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 $3,400 $4,150
Employee/Children $1,500 $6,800 $8,300
Employee/Spouse $1,500 $6,800 $8,300
Family $1,500 $6,800 $8,300

Prorated for employees hired mid-year

HSA opened February 1

CoverageBy CollegeEmployee maxTotal annual max
Single $688 $2,550 $3,804
Employee/Children $1,375 $6,233 $7,608
Employee/Spouse $1,375 $6,233 $7,608
Family $1,375 $6,233 $7,608

HSA opened March 1

CoverageBy CollegeEmployee maxTotal annual max
Single $625 $2,833 $3,458
Employee/Children $1,250 $5,667 $6,917
Employee/Spouse $1,250 $5,667 $6,917
Family $1,250 $5,667 $6,917

HSA opened April 1

CoverageBy CollegeEmployee maxTotal annual max
Single $563 $2,550 $3,113
Employee/Children $1,125 $5,100 $6,225
Employee/Spouse $1,125 $5,100 $6,225
Family $1,125 $5,100 $6,225

HSA opened May 1

CoverageBy CollegeEmployee maxTotal annual max
Single $500 $2,267 $2,767
Employee/Children $1,000 $4,533 $5,533
Employee/Spouse $1,000 $4,533 $5,533
Family $1,000 $4,533 $5,533

HSA opened June 1

CoverageBy CollegeEmployee maxTotal annual max
Single $438 $1,983 $2,421
Employee/Children $875 $3,967 $4,842
Employee/Spouse $875 $3,967 $4,842
Family $875 $3,967 $4,842

HSA opened July 1

CoverageBy CollegeEmployee maxTotal annual max
Single $375 $1,700 $2,075
Employee/Children $750 $3,400 $4,150
Employee/Spouse $750 $3,400 $4,150
Family $750 $3,400 $4,150

HSA opened August 1

CoverageBy CollegeEmployee maxTotal annual max
Single $313 $1,416 $1,729
Employee/Children $625 $2,833 $3,458
Employee/Spouse $625 $2,833 $3,458
Family $625 $2,833 $3,458

HSA opened September 1

CoverageBy CollegeEmployee maxTotal annual max
Single $250 $1,133 $1,383
Employee/Children $500 $2,267 $2,767
Employee/Spouse $500 $2,267 $2,767
Family $500 $2,267 $2,767

HSA opened October 1

CoverageBy CollegeEmployee maxTotal annual max
Single $188 $850 $1,038
Employee/Children $375 $1,700 $2,075
Employee/Spouse $375 $1,700 $2,075
Family $375 $1,700 $2,075

HSA opened November 1

CoverageBy CollegeEmployee maxTotal annual max
Single $125 $567 $692
Employee/Children $250 $1,133 $1,383
Employee/Spouse $250 $1,133 $1,383
Family $250 $1,133 $1,383

HSA opened December 1

CoverageBy CollegeEmployee maxTotal annual max
Single $63 $283 $346
Employee/Children $125 $567 $692
Employee/Spouse $125 $567 $692
Family $125 $567 $692