You and others (your employer, parents, spouse, etc) may contribute up to $4,300 (individual coverage) or $8,550 (family coverage) to your HSA for the 2025 plan year.
If eligible, your employer may add $828 (individual coverage) or $1,650 (family coverage) to your HSA. Your employer's contribution will be added in installments
Program Option
State Employee and Retiree Health Plan & Supplemental Benefits
Plan Year
2025
Report
Retiree /
Board Member /
Local Employer /
State Employer
You and/or your insured dependents must be enrolled for both portions of Medicare (Hospital Part A and Medical Part B), when first eligible. Provide this information to ETF using this form.