About your HDHP with HSA
The High Deductible Health Plan (HDHP) associated with the Health Savings Account (HSA) is a point-of-service plan offering you flexibility for your health care needs. Monthly premiums are the lowest of the three health plan options. 91AV will contribute up to $2,600/year to an eligible participating employee's HSA account. Employer HSA contributions are made on a per-pay-period basis.
- Summary of Benefits and Coverage: HDHP/HSA (PDF)*
- Benefit Summary: HDHP/HSA (PDF)*
- Summary Plan Description HDHP/HSA (PDF)
- Rider for Non-Maine Residents (PDF)
- Cigna One Guide Enrollment Support Line (PDF)
- Finding a Provider (PDF)
- Notice of Privacy Practices (PDF)
- Preventative Health Care (PDF)
- Three-tier prescription: HDHP (PDF)
- Wrap Summary Plan Description (PDF)
*Contact Human Resources at hr@une.edu to access plan documents from the 2024 calendar year.
Things to consider before electing an HDHP/HSA plan
- View the Benefit Guide (PDF) for the monthly plan premiums.
- Do not elect this plan if you have a Medical Flexible Spending Account or if you have other coverage such as Medicare Part A. If you are considering enrolling in Medicare Part A please review Deciding Whether to Enroll in Medicare Part A and B When You Turn 65 (PDF)
- If you elect the HSA medical insurance plan and decide to enroll in Medicare after delaying it, you should stop contributing to your HSA (including 91AV’s employer contributions) at least six months in advance of enrolling in Medicare. Otherwise, you may be hit with a tax penalty because Part A of Medicare provides six months of retroactive coverage upon enrollment. You should contact a 91AV Human Resources representative at least six months in advance to complete the necessary paperwork to stop HSA contributions.
- HSA funds cannot be used for expenses incurred prior to the setup/opening of the HSA Bank account. Example: If you open your account on 2/24/2024, you are not permitted to use HSA funds for any dates of service prior to 2/24/2024.
- HSA funds may be used for you and your spouse; all dependents you claim on your tax return; and any person you could have claimed as a dependent on your return (with some exceptions). Your domestic partner may not use your HSA contribution to pay for their medical expenses regardless of medical coverage under your high deductible health plan. This is subject to change per the IRS.
2024 HSA Maximum Contributions
| Plan | Maximum Contribution Amount |
|---|---|
| Individual Plan | $4,150 (including 91AV's contribution) |
| Family Plan | $8,300 (including 91AV's contribution) |
| Age 55+ catch-up | Additional $1,000 |
HSA Bank
is where your HSA contributions will be made. Whether you have used a Health Savings Account previously or not, you may have questions about your HSA account.
On you can find a variety of resources, including:
- Why Open an HSA
- How to Use Your HSA
- HSAs to Z
- Tools to Manage your HSA
- Transfer/Rollover HSA Funds
- HSA Self-Directed Investment Options
- Mobile Payments
- How to Access Tax Info
- Member FAQ
- And more
Watch: HSA Bank Bank Investing Webinar
The webinar discusses both the potential benefits and the process for individuals enrolled in Cigna’s high deductible health plan with a health savings account to invest their HSA dollars.
Contact HSA Bank
Client Assistance Center (for members)
Phone (available 24 hours a day, 7 days a week)
- English: 1 (800) 357-6246 or (414) 978-5294
- Spanish: (866) 357-6232
Email: askus@hsabank.com
Lost or Stolen Debit Card?
During business hours, contact the Client Assistance Center: 1 (800) 357-6246 or (414) 978-5294. On holidays call 1 (800) 523-4175.
Health Online
Create an account with Cigna online to access information about your medical health plan.
OTHER RESOURCES
Health Advocate
. Call to speak to a representative who can help.
Medicare
Deciding Whether to Enroll in Medicare Part A and B When You Turn 65 (PDF).