he/she may make an additional "catch-up" contribution.

It is the account holder's responsibility to ensure that they do not make contributions in excess of their allowable amount. We only ensure you do not contribute over the Maximum Standard Limit.

Distributions

For HSA assets to retain their tax-free status, they may only be withdrawn and used for the following expenses:

• Qualified Medical expense* (doctors' visits, prescriptions, transportation to get to medical care, dental care)
• Long-term care insurance
• Heath care coverage when unemployed
• Certain continuation-of-benefits health care coverage
• Certain health insurance after age 65

Non-qualified uses of HSA assets are subject to taxation and a 10% penalty unless the HSA account beneficiary is 65 or older, dies, or is disabled.

*Please refer to IRS publication 969 for listing of Qualified Medical Expenses

What are Prime Meridian Bank's Responsibilities?

• We must not accept contributions exceeding the applicable individual or family coverage – Standard Maximum
• Report Distributions to IRS -1099-SA
• Report Contributions to IRS - 5498-SA