DePaul University Human Resources

Part II: Enroll in the CIGNA Choice Fund HSA and Establish a Health Savings Account (HSA)

A. Enroll in the CIGNA Choice Fund HSA Plan

Use the on-line benefits enrollment application to sign up for the CIGNA Choice Fund HSA Medical Plan (see the benefits enrollment link through Campus Connection; on the application, the plan is referred to as the "High Deductible Health Plan”).

See the Benefits Enrollment page of the HR website for instructions.

You will receive a CIGNA Health Plan Identification Card in the mail after you enroll.

B. Establish a Health Savings Account with JPMorgan Chase Bank (if necessary)

New Employees-After you enroll in the CIGNA Choice Fund HSA on the Campus Connection Benefits Enrollment Application, submit an application for a Health Savings Account as described below. JP Morgan Chase Bank will process your application once Human Resources sends JP Morgan Chase Bank confirmation of your enrollment. Human Resources will send confirmation within two weeks after you enroll in the CIGNA Choice Fund HSA medical plan on the Campus Connection Benefits Enrollment Application.

Annual Enrollment-After you enroll in the CIGNA Choice Fund HSA on the Campus Connection Benefits Enrollment Application, submit an application for a Health Savings Account as described below if you do not already have a JP Morgan Chase Bank Health Savings Account. JP Morgan Chase Bank will process your application once Human Resources sends JP Morgan Chase Bank confirmation of your enrollment. Human Resources will send the enrollment records to JP Morgan Chase Bank within two weeks after annual enrollment closes.

To Apply for a Health Savings Account:

After you enroll in the CIGNA Choice Fund HSA, apply for a JP Morgan Chase Bank Health Savings Account as soon as possible. You will need to establish your account since you will need your account number in order to establish a pre-tax salary reduction from your pay (described below in task ‘D’).

To apply for an account:

Go to the on-line Health Savings Account application found on the www.mycignaplans.com website. In order to gain entry into the site and complete the on-line application, enter:

User ID :DePaul2008
Password:cigna
When you select the application, you will need an enrollment ID. This is also DePaul2008

Again, once you enroll in the Consumer Driven Health Plan, complete the Health Savings Account application as soon as possible. JP Morgan Chase Bank will process the account application when they receive a confirmation that eligibility is loaded in the system.

Once your Health Savings Account is established, you will receive a CIGNA Choice Fund debit card in the mail for use with your account.

IMPORTANT: If you do not establish a bank account, DePaul University will not be able to make the employer contribution to your Health Savings Account and you will not be able to elect pre-tax HSA salary reductions from your pay. Additionally, you may forfeit your right to receive an employer contribution for the year.

C. Understand the Contribution Possibilities Related to Your Enrollment in the CDHP

The CIGNA Choice Fund HSA Consumer Driven Health Plan (CDHP) combines a health/medical coverage plan with a health savings account (HSA) to help your family and you invest in your well being.

Once you enroll in the CDHP and open an HSA, DePaul will make and you can make tax-free contributions into your HSA. These contributions can be used to cover deductibles and co-insurance. Once you meet the CDHP deductible and co-insurance amounts, the CDHP plan pays for the rest. See Pages 22-30 of the Health Benefits Plans Summary Plan Description on the HR website https://hr.depaul.edu for more details on the CIGNA Choice Fund HSA (Consumer Driven Health Plan).

DePaul and Employee HSA Contributions

Type of Coverage	DePaul HSA Contribution*	2008 Maximum Annual Account Contribution	2008 Maximum Employee Contribution Allowed
Single Coverage	$ 500*	$ 2,900.00	$2,400 ($2,900 - $500)
Employee-Plus-Child, Employee-Plus-Spouse, or Family Coverage	$ 1,000*	$ 5,800.00	$4,800 ($5,800 - $1,000)
Age 55 Employee Additional Catch Up		$900.00	$3,300:Single Coverage $5,700-Employee-Plus-Child Employee-Plus-Spouse, or Family Coverage

*Contributions are proportionally less when enrollment in the CDHP occurs after January 1

Maximum Contribution Restrictions-Employees not HSA eligible for the entire plan year in which they are making contributions must be HSA eligible in December of the plan year and remain eligible for the next 12 months in order to make the maximum contribution. If an employee is not eligible for the requisite period, then the employee will become subject to the 2006 rules and excess contributions will be subject to regular taxes as well as an excise tax.

You may want to review the IRS publications links listed below and / or consult your tax advisor before you increase your contributions.

http://www.treas.gov/offices/public-affairs/hsa/pdf/all-about-HSAs_051807.pdf (refer to pages 18 and 19)
http://www.treas.gov/offices/public-affairs/hsa/faq_contributing.shtml#hsa2

University Contributions:

DePaul University makes an employer contribution for all active full-time employees who enroll in the CIGNA Choice Fund HSA Medical Plan. The amount of these contributions is shown in the above chart. Note:

All of the contributions are intended to be made through the DePaul University Section 125 Cafeteria Plan.
DePaul University pays the entire annual employer contribution to all participants as soon as administratively feasible following: (1) an employee’s plan entry date (plan entry dates are always on the first of the month) and (2) the employee’s establishment of an HSA with JP Morgan Chase Bank.
For those who do not receive an employer contribution as of their plan entry date due to not having established an HSA at JP Morgan Chase Bank, DePaul University will contribute a comparable amount, plus reasonable interest, based on each month that the employee was a comparable participating employee.
Contributions are based on the Medical Plan entry date regardless of when the Health Savings Account is actually established.
Contributions are not made for COBRA participants.
The University will make contributions only to the enrolled employee. If an enrolled employee covers a spouse who is also a DePaul University employee, the spouse is not eligible for a contribution.
Employees who become HSA eligible mid-year will receive a single lump sum contribution (calculated by taking the maximum annual employee contribution and pro-rating it by the remaining months in the calendar year)

Employee Contributions:

An employee’s Health Savings Account is only partially funded through University contributions. Employees may also make pre-tax contributions via salary reductions (under the DePaul University Section 125 Cafeteria Plan). Note:

Participants may choose to fund their HSA up to the limits in the above chart directly to their HSAs rather than making pre-tax contributions through the university. Contributions made directly to an HSA can be taken as deductions on Form 1040.
Employee contributions through salary reduction will only be allowed prospectively the first of the month after all three of the following requirements are met:

(1) The employee enrolls in the High Deductible Health Plan portion of the Consumer Driven Health Plan.
(2) The employee opens a Health Savings Account with JPMorgan Chase bank.
(3) The employee completes the on-line HSA salary deferral election on benefits self-service thereby establishing the pre-tax deduction on the payroll system.

Employee contributions amounts made through DePaul can be changed for any reason throughout the calendar year within the parameters of the above-mentioned limits.

D. Establish a Pre-tax Salary Deduction from Your Pay

You will be able to proceed with this task (establish a salary reduction contribution) only after:

The Health Savings Account is established and you have an account number (Task ‘B’, above), and
You are able to Confirm Your Enrollment on the Benefits Page of Campus Connection which means that your enrollment has been processed by Human Resources.

If you do not want to make an employee contribution, you must still enter $0 for your HSA contribution in order to trigger the employer contribution.

Follow this process to complete the election of the contribution amount:

Log on to Campus Connect by entering your user ID and password.
Click on the "For Employees” menu item.
Click on the "Benefits Enrollment” menu item. This will take you to the BENEFITS PAGE.
On the BENEFITS PAGE, click on the "HSA Enrollment” icon. You must enter your JP Morgan Health Savings Account number and then you will be able to enter the annual amount of your contribution.
For annual Enrollment: after November 20th.

Note: If you do not want to make personal contributions, you must still go through the above process and check the "Employer Contribution Only" box in order to receive the employer contribution.

E. Making Mid-year Changes to Your Health Saving Account Contributions

You may change the amount of your Health Savings Account pre-tax deduction at any time. Changes can not be made per the above process. Instead, you will have to print and complete the DePaul University Health Saving Account (HSA) Salary Reduction Election Change Form. The completed form must be submitted to Human Resources.