1. Overview of your Health Savings Account (HSA)
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[Presenter’s Note: Please review this document and update particular sections. In addition, you may find it’s easier to read the notes if you go to File/Send To/Microsoft Word, and choose “Notes on the bottom.”
Welcome.
Thank you for taking time out of your day to review how you can use your health savings account, or HSA, to help pay for your current qualified health care expenses and save for future health care expenses while saving on taxes.
My name is [XXXXXXXXXXX] and I represent Optum Financial Services. We are a financial services company dedicated exclusively to health care. We’re part of Optum, one of the nation’s largest health and wellness companies that serves 60 million individuals. Optum Financial Services also administers flexible spending accounts, or FSAs, health reimbursement accounts, transportation accounts and COBRA services. Our subsidiary, Optum Bank, offers the Health Savings Accounts. 1

2. Instructions to Presenter
There are a number of items in this presentation that need to be customized for your audience.
Slide 7: Update if the employer does not support payroll deduction
Slide 8: Update if the employer does not support payroll deduction
Slide 18: Remove payroll deduction if not supported by the employer
Slides 24 and 25: Remove whichever enrollment method is not appropriate
As always, remove slides as needed based on level of customer knowledge and time available.
In addition, when printing the notes, you can see the script more easily if you select File/Send to/Microsoft Word, and choose “Notes below the text”. That way, longer scripts will flow to the next page.

3. Agenda HSA trends Making the most of your account
Qualified medical expenses
Making deposits to your account
Managing your HSA online
Signing up for an HSA
Common questions
Where to go for help
During the next 30 minutes, we will discuss some recent HSA trends and review basic information about your HSA. We’ll move on to an overview of qualified medical expenses, review how you can make deposits, rollover funds to your account and use your HSA to pay for qualified medical expenses. Then we’ll talk about managing your account online, look at ways you can help your HSA balance grow through investments and examine other ways to use your HSA. We’ll conclude by reviewing some resources that you can check out for further information.
Feel free to stop me at any time to ask a question or clarify your understanding of how your HSA works.
Now, let’s get started!
Investments are not FDIC insured, are not guaranteed by Optum Bank®, and may lose value. 3

4. Optum Bank®, Member FDIC
Established in 2003
Optum Bank is the HSA Bank
of choice for UnitedHealthcare
Deposits are insured by the FDIC up to $250,000
Focuses solely on health care banking
We have more than $57 billion in assets
One of the nation’s leading providers of health savings accounts
We administer over 3 million individual health savings accounts
Serves thousands of employers, families and individuals
Optum Bank, Member FDIC, is the HSA Bank of Choice for UnitedHealthcare. Optum is owned by UnitedHealth Group, a Fortune 15 company. Deposits at Optum Bank are insured by the FDIC up to $250,000.
Optum Bank differs from other banks in that we focus exclusively on health care banking. We currently administer over 3 million individual HSAs.
Optum Bank was formed in 2003 to offer HSAs and this remains our primary focus. Today, Optum Bank is one of the nation’s leading providers of health savings accounts and has more than $7 billion in assets. 4 4

5. You can expect Access to highly trained HSA specialists Responsiveness
Online account enrollment
Online education resources
Easy-to-use online account management
When Optum Bank administers your account, you can expect access to highly trained specialists who know HSAs inside and out and are standing by to respond quickly to your questions or help you maximize your health care savings.
You can expect a simple online enrollment process that takes just a few minutes.
You can expect access to easy-to-use online educational resources to help you understand your HSA and ensure that it meets your needs and savings goals. You will also have access to online planning tools and calculators, as well as HSA tax forms.
You can expect a secure website that features comprehensive online tools for managing your account when it is convenient for you. You can login to check your account 24 hours a day, seven days a week to check your balance, make payments or to transfer funds. 5

6. What is an HSA?
Deposit money into your HSA.
Health Savings Accounts (HSAs) are designed to help you save and pay for qualified medical expenses
Save on taxes.
Invest your savings in mutual funds.
Use your HSA to pay for qualified medical expenses. $
So, what exactly is an HSA?
An HSA is a special type of bank account designed to help you save and pay for qualified medical expenses. In simple terms, it’s like an IRA for your health. But with an HSA, you don't have to wait for retirement to spend the money. You can use it this year, next year, or years from now.
An HSA works like this:
First, you open an account and deposit money into it – tax-free. The funds in the HSA belong to you, and that’s true whether you have contributed money or your employer did. You own the account from the day you open it. There’s no “use it or lose it” rule like there is with flexible spending accounts or FSAs. The account is with you as long as you want it to be – even if you change jobs, lose your job, or choose a different health plan.
You save on taxes. The money you put into an HSA is tax-deductible. You don’t pay federal income tax on HSA contributions, or state taxes in most states. And, any money you take out to pay for qualified medical expenses is income tax-free, too. You can use your HSA to pay for qualified health care expenses for you and your family, now or in the future.
Additionally, your account can grow with tax-free interest earnings. When your account balance reaches a designated amount (typically $2,000) you may choose to invest a portion of your money in mutual funds. Be aware, though, that while deposits are insured by the FDIC up to $250,000, investments are not FDIC insured, are not guaranteed by Optum Bank, and may lose value.
Investments are not FDIC insured, are not guaranteed by Optum Bank®, and may lose value. 6

7. HSA overview Requires a qualifying high-deductible health plan (HDHP)
Used to pay for qualified health care expenses immediately
Funded by you, your employer or others
Account funds belong to you
Grows over time and can be invested
First, you must be enrolled in an HSA qualifying high deductible health plan or HDHP before you can open, fund and use an HSA. Most HDHPs cover preventive visits at 100%, saving you even more. You can use your HSA contributions to help you pay for expenses that the HDHP doesn’t cover. The balance in your HSA is yours to keep, however, and can be used to pay for health care expenses or saved for future use. If you change medical plans and are no longer covered by an HDHP, you can no longer contribute to your HSA.
Second, HSA funds can be used immediately but only to pay for qualified medical expenses. The IRS determines which expenses can be paid for with HSA funds. If you use the funds for non-qualified expenses, you will be required to pay taxes on the funds, as well as pay a penalty. We will discuss qualified and non-qualified expenses shortly.
Third, HSAs can be funded by many sources. You can contribute after-tax income or, if your employer allows, you can contribute through payroll deduction. Plus, an employer and others, like family members, can make contributions. Contributions made by any of these sources will count toward the maximum IRS contribution limit.
Next, all funds in the account belong to you as soon as they are deposited, regardless of who contributed them. This means that the funds go with you if you leave your employer. You make all decisions about how and when you use your HSA funds.
Finally, your HSA funds can grow over time. HSAs are not covered by IRS “use it or lose it” rules. This means that unused funds remain in your account from year to year. Depending on the type of account you choose, your HSA balance can grow through new contributions, interest earnings or investment income.
There are a few other things that you need to keep in mind.
Investments are not FDIC insured, are not guaranteed by Optum Bank®, and may lose value. 7 7

8. What you need to know about an HSA
You’re in charge of managing your HSA
Annual contribution limits are set by the IRS
Deposits can be made at any time and are available immediately
All deposits up to the annual IRS limit are income tax-free
Withdrawals made for qualified medical expenses are not subject to income tax
With an HSA, you’re in charge. And being in charge comes with some responsibility.
There’s no “claim” process like there is for HRAs and FSAs. You pay for qualified expenses directly from the account and are responsible for verifying the expense if the IRS requests it.
You’re responsible for administering how funds are used.
You decide when and how much to contribute.
You decide when you want to use your savings to pay for a qualified medical expense or to save your entire contribution so that it is available for you to use in the future.
You decide whether or not to invest some of your savings in mutual funds to increase potential long-term growth.
You also need to be aware of the annual contribution limits set by the IRS. The IRS dictates how much you can contribute to your HSA each year. I’ll review these limits shortly.
You also need to understand how to make deposits to your account and how to use your account to pay for qualified medical expenses. You can make a deposit to your account at any time, as long as you don’t exceed the annual limit. 100% of your contributions are available within a few days of depositing them.
Finally, you need to understand the tax advantages of an HSA. As I mentioned earlier, all contributions are tax deductible. You don’t pay federal income tax, and in most cases, state income tax on any HSA contributions. And, if you make your contributions through payroll deductions, you don’t pay FICA taxes either. This also allows you to reduce your taxable income. Your savings will grow tax-free and any interest earnings are not taxed. Also, withdrawals from an HSA are not subject to income tax as long as the funds are used for qualified medical expenses according to IRS guidelines. However, if you use your HSA to pay for non-qualified expenses, you will be taxed and assessed a penalty.
Now let’s talk about who is eligible to open and contribute to an HSA. 8 8

9. HSA eligibility You are eligible to open and contribute to an HSA if:
You are covered by an HSA qualifying high deductible health plan (HDHP)
You are not covered by any other health plan that is not a high deductible plan
You are not enrolled in Medicare, TRICARE or TRICARE for Life
You are not claimed as a dependent on someone else’s tax return
You are not covered by a health care flexible spending account (FSA)
You have not received Veterans Administration (VA) benefits within the past three months, except for preventive care. If you are a veteran with a disability rating from the VA, this exclusion does not apply.
You are covered by an HSA qualifying high deductible health plan (HDHP)
You are not covered by any other health plan that is not a high deductible plan
You are not enrolled in Medicare, TRICARE or TRICARE for Life
You are not claimed as a dependent on someone else’s tax return
You are not covered by a health care flexible spending account (FSA)
REGULATORY CHANGE JANUARY 2016 : You are now eligible to contribute to your HSA if you are receiving VA benefits for a “service- connected disability”.
You are eligible to open an contribute to an HSA if you meet these criteria:
First, you must be enrolled in an HSA qualifying high deductible health plan.
Second, you cannot be covered by any other health plan. For example, you cannot be covered by your spouse’s health care plan as well as this one.
Third, you cannot be enrolled in Medicare, TRICARE or TRICARE for Life.
Fourth, you cannot be claimed as a dependent on someone else’s tax return.
Fifth, you cannot be currently covered by a health care FSA. This is an important point. If you currently have a health care FSA and are enrolling in an HSA, you’ll want to spend down your FSA before the start of the HSA-eligible plan year to ensure you make the most of your FSA and transition smoothly to your new HSA.
And finally, you cannot have received Veterans Administration (VA) benefits within the past three months, except for preventive care. If you are a veteran with a disability rating from the VA, this exclusion does not apply.

10. Contribution limits Amount of funding
The IRS determines how much you can deposit into your HSA
each year.
Contribution rules
In 2017, you can contribute up to $3,400 for individual coverage and up to $6,750 for family coverage. In 2018, the limit for individuals increases to $3,450 and the limit for families increases to $6,900.
Additional funding
As I mentioned earlier, the IRS determines the maximum amount you can contribute to an HSA every year.
In 2017, you can contribute up to $3,400 if you sign up for the health care plan as an individual. If you sign up as a family or individual +1, the contribution limit goes up to $6, In 2018, you can contribute up to $3,450 for individual coverage and $6,900 for family coverage. The IRS allows people nearing retirement age to make additional “catch-up” contributions to help build balances to be used to help pay for health care costs during retirement.
You can contribute an additional $1,000 a year if you are 55 years or older.
If both you and your spouse are 55 or older, you can both contribute an additional $1,000. Your spouse will need to open his/her own HSA to make his/her own HSA catch-up contribution.
You are not eligible to make “catch-up” contributions if you are receiving Medicare benefits.
You can learn more about contribution limits and making catch-up contributions by going to irs.gov.
Now let’s learn how an individual might use an HSA to pay for health care costs and save on taxes.
Those 55 years of age or higher, but not yet enrolled in Medicare, can fund an additional $1,000/year “catch-up” contribution. 10

11. How an HSA helps you save
The money Steve puts into his HSA is income tax-deductible
Any money Steve withdraws from his HSA to pay for qualified medical expenses is withdrawn income tax-free
Steve may earn interest on his account, and it is not taxable
The amount not spent during this year carries over for use in future years
Let me introduce you to Steve. Steve is an illustrated example of an HSA Account holder.
Steve is married and has two children.
He has family coverage through an HSA qualifying high deductible health plan and opened an Optum Bank HSA.
His federal income tax bracket is 25% and his state income tax bracket is 5%.
Steve views his HSA as a “401(k) plan for health” because Steve or his employer can deposit money today that Steve can spend now or save for the future.
Let’s review the tax advantages Steve receives from his Optum Bank HSA:
The money Steve puts into his HSA is income tax-deductible. Any money Steve withdraws from his HSA to pay for qualified medical expenses is also tax-free. Steve earns interest on his account balance, and again, these interest earnings are not taxable. Finally, any amount that Steve does not spend during this year will carry over for use in future years.
So how much did Steve save by opening his HSA? 11

12. How much did Steve save? 1
In 2018, Steve will deposit $6,900 into his HSA, the maximum contribution for family coverage
Steve’s federal and state income tax and FICA savings for the year are $2,598* 2
Steve will withdraw $3,000 to pay for qualified medical expenses for himself and his family
Steve will not have to pay income taxes on the $3,000 as long as he uses it to pay for qualified expenses 3
Steve earns interest on his account
Steve does not have to pay income taxes on his interest
You might be surprised to learn that Steve will save $2,598 in taxes by contributing to an HSA! Here’s how Steve saved on income taxes and is building a long-term health care nest egg.
First, the money Steve put into his HSA is income tax-deductible. Steve deposits $6,900 into his Optum Bank HSA. This is the maximum contribution for family coverage allowed by the IRS in By making the maximum contribution, Steve saves $1,725 in federal income tax. He saves $345 in state income tax. And, because his employer offers payroll deduction, he saves an additional $528 on FICA taxes. As a result, Steve will save a total of $2,598 on his 2018 annual income taxes.
Steve continues to save on taxes when he withdraws funds from his HSA to pay for qualified expenses. For example, if Steve withdraws $3,000 to pay for health care expenses for himself and his family, he will not have to pay income taxes on that money as long as the funds are used to pay for qualified medical expenses.
Even though Steve earns interest on his account, this interest is not taxable.
Finally, any amount that Steve doesn’t spend during this year will carry over for him to use in the future. Steve will carry over approximately $3,750 HSA dollars into the next year.
Steve can use his HSA funds in many ways. Let’s look at a few of them. 4
Steve will carry over $3,900 HSA dollars (contributions – expenses + account earnings) into the next year
With a traditional plan, Steve wouldn’t have this carryover option, which helps him save for the future
* Assumes a 25% federal tax rate, 5% state tax rate and 7.65% FICA 12

13. Using your HSA funds Use the funds in your HSA
Use your HSA funds now, or save for the future
Use the funds in your HSA
Build balances to cover your HDHP deductible
Save for the future and grow funds tax-free
Remember that you can use your HSA funds now or save them for the future.
You can use the funds in your HSA as soon as they are deposited.
An HSA is a special savings account that works the same way as a traditional savings account at a bank.
You can withdraw or use all or part of your account balance at any time for qualified medical expenses.
You can build up your balance to cover your HDHP deductible.
You do this through a one-time deposit or through regular recurring deposits, such as ongoing payroll deductions.
You can also build up your balance by setting aside the difference between what you would have paid for traditional premiums and your current HDHP premium.
Finally, you can use your HSA to build your health care savings for the future.
You do this by paying for your health care expenses out of pocket.
This way, you can delay making HSA withdrawals and your HSA balance will continue to grow tax-free.
There’s no time limit on reimbursements so be sure to save your receipts. This way you can be reimbursed at a later date for any expenses that you incur today.
Now let’s look at some of the ways you can maximize your HSA balance. 13

14. How you can make the most of your coverage
Health care consumerism
Make informed choices
Look for ways to lower health care costs
Own your health care decisions
Understand your medical coverage
Maintain a healthy lifestyle
Use your preventative care coverage to catch health issues early
To gain the benefits, your HSA funds should only be used for qualified medical expenses. You probably want to know how you can make the most of your HSA funds and your health care coverage.
You’ve probably heard the phrase, “health care consumerism”. Essentially, what we’re talking about is making informed choices about your health care. When you make good choices about your health, from simple things like choosing fruit over chips, or walking 20 minutes every day, you are rewarded for your health
It’s about being rewarded with potentially lower health care costs.
Consumerism in health care is based on the idea that you should take ownership of your health care decisions.
It’s important for you to understand your coverage and how it works.
Being a good consumer is about maintaining a healthy lifestyle. Take advantage of all of the wellness resources available to you.
Finally, use your preventive health care coverage to catch health issues early. Preventative care is usually covered at 100% for network providers. 14 14

15. HSA qualified medical expenses
Medical plan deductibles and coinsurance
Medical, dental and vision care services and products
Use HSA dollars to pay for qualified medical expenses for your spouse or dependents
So, where can you use your HSA funds? You can use the money in your HSA to pay for “qualified medical expenses” identified by the IRS.
Qualified medical expenses include:
Medical plan deductibles and coinsurance.
Medical, dental and vision services and products, such as glasses.
Medical plan expenses, such as prescription drugs and doctor visits
You can use your HSA to pay for qualified expenses incurred by you, your spouse and your dependents even if they're not covered by your health care plan. Remember, any money you take out of your HSA for qualified medical expenses is income tax-free.
You can find a detailed list of qualified and non-qualified medical expenses by going to optumbank.com or irs.gov.
Generally, you cannot use HSA funds to pay for medical insurance premiums, but there are some exceptions. Let’s look at those. 15

16. Other HSA-qualified medical expenses
Health coverage while receiving unemployment benefits
COBRA continuation coverage
Qualified long-term care
While you normally cannot use your HSA funds to pay for your health care premiums, there are a few exceptions. For example, you can use the funds in your HSA to pay for any health plan coverage you pay for while you receive federal or state unemployment benefits. In addition, you can use your HSA to pay COBRA health insurance continuation coverage if you lose your job or to pay for COBRA health insurance coverage for a spouse or dependent. You can also use your HSA to purchase qualified long-term care insurance. Finally, Medicare premiums and out-of-pocket expenses including deductibles, co-pays, and co-insurance for Medicare Parts A, B and D also can be paid for out of your HSA, as long as you are 65 or older.
One critical change is that as of January 2011, HSAs can no longer be used to purchase over-the-counter items besides insulin without a prescription.
Medicare premiums and out-of-pocket expenses 16

17. Paying for non-qualified expenses
Any HSA funds used for purposes other than to pay for qualified medical expenses are:
Taxable as income
Subject to a 20% tax penalty*
There are a few things you need to remember if you use your HSA to pay for non-qualified expenses. Examples of non-qualified expenses include:
Medical expenses that are not considered “qualified” under federal law, like cosmetic surgery or health club dues.
Medicare supplement premiums and
Expenses that are not medical or health-related.
If you use your HSA to pay for a non-qualified expense, the amount of the purchase becomes taxable as income. You will also have to pay a 20% tax penalty on that amount.
The 20% tax penalty does not apply if the account holder is age 65 and older, if the account holder becomes disabled or if the account holder enrolls in Medicare. However, the amount of the non-qualified expense that was paid for with HSA funds will be taxed as income.
As you can imagine, it’s very important to save your receipts for any expense that you pay for with HSA funds so that you can verify that a withdrawal was made for a qualified expense in the event that the IRS requests documentation.
* The 20% tax penalty does not apply to account holders age 65 and older, those who become disabled or enroll in Medicare 17

18. Making deposits
Contribute through payroll deduction and save on FICA taxes
Payroll deduction
Arrange a one time or recurring electronic transfer from an account at another financial institution
Contribute online
Mail a check
Deposit additional dollars into your account by mailing in a check
You can make deposits to your HSA at any time during the year. There are several contribution methods you may want to consider.
First, if your employer offers payroll deduction contribution, you can chose to deduct a set amount from each paycheck to help build your balance automatically. Payroll deduction also offers increased tax savings of 7.65% from FICA taxes.
Second, you are free to add more to your HSA using after-tax income. You can set up a one time or recurring deposit to your account online. Or, you can always mail in a check. Any after-tax deposits will be listed on your tax return as a below the line tax deduction.
You will also want to keep in mind that you can make a contribution for the preceding tax year until April 15 to reap the tax benefits for the prior year. This is another way in which an HSA is similar to an IRA.
You can make HSA deposits until April 15th in order to realize tax savings for the prior year 18

19. Rollovers from an IRA, MSA or HSA
One-time distribution from your traditional or Roth IRA
Roll over amount from Archer Medical Savings Accounts (MSAs) and other HSAs
Transfer funds directly into another HSA
Direct your IRA trustee to make the distribution into your HSA
Cannot exceed your contribution eligibility
Cannot include as income and is not deductible
Must roll over the amount within 60 days after the date of receipt
Can make only one rollover contribution in a one-year period
Direct an HSA administrator to transfer funds into another HSA
Cannot include the amount as a deduction or distribution
You also have the option to roll over funds from other accounts into your HSA. There are three options for rollovers.
IRA
You can take a one-time distribution from your IRA or Roth IRA and roll the funds into your HSA. To do this, you must direct your IRA trustee to make distributions directly into your HSA. However, the distribution amount cannot exceed the total amount you are eligible to contribute to your HSA for that tax year. Start by downloading the “IRA Rollover/Transfer Request Form” found on our web site, optumbank.com. Fill it out and send the form to your IRA provider. This contribution will count toward your annual maximum. It’s important to note that IRA distributions are not included in your income, are not tax deductible and will reduce the total amount that can be contributed to your HSA.
MSA
You also can rollover funds in an Archer Medical Savings Account. These are sometimes referred to as MSAs. Cash distributions from an MSA must be rolled over to your HSA within 60 days. You are allowed to make only one MSA rollover contribution to an HSA during a one-year period. Annual HSA contribution limits do not apply to MSA rollovers.
HSA
Finally, you can transfer funds from other HSAs so that you only have to manage one HSA. Technically, this is not considered a rollover and there is no limit on the number of HSA-to-HSA transfers you can request. Simply direct another HSA administrator to transfer the funds in your account directly into your Optum Bank HSA. If you make an HSA-to-HSA transfer, remember that the transferred amount is not considered income for tax purposes. You should not deduct this amount as a contribution and you should not include it as a distribution.
To rollover funds from an existing HSA or MSA, download and complete the “Rollover/Transfer Request Form” that you’ll find on our web site, optumbank.com. If you have a check from your previous administrator, send it along with the completed form. If you do not have a check, you can authorize Optum to transfer the funds to your Optum Bank HSA. Then close the previous account.
As we’ve discussed, there are several ways to build your HSA balance. You’ll find there are even more ways to use your funds. 19 19

20. Access your HSA funds
Use your Optum Bank® Health Savings Account Debit Mastercard®
Sign up for automatic bill pay and online banking
Use HSA checks for this account
While most of our account holders feel that the debit card is the easiest way to pay for health care expenses, there are a number of other ways you can use the funds. First, you can access your account to pay bills by signing up for automatic bill pay and online banking. This allows you to pay your bills online. You can also store the names and addresses of providers to make future payments more efficient, or you can even automate regular payments, such as to an orthodontist.
Another way to access your HSA is to order and use checks for your account. You can use these checks to pay medical bills.
If you’re looking to save for retirement, a great method is to pay for the expenses out of pocket. If you need the funds in the future, you can reimburse yourself for these later in the year, two years later, or even in retirement. Simply pay the bill with your regular credit card or check. When you need to be reimbursed, simply go online to use the reimbursement feature. Be sure to keep your receipts in case you are audited and the IRS requests documentation.
Pay for an expense with personal funds and reimburse yourself from your HSA 20

21. Save your receipts!
Save your receipts for all qualified medical expenses
Track bill pays, reimbursements and out-of-pocket expenses via expense journal
Optum Bank® does not track your expenses or verify eligibility
Here are a few tips that can help save you a lot of time and headaches later on! Always save your receipts for all qualified medical expenses, note whether the qualified expense was paid for out of your HSA, then retain the receipt for future reference. You can use a file folder, a shoebox, or save them online. Whatever method works for you. It is easy to to upload images of receipts online at optumbank.com and then store them within your HSA. You can easily organize and manage your receipts from your smart phone, tablet or desktop.
Remember, Optum Bank does not track or verify your spending. That is your responsibility. You do not need to provide receipts in order to reimburse yourself from the account, however you should always save your receipts for future reference in the case of an IRS audit.
Now let’s check in with Molly to see how she accesses her HSA. 21

22. Molly goes to the doctor with her HSA
How Molly uses her HSA
Molly goes to the doctor with her HSA
Molly presents her health plan member ID card at the doctor’s office
Her doctor submits a claim to her health care plan
Molly fills her prescription and pays for it with her HSA Debit Mastercard®
Meet Molly, another example of a typical HSA account owner. She’s been feeling ill and visits her primary care doctor. Molly presents her health insurance member ID card at the doctor’s office to make sure that she receives the network discount negotiated by her health plan. The doctor prescribes a lower cost generic medication to help Molly save money. Because Molly has no co-pay, she pays nothing at the time of service. The doctor’s office submits a claim to Molly’s health insurance company.
Because Molly’s out of-pocket medical expenses haven’t reached her deductible yet, her health care plan notifies the doctor that Molly is responsible for paying for her visit. The doctor sends Molly a bill directly and charges the rate that he negotiated with her health care plan.
Molly goes to the pharmacy to fill her prescription. Molly shows the member ID card for her high deductible health plan to make sure the claim will count toward her deductible and that she can receive any available discounts on her medication. Molly then pays for the prescription in full, using her Health Savings Account (HSA) Debit Mastercard®.
When Molly receives her doctor’s bill, she checks her statement to make sure the amount billed matches what her health care provider says she owes. She pays the bill by writing the number of her HSA Debit Mastercard on the doctor’s invoice then mailing it.
Finally, Molly keeps her receipts for these HSA-qualified expenses so she can calculate her tax-free health spending on her tax return. She also keeps the receipts in the event of an IRS audit.
Molly can go online to check her balance and make sure that the payment was received. Let’s see how she can manage her account with Optum Bank’s easy-to-use web site.
Molly receives and pays her doctor’s bill with her HSA Debit Mastercard®
Molly retains her receipts 22

23. Managing your HSA online
Check your balance
Arrange deposits from another banking account
Pay bills to health care providers
Reimburse yourself for qualified medical expenses paid out-of-pocket
Use HSA calculators
Check the contribution tracker for YTD contribution amounts
Track bill pays, reimbursements and out-of-pocket expenses via expense journal
Manage investment activities for your HSA
You can manage your HSA online with myuhc.com
Only Optum Bank gives you the convenience of managing your HSA through your health plan website – myuhc.com.
When you log in to myuhc.com, you can access your HSA by clicking on “Optum Bank HSA”. From here, you can do all of your banking: pay bills, make deposits, reimburse yourself, track spending, start investments and see your tax savings.
You can make a contribution to your HSA at any time by arranging a one time or recurring deposit from another banking account.
If your provider does not accept Mastercard, you can pay health care providers through our online bill pay feature. Or, if you have paid for a qualified medical expense out-of-pocket, it is easy to reimburse yourself online. And it is easy to upload receipts to your HSA and keep track of them online.
You will also have access to our contribution tracker, which shows you how much you have contributed to your HSA year to date and shows you how much you are eligible to contribute based on your plan type (individual or family).
Another great feature of the Optum Bank HSA is the ability to invest a portion of your HSA dollars into mutual funds, once your account reaches a designated threshold (typically $2,000). Keep in mind, though, that while deposits are insured by the FDIC up to $250,000, investments are not FDIC insured, are not guaranteed by Optum Bank, and may lose value.
However you choose to manage your account, it is easy to do online from your smart phone, tablet or desktop.
Investments are not FDIC insured, are not guaranteed by Optum Bank®, and may lose value. 23 23

24. Enroll in an HSA qualifying HDHP
Sign me up!
Go to optumbank.com
Click on “Open an HSA”
Follow screen prompts to complete an online application
Enroll in an HSA qualifying HDHP 1 2 3
[If electronic approach is appropriate]
Now that you’ve learned about HSAs, and the tax advantages of opening an account – it’s time to get started.
It only takes a few minutes to open an Optum Bank HSA online. The first step is to enroll in a HSA qualifying high deductible health plan and make sure you meet other eligibility requirements as defined by the IRS. You can find out more about eligibility requirements by going to irs.gov, Publication 969.
Then go to optumbank.com and click on the “Open an HSA” option on the upper right-hand navigation screen. Follow the screen prompts to complete an online application.
To open an account, you will need:
Your Social Security Number.
A valid address.
If you are enrolling as part of an employer group, you also will need your Medical ID card that contains your Group/Employer number. 24

25. Enroll in an HSA qualifying HDHP
Sign me up!
Complete the HSA paper application provided by your employer
Enroll in an HSA qualifying HDHP
[If paper form approach is appropriate]
Now that you’ve learned about HSAs, and the tax advantages of opening an account – it’s time to get started.
It only takes a few minutes to open an Optum HSA. The first step is to enroll in your employer’s health plan, then fill out the HSA paper application provided by your employer.
To open an account, you will need:
Your Social Security Number.
A valid address.
Your Medical ID card that contains your Group/Employer number. 25

26. What to expect as a new account holder
Optum Bank® Welcome Kit will be mailed shortly after you are successfully enrolled in an HSA
Debit card will arrive in a separate mailing
HSA materials are mailed separately from health plan materials
After logging in to your account for the first time, you will be prompted to provide your address. You’ll receive an Optum Bank quarterly newsletter with tips for helping you to make the most of your health care dollars
After you complete the enrollment process, you will receive an Optum Bank Welcome Kit shortly after you are successfully enrolled in an HSA. The Optum Bank welcome kit will be mailed separately from your health plan materials. Please read this information carefully — it’s your first step in making the most of your HSA. Remember, you may have enrolled in your health plan several weeks prior to receipt of your Optum Bank welcome kit.
Your Optum Bank Health Savings Account Debit Mastercard® should arrive in a separate mailing a few days after your welcome kit. You can activate the card using the included toll-free number. Once funds are available in your account, you can swipe this card anywhere you make qualified health care payments or purchases.

27. Common questions
Yes. You can open an HSA at any time, as long as you are covered by an HSA-qualifying high deductible health plan
Can I open a health savings account at any time during the year?
Yes. Funds in your HSA belong to you, including any contributions that your employer or anyone else has made
Can I take the funds in my HSA with me if I leave the company?
No. You can contribute as much as you’d like up to the IRS maximums. Many people base their contributions on the annual deductible required by their HDHP
Am I required to contribute a specific amount each year?
No. HSA plans are not subject to IRS “Use It or Lose It” regulations. This means that funds in the account continue to accumulate over time
Do I need to use all of the funds in my HSA during the year?
One of the most common questions that people ask when they consider opening an HSA is “Can I open a Health Savings Account at any time during the year?”
The answer is yes. You can open an HSA at any time, as long as you are covered by an HSA-qualifying high deductible health care plan.
Another common question is whether or not you can the take the funds in your HSA with you if you leave the company? The answer is yes. Funds in your HSA belong to you, including any contributions that your employer or anyone else has made.
We also often field questions related to required contributions. There is no contribution requirement for HSAs. You can contribute as much or as little to your account as you’d like, up to the annual IRS maximum contributions for individuals and families. Account holders often base their contributions on the annual deductible required by their HDHPs.
A final common question is whether or not you need to use all of the funds in your HSA before the end of the year. The answer is no. HSA plans are not subject to IRS “Use It or Lose It” regulations. This allows the funds in the account to continue to accumulate over time until they are used. 27

28. What if I have more questions?
Review your benefit plan information
Call the toll-free Customer Care number on the back of your HSA Debit MasterCard®
Now you know more about your health savings account. If you have questions about the HSA, please refer to your benefit information, call the toll-free customer service number listed on the back of your debit card, or visit optumbank.com or myuhc.com.
Visit optumbank.com or myuhc.com 28

29. Thank you.
Investments are not FDIC insured, are not guaranteed by Optum Bank®, and may lose value.
Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Administrative services provided by UnitedHealthcare Insurance Company, United HealthCare Services, Inc., or their affiliates. Health Plan coverage provided by or through a UnitedHealthcare company. For informational purposes only. UnitedHealthcare does not diagnose problems or recommend specific treatment. The information provided in this document is not a substitute for your physician’s care. Services and medical technologies referenced herein may not be covered under your plan or be available in all states or for all groups. Hypothetical example is for illustrative purposes only. All events, persons and results described herein are entirely fictitious and amounts will vary depending on your unique circumstances. Any resemblance to real events or persons, living or dead, is purely coincidental.  Current rates are variable and may change at any time.
Health Savings Accounts (HSAs) are individual accounts offered or administered by Optum Bank®, Member FDIC, and are subject to eligibility and restrictions on distributions for qualified medical expenses set forth in section 213(d) of the Internal Revenue Code. State taxes may apply. Fees may reduce earnings on account. This communication is not intended as legal or tax advice. Please contact a competent legal or tax professional for personal advice on eligibility, tax treatment, and restrictions. Federal and state laws and regulations are subject to change.
Please check your health benefit plan materials to determine whether your employer will make supplemental contributions to your HSA.
Hypothetical example is for illustrative purposes only. All events, persons and results described herein are entirely fictitious and amounts will vary depending on your unique circumstances. Any resemblance to real events or persons, living or dead, is purely coincidental.  Current rates are variable and may change at any time.
UnitedHealthcare | myuhc.com
© 2017 UnitedHealthcare Services, Inc. All Rights Reserved. 29