Page History
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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 | $467.70 |
| Employee + Spouse or child(ren) | $50 | $25 | $75 | $1,031.94 |
| Family | $75 | $50 | $125 | $1,423.10 |
HSA 3000 | 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 | $25 | $50 | $406.31 |
| Employee + Spouse or child(ren) | $50 | $75 | $125 | $888$913.88 |
| Family | $75 | $100 | $175 | $1,218243.93 |
HSA 5000 | 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 | $25 | $50 | $348.37 |
| Employee + Spouse or child(ren) | $50 | $75 | $125 | $761$786.41 |
| Family | $75 | $100 | $175 | $1,045070.11 |
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2016 Medical Plan Options
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