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  • Ut Healthequity Employee Hsa Contribution Form 2013

Get Ut Healthequity Employee Hsa Contribution Form 2013-2025

Social Security Number: XXXXXXXXXXXXX How much would you like to contribute to your HSA each month? $ (Not sure how much you can contribute to your HSA? Use the information below.) Signature Date 2013 Annual HSA Contributions Coverage Type Maximum Allowed Single $3,250 Family $6,450 *Catch-up contribution (age 55 +) is $1,000 Your eligibility to contribute to an HSA is determined by the effective date of your HDHP coverage.

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Process to correct excess contributions Yes: Contributions may need to be removed by your employer by having them complete the 'HSA Employer Contribution Correction Request form. ' If they are unwilling to complete this form, please fill out the 'Distribution of Excess HSA Contribution Form.

While employer contributions to an HSA may be excluded from the employee's income, all employer contributions, including those made by the employee through a cafeteria plan, must be reported in box 12 of the employee's W-2.

Go to the 'HSA' menu located under the 'My Account' tab, 'HSA' and select 'Make Contribution.' You can make a one-time contribution or set up recurring monthly contributions. If an EFT account has not been added and verified, select 'Add account.'

Go to the 'HSA' menu located under the 'My Account' tab, 'HSA' and select 'Make Contribution.' You can make a one-time contribution or set up recurring monthly contributions. If an EFT account has not been added and verified, select 'Add account.'

To edit or cancel your recurring contributions: In the 'My Account' tab of the HealthEquity member portal, select 'Make Contribution' from the 'HSA' menu. From this page you can make changes to recurring contributions or cancel the contribution by clicking 'Stop/End.

You can change the amount you contribute to your HSA at any time during the plan year. If you are changing the amount contributed via payroll on a pre-tax basis, check with your employer. You can also make non-payroll contributions changes using the Contribution Center in your online account.

File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs.

Generally, the IRS penalty equals 6 percent of your excess contributions. For example, if you have a $100 excess contribution, your fine would be $6.00. If you contributed $1,000 over, it would be $60. This penalty is called an “excise tax,” and applies to each tax year the excess contribution remains in your account.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232