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4.13 SR 05-06-2024
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4.13 SR 05-06-2024
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<br />© 2012 Hitesman & Wold, P.A. City of Elk River <br />Flexible Benefits Plan <br />40 <br />If a Participant to whom this special rule applies ceases to be eligible for HSA <br />contributions within the twelve (12) month period beginning with the last month of such <br />taxable year other than by reason of death or disability (as described in Section 72(m)(7) <br />of the Code), then any contribution made in excess of the annual limit under the general <br />rule described above will be included in the Participant’s gross income and will be subject <br />to an excise tax as provided in Section 223(b)(8)(B) of the Code. <br />(e) Special Rule for Married Participants. If the Participant is married and both the <br />Participant and Participant’s Spouse have coverage under a high deductible health plan <br />(as defined in Section 223 of the Code), the applicable limit is divided equally between <br />them (unless they agree to a different allocation). <br />(f) Rollover Contributions. Rollover contributions may also be made to the HSA from <br />another health savings account or from an Archer MSA. Rollover contributions are not <br />subject to the contribution limit described above. <br />(g) Treatment of Excess Contributions. To the extent total contributions to a <br />Participant’s health savings accounts made during the taxable year exceed the applicable <br />limit on such contributions, then the contributions in excess of the limit shall be included <br />in the Participant’s gross income and shall be subject to an excise tax as provided in <br />Section 4973(g) of the Code, unless returned in accordance with Section 223(f)(3) of the <br />Code. <br />16.7 Investment of HSA Funds. A Participant may invest his or her HSA funds as allowed by the <br />HSA trustee/custodian. The Employer shall have no control or responsibility for how a <br />Participant’s HSA funds are invested. <br />16.8 Tax Consequences. It is intended that the HSA contributions made under this Plan shall be <br />excluded from the Participant’s gross income under Section 223 of the Code. <br />16.9 Distribution of HSA Funds. The Employer shall have no responsibility or control over <br />distributions made from a Participant’s HSA. The Employer shall have no responsibility to <br />substantiate expenses for which such distributions are made. Sections 6.7 and 6.8 of this Plan <br />shall not apply to distributions from a Participant’s HSA. A Participant need not be a Participant <br />in this Plan, be covered by a High Deductible Health Plan of this Employer, nor be covered by any <br />other high deductible health plan in order to receive a distribution from the Participant’s HSA. <br />16.10 Reporting. The Employer shall be responsible for reporting contributions made to a <br />Participant’s HSA through this Plan on the Participant’s Form W-2. Participants shall be <br />responsible for reporting contributions to their HSAs and distributions from their HSAs on <br />appropriate forms. Participants shall also be responsible for determining whether an HSA <br />distribution is taxable. <br />16.11 Continuation of Coverage. This HSA Contribution Feature and the underlying HSAs are not <br />group health plans for purposes of the Consolidated Omnibus Budget Reconciliation Act of 1985, <br />(“COBRA”), as amended, and reflected in the Public Health Services Act (“PHSA”), as amended, <br />the Family and Medical Leave Act (“FMLA”), and the Uniformed Services Employment and <br />Reemployment Rights Act of 1994 (“USERRA”). COBRA, FMLA, and USERRA do not apply to this <br />HSA Contribution Feature and the underlying HSAs. <br /> <br />Page 133 of 254
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