Annual and pro-rated HSA contributions

Annual and pro-rated HSA contributions for Gettysburg College employees.

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Annual premiums

CoverageBy CollegeEmployee maxTotal annual max
Single $750 $3,100 $3,850
Employee/Children $1,500 $6,250 $7,750
Employee/Spouse $1,500 $6,250 $7,750
Family $1,500 $6,250 $7,750

Prorated for employees hired mid-year

HSA opened February 1

CoverageBy CollegeEmployee maxTotal annual max
Single $688 $2,841 $3,529
Employee/Children $1,375 $5,729 $7,104
Employee/Spouse $1,375 $5,729 $7,104
Family $1,375 $5,729 $7,104

HSA opened March 1

CoverageBy CollegeEmployee maxTotal annual max
Single $625 $2,583 $3,208
Employee/Children $1,250 $5,208 $6,458
Employee/Spouse $1,250 $5,208 $6,458
Family $1,250 $5,208 $6,458

HSA opened April 1

CoverageBy CollegeEmployee maxTotal annual max
Single $563 $2,324 $2,887
Employee/Children $1,125 $4,687 $5,812
Employee/Spouse $1,125 $4,687 $5,812
Family $1,125 $4,687 $5,812

HSA opened May 1

CoverageBy CollegeEmployee maxTotal annual max
Single $500 $2,066 $2,566
Employee/Children $1,000 $4,166 $5,166
Employee/Spouse $1,000 $4,166 $5,166
Family $1,000 $4,166 $5,166

HSA opened June 1

CoverageBy CollegeEmployee maxTotal annual max
Single $438 $1,807 $2,245
Employee/Children $875 $3,645 $4,520
Employee/Spouse $875 $3,645 $4,520
Family $875 $3,645 $4,520

HSA opened July 1

CoverageBy CollegeEmployee maxTotal annual max
Single $375 $1,550 $1,925
Employee/Children $750 $3,125 $3,875
Employee/Spouse $750 $3,125 $3,875
Family $750 $3,125 $3,875

HSA opened August 1

CoverageBy CollegeEmployee maxTotal annual max
Single $313 $1,291 $1,604
Employee/Children $625 $2,604 $3,229
Employee/Spouse $625 $2,604 $3,229
Family $625 $2,604 $3,229

HSA opened September 1

CoverageBy CollegeEmployee maxTotal annual max
Single $250 $1,033 $1,283
Employee/Children $500 $2,083 $2,583
Employee/Spouse $500 $2,083 $2,583
Family $500 $2,083 $2,583

HSA opened October 1

CoverageBy CollegeEmployee maxTotal annual max
Single $188 $774 $962
Employee/Children $375 $1,562 $1,937
Employee/Spouse $375 $1,562 $1,937
Family $375 $1,562 $1,937

HSA opened November 1

CoverageBy CollegeEmployee maxTotal annual max
Single $125 $516 $641
Employee/Children $250 $1,041 $1,291
Employee/Spouse $250 $1,041 $1,291
Family $250 $1,041 $1,291

HSA opened December 1

CoverageBy CollegeEmployee maxTotal annual max
Single $63 $257 $320
Employee/Children $125 $520 $645
Employee/Spouse $125 $520 $645
Family $125 $520 $645