- Health Savings Account -

The Health Savings Account will be administered by
The Health Plan effective January 1, 2022.
*Only members enrolled in the High Deductible Health Plan who meet the Health Savings Account Eligibility requirements are able to receive the following contributions provided by Belmont County:
Single: $64.52/month
Family: $175.31/month
Eligible members are able to contribute up to the 2022 HSA account maximums:
Self-only coverage: $3,650
Family coverage: $7,300
Individuals age 55 and older can also make additional “catch-up” contributions. The annual catch-up contribution is $1,000.
Please note these maximums would include any employer contributions.
Helpful Resources
Belmont County
Please contact your department supervisor or the Belmont County Auditor’s Office at
(740) 699-2130
Forms and Plan Documents:

HSA Enrollment Form
Instructions:
1. Complete this form in order to open an HSA. (* = Required Fields)
2. Fax completed form to: The Health Plan (HSA Administrator) at 1.304.720.4934 or mail form to The Health Plan, P.O. Box 953, Charleston, WV 25323.
3. If you have any questions regarding this form, please call The Health Plan at 1.866.347.3640.

CARES Act Handout
The CARES Act eliminates the requirement that over-the-counter medicines and drugs must be prescribed in order to be considered a qualified medical expense for HSAs, health flexible spending arrangements (FSAs), health reimbursement arrangements (HRAs), and Archer medical savings accounts (MSAs).
