Plan HSA (Health Savings Account)

BNY Mellon Benefits Guide

Health Savings Account (HSA) Contributions

The HSA offers the following:

BNY Mellon contributes to your HSA. BNY Mellon's contribution will be deposited to your HSA on or before your first pay following your plan effective date to help you pay for qualified health care expenses. If you enroll after January 1 as a new hire, a prorated BNY Mellon contribution will be made after you enroll.

You can budget and save. You can also contribute to your HSA. Please keep in mind that you need to budget for the deductible. The amount you're saving on your premium cost is a great place to start. And, if you don't use all of the money in your HSA, your account balance rolls over from one year to the next.

No federal taxes. You don't pay federal taxes on any money you and BNY Mellon put into your HSA or any money taken out—as long as it is used to pay for qualified health care expenses. In most states, HSA contributions and earnings may also be exempt from state income taxes.

It's your money. The money in your HSA is yours—to pay for qualified health care expenses today or in the future, even if you leave BNY Mellon for any reason at any time.

Note: If you enroll for other medical coverage that is not a qualifying high-deductible health plan, such as through your spouse's or domestic partner's plan, including a general purpose Health Care FSA or HRA, or are covered by any part of Medicare (Part A, Part B, etc.) or Tricare, by federal law, you aren't eligible to make or receive any contributions to a Health Savings Account. (This is an IRS rule.)


HEALTH SAVINGS ACCOUNT 2018 CONTRIBUTION LIMITS
COVERAGE LEVEL	IRS COMBINED MAXIMUM ANNUAL CONTRIBUTION	BNY MELLON'S ANNUAL CONTRIBUTION (AUTOMATIC)¹	YOUR MAXIMUM ANNUAL CONTRIBUTION (VOLUNTARY)²
Under $30,000
Employee Only	$3,450	$700	$2,750
Employee + Spouse/Domestic Partner, Employee + Child(ren) or Employee + Family	$6,900	$1,400	$5,500
$30,000 - $39,999
Employee Only	$3,450	$600	$2,850
Employee + Spouse/Domestic Partner, Employee + Child(ren) or Employee + Family	$6,900	$1,200	$5,700
$40,000 - $49,999
Employee Only	$3,450	$500	$2,950
Employee + Spouse/Domestic Partner, Employee + Child(ren) or Employee + Family	$6,900	$1,000	$5,900
$50,000 - $79,999
Employee Only	$3,450	$400	$3,050
Employee + Spouse/Domestic Partner, Employee + Child(ren) or Employee + Family	$6,900	$800	$6,100
$80,000 and above
Employee Only	$3,450	$200	$3,250
Employee + Spouse/Domestic Partner, Employee + Child(ren) or Employee + Family	$6,900	$400	$6,500

¹ If you join BNY Mellon after the beginning of the 2018 plan year, BNY Mellon's HSA contribution will be pro-rated.

² Maximum contribution should be reduced by any health account deposits earned by completing wellbeing activities by August 31, 2018. Beginning in the year you attain age 55, you may make additional catch-up contributions of up to $1,000 annually.