Kaiser Permanente - DHMO Plan

  • Deductible & Coinsurance may apply.
  • Medical care is provided through Kaiser facilities and providers. No coverage outside the service area other than urgent or emergency care.

2019-20 Information

Video Library

Videos from Kaiser Permanente to help you live healthier, click HERE.
Integrated Care


Kaiser Permanente - Kaiser HDHP with HSA

  • 2019 HSA Contribution Limits: Single $3,500; Family $7,000
  • Employees age 55 or older are allowed a catch-up contribution up to an additional $1,000 annually.
  • The district contribution for employee only coverage is $750 per year or $62.50 per month. The district contribution for family coverage is $1,020 per year or $85.00 per month. When calculating how much to contribute to the HSA, be sure to deduct the district's contribution from the IRS limit.
    Open Your Kaiser HSA Account
  • Higher deductible than traditional plans, but includes employee health savings account (HSA) partially funded by the district. Employee can contribute additional amounts to their HSA through pre-tax payroll deductions.
  • Triple tax saving advantage.
  • No coverage outside the provider network other than urgent and emergency care.
  • Employees may select either employee only, employee/spouse, employee/child(ren), or family health insurance coverage. 

2019-20 Information

HSA Bank administers the Health Savings Account for Littleton Public Schools.

A Health Savings Account (HSA) is a tax-exempt trust or custodial account that you can fund with pre-tax payroll deductions and that the district may also contribute to, in order to help you pay for qualified medical expenses not covered by your medical, dental or vision plans.

To be eligible for an HSA you must be enrolled in either the CIGNA CDHP or the Kaiser HDHP health insurance plan. In addition, by enrolling in the HSA (generally online) you are certifying that:

  1. You are eligible to make contributions to the Health Savings Account;
  2. You are a U.S. citizen or resident alien age 18 or older with a U.S. address (not a PO Box);
  3. You have a valid Social Security Number;
  4. You have no health coverage, as the employee or the dependent, other than a high deductible health plan except for certain IRS-allowed insurance, e.g. dental, vision, accident/disability, long-term care, per diem hospitalization, or specific disease coverage;
  5. You are not enrolled in Medicare Part A, Part B, Part D or any other Medicare benefit (those eligible but not enrolled still qualify); and,
  6. You may not be claimed as a dependent on anyone else's tax return.

HSA Bank’s member website and mobile app provide you with all the tools you will need to manage your HSA account.  Forms to assist you in managing your HSA Bank account include:

Beneficiary Designation Form

Change of Address Form

Change of Name Form


Matrix of HSA Contribution Limits

IRS Publication 502
Medical & Dental Expenses

IRS Publication 969
Health Savings Accounts


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