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13 <br />Attachment number 1 <br />Page 71 <br />Flexible Spending <br />Accounts (FSA) <br />Health Savings Accounts (HSA) <br />Maximum Account Contribution <br />2012 Maximum Contribution: <br />Single $3,100 - $1,000 = $2,100 <br />Family $6,250 - $1,000 = $5,250 <br />Save Your Receipts <br />Extra contributions for age 55 +: $1,000 <br />$2,500 <br />6% excise tax for excess contributions <br />Contributions for Medicare Enrolled: <br />No contributions allowed once individual <br />(Normally 65 or Disabled) <br />Allowed <br />on Medicare <br />income + 20% Penalty <br />Penalty for Non - Qualified <br />Not Applicable: Not <br />(except after death, <br />Expense Withdrawals <br />allowed <br />I disability or Medicare Enrollment) <br />13 <br />Attachment number 1 <br />Page 71 <br />