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. If employer is contributing or allowing employees to contribute pretax via payroll deduction…
- Employer must complete employer application and list bill.
- Employer specifies how much will be contributed to each employee’s account (HSA and/or fees).
4. Each account holder must then…
- Complete individual application form.
- Complete beneficiary designation form.
5. Note: Total contributions from employer and employee may not exceed the IRS annual limits.
6. Submit original completed forms with a check for the contribution amount and fees to Sterling HSA.
7. A “wet signature” is required on the enrollment forms (original required). Please mail forms 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. Review the Employer Checklist to ensure that all documents and steps have been completed in their entirety.