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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)
Life Insurance
To receive your free insurance quote, please fill out the request form below. To see how we use your personal information, please see our
Privacy Policy
.
Contact Information
*Your Name:
Your Spouse's Name:
*Home Address:
*City (California Only):
*ZIP:
*County:
*Phone:
*Email:
Proposed Insured's Information
Date of Birth
Reason for Visit
Minor Illness
Minor Injury
Emergency Room Visit
Chronic Condition
Annual Physical
Year:
ft
lbs.
inches
Male
Female
Yes
No
0-1
2-4
5+
Prescription
Non-Prescription
Both
Reason for Visit
Minor Illness
Minor Injury
Emergency Room Visit
Chronic Condition
Annual Physical
Year:
ft
lbs.
inches
Male
Female
Yes
No
0-1
2-4
5+
Prescription
Non-Prescription
Both
Amount of Insurance
Life Insurance
Long Term Care
Both
$100,000
$250,000
$500,000
$1,000,000
Other
Request Your Free Quote
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