Welcome to BASIC - CA and Akron, OH Locations

Roetzel & Andress HSA

Welcome!  If you will be a new 2021 participant in the Aetna High-Deductible Health Plan (HDHP) and you want to establish a Health Savings Account (HSA) with HealthEquity, complete the information below by December 11, 2020.  If you are not already familiar with HSAs and how they work, review the information in the sidebar to learn about the plan.

You may contribute to your HealthEquity HSA through payroll deduction. Enter the amount you would like to contribute to your HealthEquity HSA, if any, on this web form.  If you have an HSA with a local bank and want to elect employee contributions to fund your local HSA, complete the attached HSA Salary Redirection Agreement as well as the attached  Roetzel & Andress HSA Direct Deposit Authorization Agreement and return them to your HR Department.

If you are a 2020 Aetna HDHP participant and you are remaining in the HDHP for 2021 but want to change your HSA employee contributions, complete the attached Roetzel & Andress HSA Direct Deposit Authorization Agreement and return it to your HR Department.

*** YOU ONLY NEED TO COMPLETE THIS WEB FORM IF YOU WEREN’T A PARTICIPANT IN THE 2020 AETNA HIGH-DEDUCTIBLE HEALTH PLAN (HDHP)***

*** SCROLL DOWN TO ENTER YOUR ELECTION INFORMATION ***

Questions? Contact BASIC at 1-800-372-3539 or admin@BasicNEO.com.

[message_box title="Enrollment is Closed" color="yellow"]The HSA Open Enrollment period for your company has expired. If you are entering the plan mid-year as a newly eligible employee or because of a change in status, contact your benefits manager to make your election.[/message_box]

HSA Eligibility Requirements
Not everyone can open and contribute to an HSA. To be HSA eligible, you:

– Must be covered under an HSA-qualified “high deductible health plan” (HDHP)
– Must have no other first-dollar medical coverage (other types of insurance like specific injury insurance or accident, disability, dental care, vision care, or long-term care insurance are permitted).
– Are not enrolled in Medicare.
– Cannot be claimed as a dependent on someone else’s tax return.

Opening a new HSA

You must complete the application information on this web form to set up an HSA to receive the contribution that your employer will make to your HSA! You can set up an HSA as soon as you are covered by a qualified high deductible health plan (HDHP). Be sure to use your legal name (not a nickname) and provide all information requested to avoid delays in account setup. Your enrollment info will be sent to BASIC to establish the HSA, then Health Equity will send you a “welcome” email or letter with activation and online account instructions.

Contributing to your HSA

Contributions to your HSA can be made by you, your employer, or both.
– Payroll deduction: You can contribute through pretax payroll direct deposit by completing the information on this web form or on an election form (proved by your employer). You will not pay income or social security tax on any payroll contribution to your HSA.
You can change your deductions for HSA contributions at any time. Sign up here to start payroll deductions with the first pay in January!
– Direct contributions: Transfer funds from a personal checking or savings account electronically through your BASIC online account, or make a deposit to your account as you would any other savings account. Post-tax contributions are an above-the-line deduction on your tax return, and reduce Adjusted Gross Income (AGI) for tax
purposes.

Accessing your HSA funds

1. You will receive a debit card from BASIC that is connected to your HSA. Your HSA debit card is the easiest way to use your HSA. Simply swipe the card at the point of service or purchase.
2. Pay yourself back by logging onto your account and transferring funds to a personal checking account.

How much can I contribute to an HSA?

You can contribute up to the statutory maximum set by IRS, which is adjusted annually for inflation (prorated monthly for the number of months you were HSA-eligible)
$3,600 – If you have Single HDHP coverage
$7,200 – If you have Family HDHP coverage

Individuals age 55 and older can also make an additional $1,000 “catch-up” contribution.
See brochure for details.

Qualified expenses

Use the money in your account to pay for any qualified medical expense permitted under federal tax law. This includes most medical services, dental and vision care. Not only can your HSA be used for your medical expenses, it can also be used for your spouse’s or your dependent children’s medical expenses, even if they are not covered by your HDHP.