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2020 Monthly Premium RatesEffective January 1, 20192020
*HSA plans will also have an Employer HSA Contribution in addition to the above premium. Employer HSA ContributionsThere will be two funding sources for Reliant employer contributions to personal Health Savings Accounts.
Contribution Levels | ||||||||||||||||
HSA 1500 | Base-Level ER contribution from non-MTD funds | Remaining ER contribution charged to MTD accounts | Total Reliant employer HSA contribution | Total charge to MTD account, including premium | ||||||||||||
Employee | $25 | $10 | $35 | $495.61 | ||||||||||||
Employee + Spouse or child(ren) | $50 | $25 | $75 | $1,093.34 | ||||||||||||
Family | $75 | $50 | $125 | $1,506.83 |
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2020 Employer HSA Contributions
For information on employer and employee HSA contributions, visit Maximum HSA Contribution Amounts 2020.
HSA 3000
Plan
from non-MTD funds
charged to MTD accounts
HSA contribution
including premium
or child(ren)
HSA 5000
Plan
from non-MTD funds
charged to MTD accounts
HSA contribution
including premium
or child(ren)
Enrollment Form
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