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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 | $393.09 |
| Employee + Spouse or child(ren) | $50 | $75 | $125 | $879.80 |
| Family | $75 | $100 | $175 | $1,204.27 |
Looking for 2017 Rates?
2017 Medical Insurance Coverage and Rates (in progress)
Enrollment Form
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