Employee Benefits Guide SAMPLE

12 / 33

Company Name
9
with the exception of wellness.
More information about approved items, plus
additional details about the HSA, is available on the
IRS Website at
Every time you use your HSA, save your receipt in
case the IRS asks you to prove your claim was for a
qualified expense. If you use HSA funds for a non-
qualified expense, you will pay tax and a penalty on
the ineligible amount.
Please Note: if you elect to enroll in the QHDHP and
you establish a HSA you will not be eligible to
participate in the FSA. You may establish a Limited
Purpose FSA, which allows you to set aside pre-tax
funds for dental and vision, but not for any expenses
covered under the medical plan.