Key Features
Filter
Use the filter to find information for the coverage level you want:
- Employee Only
- Employee + One
- Employee + Family
COVERAGE LEVEL | IN NETWORK | OUT OF NETWORK* |
---|---|---|
Employee Only | ||
Your Biweekly Contribution | $40.22 | $40.22 |
Deductible | $1,650 | $3,300 |
Hess HSA Contribution | $500 | $500 |
Your HSA Contribution | Up to $3,800 ($4,300 IRS limit minus Hess contribution) | Up to $3,800 ($4,300 IRS limit minus Hess contribution) |
Out-of-Pocket Maximum | $3,000 | $6,000 |
EMPLOYEE ONLY |