Does my HSA debit card have a daily withdrawal limit? The HSA Investment Service If your plan offers investments with your HSA, once the balance in your account reaches $2,000, you are eligible to open an HSA Investment Account. The HSA debit card has a daily withdrawal limit of $3,000. This includes withdrawing cash at an ATM and for PIN-based purchases. Some ATMs may limit the amount you can withdraw in a single transaction, so you may have to use the ATM more than once to reach your HSA daily limit. Additionally, your daily signature-based purchase or cash advance limit is $5,000. Through the HSA Investment Account you are able to invest in a variety of mutual funds, each investing in different types of securities with distinctive risk and return characteristics. You can purchase, exchange and redeem mutual funds, as well as view investment account balances and transaction history online. Registered representatives are also available to answer questions and place phoneassisted transactions. What happens if I do not spend all the funds in my HSA? All unused funds in your HSA carry over into the next year and continue to accrue interest. If you have funds in the HSA Investment Account, they will also remain in that account from year to year. You can get more information about the Investment Service by clicking on the Investments tab on the HSA accountholder website. You can also contact HSA Customer Service at the phone number listed on the back of your HSA debit card. What do I need to know in terms of tax reporting and my HSA? Manage Your HSA Online at Your Secure Accountholder Website, Aetna Navigator Contribute to your account Check your account balance Request additional cards Download monthly statements Setup and manage account alerts Pay your healthcare-related bills View service and product information Your HSA Plan When you have an HSA, you must complete and submit IRS Form 8889: Health Savings Accounts with your tax return. On this form you report any employer contributions to the account, as well as any additional contributions you or your spouse have made. This form will help you in calculating your HSA deduction. Please contact your tax advisor to discuss your specific tax situation. Health Savings Account · You own your HSA · Contribute tax free and reduce your taxable income · You choose how and when to use your dollars · Roll it over each year and let it grow · Earns interest, tax free Where can I find a list of fees associated with my HSA? Today Future · Use for qualified expenses with tax-free dollars1 You can find the most current fee schedule, including tips on avoiding these fees, online at Aetna Navigator. Last Save Date: 9-28-2011 12:41 PM User Name: Stachecki, Ray Station Name: WWIL124145 Job Info It’s easy, secure and convenient! · Plan for future and retirement health-related costs High Deductible Health Plan · Preventive care covered at 100%, not subject to deductible · You pay 100% of care until deductible is met, then only pay a share of the cost · Meet out-of-pocket maximum, then plan pays 100% 1 Money in the HSA used for purposes other than qualified medical expenses is subject to taxes and, for individuals who are not disabled or over the age of 65 are subject to a 20% tax penalty. For more complete information about any of the mutual funds available within the HSA Investment Account, please visit the HSA accountholder website or contact a J.P. Morgan Institutional Investments Inc. registered representative at 1-866-774-7129. Investors should carefully consider the investment objectives, risks, charges and expenses of the fund. Please carefully read the prospectus, which contains this and other important information, before you invest or send money. Fulfillment Campaign: AETNA Cell: None WR #: 110121 Partner: TSS Health Savings Accounts are administered for Aetna Life Insurance Company by JPMorgan Chase Bank, N.A. Member FDIC. Mutual funds are introduced by, and HSA Investment Accounts are offered by J.P. Morgan Institutional Investments Inc., member FINRA and SIPC, and an affiliate of JPMorgan Chase Bank, N.A. This service is available only to individuals (including U.S. citizens and U.S. resident aliens) residing in the U.S. JPMorgan funds are distributed by JPMorgan Distribution Services, Inc. Affiliates of JPMorgan Chase & Co. receive fees for providing various services to the funds which include fees for investment management, shareholder servicing, administration, distribution, custody, fund accounting, securities lending and other services. RPC: None Creative Format ID: CF07725 Component Spec ID: BRC-S07766 Campaign Date: None Document Size: Trim Width: 14” Trim Height: 8.5” Fold Position: 3.375”, 6.875”, 10.4375” Folded Size: 3.5625” x 8.5” Aetna Life Insurance Company is the trustee of your Health Savings Account. A better way to pay for your healthcare — today and tomorrow The HSA Visa Debit Card and HSA Checkbook administration support are provided by JPMorgan Chase Bank, N.A. (“Chase”). You may receive communications that reference the Chase name, where appropriate. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies. Aetna HealthFund HSA plans are provided or administered by Aetna Health Inc., Aetna Health of California Inc., Aetna Health of the Carolinas Inc., Aetna Health of Illinois Inc. and /or Aetna Life Insurance Company. Chase does not provide or administer and is not in any way involved with any insurance plan offered by Aetna Life Insurance Company. www.aetna.com Fonts & Images Fonts: Berthold Akzidenz Grotesk (Medium, Regular, Bold, Medium Italic, Bold Italic, Light), ITC Zapf Dingbats (Medium), Helvetica (Ultra Compressed, Medium), Helvetica Neue (57 Condensed, 75 Bold) Images: A1039_bkgd_rCMY_1247092.eps (CMYK; 303 ppi; 99%) 77778_logo_vWHT_Aetna.eps A1039_bkgd_rCMY_BlueMouseL.psd (CMYK; 299 ppi; 100.02%) A1039_bkgd_rBLK_100717402A.eps (Gray; 6089 ppi, 6091 ppi; 4.92%) Inks: Cyan Magenta Yellow Black PMS 300 C PMS 302 C FPO Tech Notes HSA fees, interest rates and investment options are subject to change without notice. Investment options are not insured by Aetna or the FDIC and may result in loss of principal. This document is not intended to provide tax or investment advice; please consult your independent financial advisor before opening an HSA or making an investment selection. Health benefits plans and health insurance plans contain exclusions and some benefits are subject to limitations or visits maximums. Aetna HealthFund HSA may not be available in all states. While this material is believed to be accurate as of the print date, it is subject to change. © JPMorgan Chase & Co. All rights reserved. 3.5" Segment: PremiumID: None Mutual fund shares are: NOT FDIC INSURED, NOT PRODUCTS OF OR GUARANTEED BY THE BANK and MAY LOSE VALUE. For answers to more Frequently Asked Questions, visit Aetna Navigator 3.375" Creative Designation: None Welcome to the Aetna HealthFund® Health Savings Account (HSA) To report lost/stolen cards, please call 1-866-524-2562 Each year Chase will send to you and to the IRS two tax forms. IRS Form 5498-SA reports all contributions to your HSA in the tax year. This form also includes any interest earned. IRS Form 1099-SA reports all distributions from your HSA. You can also view these tax statements online through Aetna Navigator. BRC11602.indd 1 BRC11602.indd 3.5625" BRC11602 9/11 Notes: PID 99999937 3.5625" 9/28/11 1:16 PM Originating file: CS4583_Chase_HSA_ BRC_FNL.indd Thank you for choosing the Aetna HealthFund HSA – the smart way to save for your healthcare needs. Now that you have your Aetna HSA Visa® debit card, follow these easy steps to get started. Step 1: Activate Your Card and Select a PIN Before you can use your HSA debit card, you must activate it. You can do this by calling the HSA Debit Card Activation Number, 1-866-295-9173. You will need the primary account holder’s date of birth and the last four digits of his or her Social Security number. When you activate your card, you will also select a fourdigit Personal Identification Number (PIN). You will need your PIN when you use your card to: • Pay for qualified purchases at participating locations, such as your doctor’s office or pharmacy. • Withdraw cash from your HSA at automated teller machines (ATMs). • Access your account information using our automated telephone service. Your PIN should be easy for you to remember but hard for others to guess. To keep your HSA funds safe, always keep your PIN a secret. Step 2: Contribute to Your HSA There are a number of ways to contribute to your Aetna HealthFund HSA. 1. Visit your secure member website, Aetna Navigator, to set up a one-time or recurring Electronic Funds Transfer (EFT) from your checking account. 2. Contribute by mail using a personal check and deposit slip. 3. Roll over funds from another HSA. 4. In addition, your employer may offer payroll deductions to help you contribute on a pre-tax basis. You may download the appropriate form at Aetna Navigator. You may also call HSA Customer Service at the phone number shown on the back of your HSA debit card. Be sure to contribute to your account each year to make the most of your Aetna HealthFund HSA. Use the convenient online HSA savings tool on Aetna Navigator to determine your maximum annual contribution. You can contribute to an HSA for the current tax year until the applicable tax return deadline for that year (typically April 15th of the following calendar year). Please consult your tax advisor for guidance. For more information regarding contribution amounts and guidelines, see the IRS website at: http://www.irs.gov/publications/p969/ar02.html BRC11602.indd 2 3.5625" � Check your account balance. Most ATM operators will charge a “surcharge” (typically between $1.00 and $3.00) for using their machine. You will not incur a surcharge if you use a Chase-owned ATM. Please refer to your fee schedule for any ATM transaction-related fees. Find the nearest Chase ATM at www.chase.com. � Setup email or text Alerts to monitor account activity. Write a Check from Your HSA Step 3: Access Your Account Online Access and manage your HSA online at Aetna Navigator anytime, day or night. From Aetna Navigator you can easily and securely manage your HSA whenever it is convenient for you. As primary cardholder, you can: � Send a payment to your doctor. � Transfer funds from your personal account. �D ownload your statements. � Use the expense tracker tool as you prepare for tax season. You can do all of this and so much more. Simply go to Aetna Navigator to log in, click on the HSA link and begin using the secure website to manage your account. Step 4: Use Your HSA There are several ways to use your HSA to pay for qualified medical expenses. Use Your HSA Debit Card at Retail Locations ou can use your HSA debit card at doctors’ offices, Y pharmacies and other locations where debit cards are accepted. Present your card at the time of check-out and either provide your signature or PIN to make your purchase. You can also use your card to make qualifying purchases over the phone, on the Internet, or after you receive a bill from your provider. You will need to provide your card number and expiration date to complete the transaction. Pay Bills Online Use your HSA to pay your healthcare bills online. Simply visit Aetna Navigator and enroll in the Online Bill Payment Service. You can set up your payees and schedule one-time or repeating payments in a few simple steps. Please refer to your online fee schedule for any applicable fees. The Aetna HealthFund HSA also gives you the option to use checks to access your HSA funds. Check writing is subject to approval by JPMorgan Chase Bank, N.A. Certain fees may apply for check writing services. Please refer to your fee schedule. What is the maximum amount I can contribute to my HSA? Every year, the IRS sets the amount you can contribute to an HSA. You may then contribute up to the maximum allowable annual amount. For 2012, the limits are $3,100 if you have self–only HDHP coverage and $6,250 if you have family HDHP coverage.* In addition, if you or your spouse are age 55 or over, you can make an additional “catch-up” contribution of $1,000 per year. You can also use the HSA savings tool on Aetna Navigator to help you determine your maximum annual contribution. For more information regarding contribution amounts and guidelines, see the IRS website at http://www.irs.gov/publications/p969/ar02.html. Aetna AutoDebitSM What happens if I contribute too much to my HSA? If you are eligible for Aetna AutoDebit, you can have money withdrawn from your HSA automatically to pay your healthcare providers. With AutoDebit, when your health plan processes the claim, it will also deduct the patient responsibility from your HSA. We will include that amount in the payment to your provider. For more information about Aetna AutoDebit, or to enroll in the program, go to Aetna Navigator. If you contribute too much to your HSA, you can withdraw the excess contributions. You have until the tax filing deadline (generally April 15 of the following year) to withdraw the excess contributions. If you do not make the request by the deadline, the IRS may impose a tax penalty on the excess contributions. To withdraw excess contributions from your HSA, use the Request for Return of Excess HSA Contributions form. You can find this form on Aetna Navigator. Frequently Asked Questions How can I monitor my account activity? How do I know which expenses are qualified? Monitor your HSA activity online through Aetna Navigator, any time of the day or night. With just a few clicks, you can check your balance, look at transaction activity or download your account statements. You can also set up the Online Account Alerts service to notify you when certain activities occur. Qualified medical expenses are expenses for medical care, generally as described in detail in Section 213(d) of the Internal Revenue Service Tax Code and IRS Publication 502 (viewable at www.irs.gov), which have not been compensated or reimbursed by insurance or otherwise. Examples of qualified medical expenses include medical fees and deductibles at doctors’ offices, pharmacies, dentists, vision centers, medical labs and much more — including many treatments and medical supplies that traditional healthcare plans do not cover. Visit Aetna Navigator, for general information about qualified and non-qualified medical expenses. Use the Medical Expense Tracker to help organize them online. Make sure you keep your receipts so you can document for the IRS the appropriate use of these funds. Please review your account on a periodic basis. This will help you to identify any possible fraudulent activity. If you do see something suspicious on your account, you have 60 days from when the transaction appears in your online or paper statement to report it. There are many online tools to help you know exactly what is going on with your HSA. If you have any questions call HSA Customer Service at the number shown on the back of your HSA debit card. If I forget my PIN or have general questions about my HSA, whom should I call? You can go online to Aetna Navigator to perform certain services yourself. These include resetting your PIN, designating a beneficiary, or requesting an additional debit card. You can also find Frequently Asked Questions under the Tools & Resources tab. Of course, you can call HSA Customer Service at the phone number shown on the back of your debit card for additional help. continued on back panel Use Your HSA Debit Card at an ATM Use your HSA debit card at a participating ATM to reimburse yourself for qualified medical expenses. When using the ATM, by select CHECKING in the ATM selection menu. You do not need any claim forms. You should keep the receipts for your qualified medical expenses for tax purposes. * The maximum amount you can contribute may change based on your plan eligibility throughout the year. Please consult your tax advisor. 3.5625" 3.5" 3.375" 9/28/11 1:16 PM BRC11602.indd Creative Designation: None Last Save Date: 9-28-2011 12:41 PM User Name: Stachecki, Ray Station Name: WWIL124145 Job Info Segment: Fulfillment Campaign: AETNA Cell: None WR #: 110121 Partner: TSS PremiumID: None RPC: None Creative Format ID: CF07725 Component Spec ID: BRC-S07766 Campaign Date: None Document Size: Trim Width: 14” Trim Height: 8.5” Fold Position: 3.5625”, 7.125”, 10.625” Folded Size: 3.5625” x 8.5” Fonts & Images Fonts: Berthold Akzidenz Grotesk (Medium, Regular, Bold, Medium Italic, Bold Italic, Italic), ITC Zapf Dingbats (Medium), Helvetica (Ultra Compressed), Helvetica Neue (75 Bold) Images: A1039_bkgd_rCMY_3280884Sm.eps (CMYK; 300 ppi; 100%) A1039_bkgd_rCMY_2965078Sm.eps (CMYK; 301 ppi, 299 ppi; 100%) Inks: Cyan Magenta Yellow Black FPO Tech Notes Notes: PID 99999937 Originating file: CS4583_Chase_HSA_ BRC_FNL.indd
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