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DAVID MARTIN AGENCY, INC. <br />Limited direct rollovers from medical FSAs and health reimbursement accounts (HRAs) are <br />also permitted if the employer agrees. The rollover will not count against the annual HSA <br />contribution limit. There is a limit of one such distribution per health FSA or HRA, which may <br />be made only during a limited time period (January 1, 2007 -December 31, 2011). The <br />rollover amount may not exceed the lesser of the individual's health FSA or HRA balance on <br />September 21, 2006 or as of the distribution date. The individual receiving such a rollover <br />must be HSA eligible in the month the rollover is made and must remain HSA eligible for the <br />following 12 months or the rollover will be included in gross income and subject to a 10% <br />penalty (exceptions apply if the individual dies or becomes disabled). A modified <br />comparability rule also applies: To avoid the 35% excise tax under Code Section 49806, an <br />employer that makes this new rollover opportunity available to any employee must make it <br />available to all employees who are covered under the employer's ClHDHP. <br />Other HSA funding information: <br />• Without regard to monthly pro-ration, employees may make the total annual allowed amount <br />to their HSA if they join the HSA health plan at any time during the year as long as they are <br />covered in December of that year. However, if they make the total annual contribution, they <br />must remain eligible for HSA contributions for the entire calendar yearthat occurs after they <br />join the plan. (For example, if theyjoin in June 2011, they must remain HSA eligible through <br />December 2012.) Otherwise, they will incur income taxes and a 10% penalty on any excess <br />contributions far months they were not covered under the plan in 2011. <br />• If an employee does not wish to maintain HSA coverage during the required testing period for <br />no pro-ration of contributions, they may make pro-rated HSA contributions based on the <br />number of months they are covered under the HSA health plan. In this case, they need not <br />remain HSA eligible after the last pro-rated deposit. <br />• An additional HSA catch-up contribution is available for members age 55 or older. This catch- <br />upcontribution amount is set by statute and remains $1,000 per year for 2011 and 2012. <br />• Contributions in excess of the maximum allowable amount or contributions made on behalf <br />of an employee who is not an eligible individual will be included in the employee's income <br />regardless of who made the contribution and a 6% excise tax will be imposed. <br />• If excess contributions are returned to the employee before the end of the employee's time <br />for filing a tax return for the year the excess contributions were made (including any <br />extensions), the employee will only be liable for income tax on the excess and not the excise <br />tax. The individual owners of the account are responsible for ensuring that contributions do <br />not exceed the annual maximum. <br />Q: Who is eligible for an HSA? <br />A: Eligible individuals must be covered by a qualified High Deductible Health Plan (QHDHP) and <br />only a ClHDHP. <br />A Ctualified High Deductible Health Plan is a health plan that has a deductible of at <br />least $1,200 for individuals and at least $2,400 for family coverage for 2011. <br />These amounts remain unchanged for 2012. Maximum 2011 HSA funding is <br />$3,050 for individuals and $6,150 for families under a QHDHP. These deductibles <br />will be increased to $3,100 for individuals and $6,250 for families in 2012, and will <br />continue to be indexed in the future. <br />CONFIDENTIAL. PAGE a <br />