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NOTE: This chart takes into account the Reliant Employer HSA Contributions that will help offset your expenses and a 20% tax savings that you’ll realize if you additionally personally contribute up to the (EE + ER) maximum of $6,750 to your HSA account. 

 Scenario 1: $1000 or less in claims

Savings*
 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Family 1 Medical Costs:

$1,000 or less in claims

$0 (preventive only) to $1,000$0 (preventive only) to $1,000$0 (preventive only) to $1,000
HSA Employer Contribution$1,500 from Reliant$2,100 from Reliant$2,100 from Reliant

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$0 to$1,000

-$1,000

$0

$0 to $1,000

-$1,000

$0

$0 to $1,000

-$1,000

$0

Scenario 2: $5,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost
    

Family 2 Medical Costs:

$5,000 in claims

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

HSA Savings*Employer Contribution

$1,500 from Reliant

+ 20% tax savings 

$2,100 from Reliant

+ 20% tax savings 

$2,100 from Reliant

+ 20% tax savings

 

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$3,200

-$1,500 to $1,840

= $1,360 to $1,700

$5,000

-$2,100

to $2,680

=

$2,320 to

$2,900

$5,000

-$2,100

to $2,680

= $2,

320 to $2,900

900

Scenario 3: $40,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost
    

Family 3 Medical Costs:

$40,000 in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $3,400

Total: $9,400

Deductible: $10,000

10% Coinsurance: $0

Total: $10,000

HSA Savings*Employer Contribution

$1,500 from Reliant

+ 20% tax savings

 

$2,100 from Reliant

+ 20% tax savings

 

$2,100 from Reliant

+ 20% tax savings

 

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$6,000

-$1,500 to $2,400

= $3,600 to $4,500

$9,400

-$2,100 to $3,030

= $6,370 to $7,300

 

$10,000

-$2,100 to $3,030

= $6,970 to $7,900

 

Scenario 4: $100,000 and above in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Family 4 Medical Costs:

$100,000 and above in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $=6,000

Total: $12,000

Deductible: $10,000

10% Coinsurance: $0

Total: $10,000

HSA Savings*Employer Contribution

$1,500 from Reliant

+ 20% tax savings

 

$2,100 from Reliant

+ 20% tax savings

 

$2,100 from Reliant

+ 20% tax savings

 

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$6,000

-$1,500

to $2,400

=

$3,600 to

$4,500

$12,000

-$2,100

to $3,030

=

$8,970 to

$9,900

$10,000

-$2,100

to $3,030

=

$6,970 to

$7,900

 

 

 

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 *HSA Savings range includes Reliant HSA contribution plus optional member contribution up to $6,750 total per family. All out-of-pocket medical costs may be paid for from the HSA, resulting in a 20% or more savings from using pre-tax funds.

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