Example Paystub

By electing Spouse Saver, I certify that:

• I and/or my spouse and/or m eligible dependents will be enrolled in an "alternate group medical plan" (such as my spouse's employer) at all times while I/we are enrolled in Spouse Saver.

• The alternate group medical plan does not and will not consist solely of "expected benefits" (such as limited-scope dental or vision coverage or other limited coverage).

• The alternate group medical plan is not solely an account that reimburses health care expenses up to a dollar limit, like an FSA or HRA.

• The alternate group medical plan is not:

  • High Deductible Health Plan (HDHP) with active contributions to a health savings account (HSA); however, as long as my spouse is not enrolled in Spouse Saver, my spouse may contribute to an HSA and use the HSA funds. The HSA funds CANNOT be used for medical expenses for members enrolled in Spouse Saver. All members may use the HSA funds for dental and/or vision as long as those expenses are not covered by Spouse Saver.

  • Medicare, Tricare, Medicaid or another governmental program

  • Health Insurance Coverage made available thru the Affordable Care Act

  • Individual Policy

  • Limited Benefit Health Plans

  • Another medical plan