Placer West Insurance Services

Federal Poverty Level (FPL) Chart

HSA Contribution Limits

Please be aware of the 2016 annual HSA contribution limits listed below.

• $3,350* - Maximum HSA Annual Contribution Limit (Self-only)
• $6,650* - Maximum HSA Annual Contribution Limit (Family)
• $1,000 - HSA Catch-up Contribution Limit
• $1,300 - Minimum HDHP Annual Deductible (Self-only)
• $2,600 - Minimum HDHP Annual Deductible (Family)
• $6,450 - Maximum HDHP Annual Out-of-pocket (Self-only)
• $12,900 - Maximum HDHP Annual Out-of-pocket (Family)
*For purposes of the full contribution rule an employee is treated as being eligible for the entire calendar year as long as he or she is eligible as of December 1 of that calendar year and continues eligibility throughout the following year. However, failure to maintain eligibility during the "testing period" will result in adverse tax consequences (including an additional excise tax). The testing period begins in December of the year in which the employee becomes eligible and ends the last day of December of the following year.