Eligible employees – full-time and part-time: Faculty, Classified, Managerial, Academic Professionals, and Confidential employees who are eligible for participation in the PCC health plans. Moda Evergreen Medical Plan members must make active contributions to an HSA account; Kaiser Plan 3 participants may elect to contribute to an HSA account. You may choose any HSA provider; however, Optum is the only provider through which PCC will provide pre-tax payroll contributions.
An HSA is a tax-advantaged account established to pay for qualified medical expenses for those who are covered under a High Deductible Health Plan (Moda Evergreen Medical Plan or Kaiser Medical Plan 3). With money from this account, you pay for healthcare expenses until your deductible is met. Then, in accordance with the terms of your healthcare plan, your insurance company pays for covered expenses in excess of your deductible. Any unused funds are yours to retain in your HSA and accumulate toward your future healthcare expenses or your retirement.
You must file U.S. taxes to be eligible for an HSA. You are not eligible for an HSA if you are Medicare eligible, on Tricare, if you have received veteran’s benefits in the last three months, or if you can be claimed on someone else’s taxes. You may not participate in the Flexible Spending Account (FSA) program for health related expenses while enrolled in an HSA.
If you have dual medical coverage, both of your plans must be High Deductible Health Plans.
HSA contribution limits
- $3,400 single*
- $6,750 family*
*For primary account holders age 55 and older, the HSA contribution limit is increased by $1,000 per calendar year.
If you are considering enrolling in Moda Evergreen Medical Plan or Kaiser Medical Plan 3 and the Optum HSA plan, please visit the Optum website.
You may open an HSA account with any HSA provider, but the PCC vendor is Optum. PCC offers the option of pre-tax payroll contributions to Optum only. To start your pre-tax payroll contributions to your Optum HSA account, fill out and return the HSA Contribution Form. You may change the amount of your HSA contribution once per quarter.
Fees – Optum
|Fee Description (HSA)||Rate|
|HSA One-Time Set-up Fee per Account||$0|
|HSA Monthly Maintenance Fee
(Waived for accounts with an average monthly balance of $2,500 or more)
|HSA Monthly Charge for Investment Account||$2.25|
|Account Re-Opening Fee||$15|
|Stop Payment Order||$25|
|Returned Deposit Item||$25|
|Excess Contribution Refund||$25|
|Copy of Merchant Debit Card Receipt||$25|
|Corrected 1099 or 5498||$20|
|Special Distribution Request||$25|
|Mailed Paper Monthly HSA Account Statement||$1.00|
The following services, without limitation, are included in the monthly services fee:
- Customer Service – 877-470-1771
- Website: Optum
- Open Enrollment Support
- Bill Pay
- Unlimited number of debit cards
- Card Replacement
- Cash Disbursements
- Modeling Tool
- Investment deposit and withdrawal
- Mail tax forms to Member’s address