What to expect with PayFlex

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1 What to expect with PayFlex Detailed information about your health savings account (HSA) HSA members moving to PayFlex (3/15)

2 We d like to tell you what you can expect from us as you prepare for your move to PayFlex. We also want to tell you about the tools available to help you manage your account, and some key dates to keep in mind. PayFlex Systems USA, Inc.

3 1. Before your account moves to PayFlex To learn more... Visit to view educational materials, frequently asked questions and eligible expense listings. Confirm your identity (if applicable) In order to open your HSA, we may need more information to confirm your identity. If we need more information, we ll send you a letter by mail. Check out the list of common eligible expense items. Learn more about the benefits of an HSA

4 2. Get to know your PayFlex account What s different? A new PayFlex Card If offered by your employer, the PayFlex Card makes it easy for you and your family members to pay for eligible expenses with the funds in your account. PayFlex Mobile app The PayFlex mobile app is a great way for you to stay connected and up to date on your account information wherever and whenever you need it most. Online payment features You can pay your providers directly online from your PayFlex account. You can also link a personal bank account to easily pay yourself back for eligible out-of-pocket expenses. This feature replaces automated teller machine (ATM) withdrawals and HSA checkbooks. Connected claims payments This new function replaces auto debit and provides you with more flexibility and control over your funds. This feature lets you see your health plan activity and pay any balance due directly from your PayFlex account. HSA investments PayFlex HSA members have the opportunity to grow your HSA balance by investing in a variety of mutual funds. An HSA is basically a 401(k) for health care. Once you have a minimum balance of $1,000 in your HSA, you can open an investment account and start investing your HSA dollars. PayFlex customer service team PayFlex customer service representatives are available to help you. Call us at We re available Monday Friday, 7 a.m. 7 p.m. CT, and Saturday, 9 a.m. 2 p.m. CT. What s staying the same? Aetna Navigator website You ll still use your Aetna Navigator secure member website to access your new PayFlex account, and your previous account. 1 2 Single sign-on experience from Aetna Navigator

5 Your move to PayFlex timeline for your HSA We ve been working with your employer to move your HSA to PayFlex. Read below to see the steps we re taking. And what you can expect from us. During what time frame am I unable to use my HSA funds? Starting April 23, 2015 May 3, 2015, your HSA balance will move from JPMorgan Chase (JPMC) to PayFlex. You can t use your HSA funds and your current Aetna HSA debit card until the move is complete. This is your quiet period. To use your HSA funds during this time, pay for an eligible expense with cash, check or personal credit card. Then, make a withdrawal from your account once your funds are available. Note: If you try to use your Aetna HSA debit card on or after April 23, 2015, you may incur a fee with JPMC. Automatic payments, mail-order pharmacy expenses and contributions will also stop as of April 22, When should I liquidate my HSA investment account funds and close my account? If you currently have an HSA investment account with JPMC, please liquidate your investments and close your investment account by April 22, When the investment account closes, the liquidation proceeds will transfer into your HSA. To close your investment account: 1. Go to your Aetna Navigator member website and access your JPMC HSA 2. Go to the Manage Investment section 3. Select Transfer to the HSA Cash Account option If you don t close your investment account by April 27, 2015, your account will close automatically. Note: If you re planning to open an investment account and haven t done so yet, please wait until your HSA is officially moved to PayFlex. When can I create my online profile with PayFlex? Starting May 1, 2015, you can create your online profile, choose account notifications and order additional debit cards for your new PayFlex HSA through Aetna Navigator. When will my HSA funds be available at PayFlex? Your HSA funds will be available in your PayFlex account by the end of the day on May 4, Be sure to check your account balance before using your funds.

6 3. After your account moves to PayFlex Create your online profile and set up your account You ll receive a welcome letter that has all the instructions to set up your online account. 1. Create your online profile on the PayFlex member website. Log in to Aetna Navigator and click on Access Your Account. You can also go to and click Register Now. 2. Start using the online tools available to help you manage your PayFlex account. 3. You ll be prompted to follow the five-step registration process to set up your account. Learn more about our e-tools Sign up for account notifications Once your account is registered on the PayFlex member website, you can stay connected to your account by signing up for important notifications through , web alert or text message. 1. Log in to your PayFlex member website. Click on My Settings. 2. Select the notifications link and enter your address. 3. Choose what notification(s) you want to get and how they re sent to you.

7 Use the PayFlex Card, your account debit card If offered by your employer, you ll receive your PayFlex Card in the mail, in a plain white envelope. If you receive a card in the mail, don t forget to activate it. Take note of the personal identification number (PIN) assigned to your card. Note: Some cards can only be used for certain expense items. Please review your plan details to confirm. Manage your account with our PayFlex Mobile app The PayFlex Mobile app is another way to help stay connected to your PayFlex account. It s free* and available on most smartphones. View account balances, payments and deposits. Make contributions to and withdraw funds from your HSA. Pay your health care provider or yourself directly from your account. View a list of common eligible expense items. To get started, download the PayFlex Mobile app from your mobile app store. Create a user name and password for the app on the PayFlex member website, under My Settings. Learn more about our PayFlex Card Learn more about our PayFlex Mobile app * Standard text messaging and other rates from your wireless carrier still apply.

8 4. During the plan year Help your HSA balance to grow Make pretax** contributions through payroll deduction To make changes to your payroll contributions, contact your Human Resources or Benefits area. Contribute funds on a post-tax basis Use the deposit feature on the PayFlex member website to make contributions to your HSA post-tax. Transfer funds from another HSA and/or make a one-time transfer from your IRA*** If you have another HSA or if you have an Individual Retirement Account (IRA), you can transfer funds from those accounts to your PayFlex HSA. Catch-up contributions (if you re age 55 or older) If you re age 55 or older, you can make an additional catch-up contribution of up to $1,000 to your HSA. Invest your HSA dollars Once you have a minimum balance (typically $1,000) in your HSA, you can open an investment account. For more information about setting up an account, check out the HSA Investments Quick Reference Guide on your PayFlex member website. Note: When you contribute to your HSA, be sure you don t exceed the annual maximum contribution amount set by the Internal Revenue Service (IRS). Learn more about our investment options **Please note that not all states provide favorable income tax treatment for HSAs. ***Taxes may apply when you transfer funds from an IRA to your PayFlex HSA.

9 5. After each calendar year Here s what you can expect to receive with your HSA HSA tax forms 1099-SA We ll mail this to you in January. It shows your HSA withdrawals during the calendar year. You ll use this information to complete IRS Form 8889 when you file your federal tax return. Form 5498-SA We ll mail this to you in May. It shows all contributions made to your HSA for the calendar year. You don t need to wait for this form to file your tax return. A copy will be sent to the IRS on your behalf. IRS Form 8889 This form should be filled out with your federal tax return. The form asks for your HSA contributions and withdrawals. You can use your Form W-2 from your employer, your own records or the PayFlex member website to calculate your HSA contributions. To get IRS Form 8889 and its instructions, go to If you have any questions on the tax reporting requirements for your HSA, please consult your own tax adviser.

10 Questions? Call us at We re here to help Monday Friday, 7 a.m. 7 p.m. CT, and Saturday, 9 a.m. 2 p.m. CT. This material is for informational purposes only and is not an offer of coverage. It contains only a partial, general description of plan benefits or programs and does not constitute a contract. Eligible expenses may vary from employer to employer. In case of a conflict between your plan documents and the information in this material, the plan documents will govern. Please refer to your employer s Summary Plan Description ( SPD ) for more information about your covered benefits. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about PayFlex, go to Note: There may be fees associated with a health savings account ( HSA ). These are the same types of fees you may pay for checking account transactions. Please see the HSA fee schedule in your HSA enrollment materials for more information. Investment services are independently offered through a third-party financial institution. By transferring funds into an HSA investment account you can potentially benefit from capital appreciation in the value of mutual fund holdings. However, you will also be exposed to a number of risks, including the loss of principal, and you should always read the prospectuses for the mutual funds you intend on purchasing to familiarize yourself with these risks. The HSA investment account is an optional, self-directed service. We do not provide investment advice for HSA investment account participants. You are solely responsible for any investment account decisions you make. Mutual funds and brokerage investments are not FDIC-insured and are subject to investment risk, including fluctuations in value and the possible loss of the principal amount invested. The prospectus describes the funds investment objectives and strategies, their fees and expenses, and the risks inherent to investing in each fund. Investors should always read the prospectus carefully before making any investment decision. System response and account access times may vary due to a variety of factors, including trading volumes, market conditions, system performance, and other factors. HSA members moving to PayFlex 2015 PayFlex Systems USA, Inc (3/15)

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