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titleCARES Act HSA Updates

Included in the CARES Act passed by Congress in March 2020, were expansions of the definition of qualified medical expenses for reimbursement from HSA funds. See: 2020 Federal Actions


Warning
titlePlease be aware

There is a 55-day window for disputing charges on your account. If you believe your HSA has been used fraudulently please call Highmark at the number on the back of your card right away. They will guide you through the process which may include completing forms, so the sooner the better. 

Overview

Excerpt

A Health Savings Account, often called an HSA, is a type of bank account specifically for individuals covered by high deductible plans, like those offered by Reliant. You can contribute to this plan tax-free, and the annual amount contributed to HSA is reported to the IRS each year with your tax return. The funds can be used for any legitimate medical expenses at any time in the future. You can pay for qualified health expenses now, as well as pay for future health expenses on a tax-advantaged basis. The funds in this HSA belong to you even beyond your employment with Reliant. 

Contributing to an HSA

Once you have enrolled in a Guidestone Health Saver plan, you will be able to set up an HSA through the Highmark website. Once you send confirmation to benefits@reliant.org that your HSA has been opened, Reliant will make the monthly contributions for you automatically.   There are two portions of the contributions that Reliant helps direct to your HSA each month: 

  1. Employer Contribution - ER
    • This contribution comes from non-MTD Reliant funds. Reliant leadership sets the Employer contribution rate each year, and it is the same for all field workers based on their coverage level. Current contribution rates can be found in the table below. 
    • This contribution is not deducted from your paycheck.
    • This contribution does count towards the Annual Contribution Limits for your HSA. 
  2. Employee Contribution - EE
    • This contribution is deducted from your paycheck each month. 
    • You determine how much you will save. Please reference Annual Contribution Limits when calculating your desired contribution.
    • Reliant will then deposit the employee contributions from your paychecks along with the Reliant employer contribution in to your HSA. 

    • This contribution is part of the Cafeteria Plan offerings from Reliant. It must be selected each year at Open Enrollment time.  You do have the ability to change, add, or drop a HSA election by filling out an updated cafeteria plan form.

Note

Contributions that Reliant sends to our HSA provider may take up to 5 business days from the date of the pay day to be available for use.  Funds may appear on the Highmark site, but there may be an additional delay in accessing those funds for debit card purchases.  

Medicare Enrollment and HSA Restrictions

Upon reaching Age 65, if you decide to delay enrolling in Medicare, you must email us benefits@reliant.org with your expected enrollment date at least 6 months prior to enrolling in Medicare so that we can cease your HSA contributions.  This is because when you enroll in Medicare Part A, you receive up to six months of retroactive coverage, not going back farther than your initial month of eligibility. If you do not stop HSA contributions at least six months before Medicare enrollment, you may incur a tax penalty. For more information and details see Medicare FAQs

Contribution Amounts

Coverage Level

ER Contribution
Paid From Non-MTD accounts

Ministry Expense Bonus for EE Contribution

Employee$25$25
Employee + Spouse
Employee + child(ren) 
$50$50

Family

$75$100

FAQ:

UI Expand
titleHow do I set up and use my HSA?
See instructions for setting up HSA account on this Solomon page: How to Set Up Your Coverage Account on HighmarkBCBS.com. After you have opened your HSA, PNC will provide a Highmark BCBS personal debit card(s) to use to pay for any qualified health expenses. If needed, you may also pay for qualified health expenses personally and reimburse them later from your HSA spending account. 


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title

See also: HSA plan options.

 

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Click here to see Dave Meldrum Green's HSA Enrollment Slide Presentation

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How to Enroll in an HSA

How are Health-Saver (HS) plans different?

Because they are designed to be paired with a personal HSA, the Health Saver Plans do not have co-pays for doctor visits and prescriptions drugs.  Participants pay 100 percent of medical and prescription drug claims until they've reached the plan's deductible; then the plan pays at the coinsurance level. 

Also, keep in mind, if an employee has individual-only coverage, he or she must meet the individual deductible before any claims will be paid by GuideStone, and then the individual maximum out-of-pocket applies before claims will be paid at 100%. If an employee has coverage with one or more dependents, the employee AND his or her dependents must meet the plan's FULL family deductible before any claims will be paid for anyone in the family, and then the family maximum out-of-pocket applies. 

The GuideStone HS Plan (HSA) offerings are growing more popular because they allow you to fund your medical expenses from your own personal tax-free Health Savings Account. Since introducing the HS 3000 plan in 2013, we have seen a steady migration of missionaries into this Plan.  HSA-compatible plans typically cost 20 percent less than a low-deductible PPO plan.  Many of the ministries we connect with, like Pioneers and Wycliffe, are coming to the same conclusions and making the simialr HSA transitions. 

HSA plans will also have an employer HSA contribution in addition to the premium. 

See Employer HSA Contributions.

 

HSA Frequently Asked Questions:

The best resource for HSA questions is www.highmarkbcbs-hsa.com 

Are the in-network doctors and faciities the same for all the plans- both the HSA and the HC plans?  YES.

...

Can you roll over the savings in your HSA year after year

...

?
Yes. Any contributions to your HSA are yours to keep to use for qualified medical expenses even should you exit employment with Reliant.


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titleWhat are the covered medical expenses that I can pay for using my HSA debit card?
Any medical expense that is actually a medical expense. These include doctor visits, prescriptions, dental costs, vision costs, birth control, and any care that is prescribed by a doctor (you'll want to keep the note from the doctor in your records). Ultimately, allowed expenditures are guided by IRS regulations. You can find a detailed list from the Highmark website. Be aware that you will need to keep receipts of your expenditures for your tax records.


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titleWhat if your doctor bill is higher than the amount in your HSA?

...

Can you deposit money into your HSA outside of payroll deductions? YES.

See Guidestone HSA FAQs

 

What Reliant Staff Are Saying About the HSA Plan...

“Honestly the Health Saver 3000 HSA did take a little getting used to, but my wife and I have been very happy with it so far. We chose to invest enough that we expect to probably carry an excess balance over from one year to the next. At this point it looks like that will happen. One thing this means is that our family budget for health care next year will actually be reduced since we will already be carrying over some funds in the HSA from this year.”  – Steve

 

“The HSA payment card is super easy to use. Just like a debit card! Also, since we don’t have significant health care needs at this point, we like the ability to save up for the future with lower premiums. We also like the freedom to spend our money saved on out-of-network expenses.”  – David

 

“As a family that has ALWAYS met our out-of-pocket max each year, this year we’ve paid out from our own pockets LESS than every year before and done it with pre-tax dollars!”  – Heather

 

...

 You can either pay out of pocket and reimburse yourself later with your HSA account funds, or you can ask to be put on a payment plan with your doctor using your HSA for the payment.


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titleCan you reimburse an eligible medical expense from my HSA if I paid out of pocket for it?
Yes.  See Filing a Reimbursement from your HSA for details about this process.  


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titleCan you deposit money into your HSA with personal deposits in addition to payroll deductions?

Yes. You'll want to be aware of annual IRS maximums so that you don't exceed the allowed Annual HSA Contribution Limits. For information how to contribute on your own, see Contributing to the HSA Outside of the Cafeteria Plan.


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titleAre there fees associated with HSA?

Yes, please see HSA Fees for more information. 


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titleAre there annual limits to HSA contributions?

Yes, there are annual limits to HSA contributions set by the IRS. For more information see this page: Annual HSA Contribution Limits


Note
For more HSA answers, see https://help.guidestone.org/highmarkhsa