1. Calculate the maximum contribution amount per IRS regulations.
2. Note: If your HSA compatible health plan starts on any date other than January 1st , you are required to stay on the HSA compatible health coverage for one full year. If not, a 10% penalty and taxes will apply to any excess contribution.
3. Check with your employer to determine if they are contributing to your HSA and/or if they are allowing employees to contribute pretax payroll deduction.
4. You must then…
- Complete the individual application form.
- Complete the beneficiary designation form.
5. Note: Total contributions from employer and employee may not exceed the IRS annual limits.
6. Submit original completed forms to your Group Benefits Administrator. You may also need to submit a check for the contribution amount and fees to Sterling HSA.
7. A “wet signature” is required on the enrollment forms (original required). Check with your Group Benefits Administrator to determine where your forms should be sent. They may either be turned in to your employer or mailed to :
Sterling HSA
475 14th St. Suite #650
Oakland, CA 94612
8. While this is a tax-favored account for federal tax purposes, state taxes may still apply. HSA
Contributions can be made pre-tax via payroll deduction or deducted at the end of the year on an
individual’s 1040 tax return (above the line).
9. Contact Sterling HSA at 800.617.4729 if you have questions.