Public School Employees - Contribution Requirements & Limits

2010 Plan Year Rates - Effective October 1, 2009 - September 30, 2010

If you elect the HSA PPO offered by NovaSys Health, you can make contributions to an HSA account on a Pre-Tax basis so that you can benefit from the reduction of Federal, State and other payroll taxes.

This table below assumes participation for a full 12 months. Exceptions exist for employees who enroll in the HSA PPO at time other than the open enrollment period in August.

Contribution Limits

Plan Tier

Annual
Limit

Active:
Employee Only	$3,050
Employee + Spouse	$6,150
Employee + Child(ren)	$6,150
Employee + Family	$6,150

Plan Tier

Annual
Limit

Retiree - Not Medicare Primary:
Employee Only	$3,050
Employee + Spouse	$6,150
Employee + Child(ren)	$6,150
Employee + Family	$6,150
Employee + Medicare Spouse	$6,150
Employee + Medicare Spouse + Child(ren)	$6,150

Plan Tier

Annual
Limit

COBRA:
Employee Only	$3,050
Employee + Spouse	$6,150
Employee + Child(ren)	$6,150
Employee + Family	$6,150

An additional annual contribution of $1000 per year is allowed for any individual or dependent that is 55 years of age or older.

Monthly Premiums for Public
School Active Employees Chart

Access your
HSA Account