๐Ÿฆ Financial Hsa_statement

Quarterly HSA Statement

ID: 33f045ae26ffdb63

Download

Details

Category
Vendor
Optum Financial
Amount
$1,806.90
Date
12/31/2024
Processed
Feb 16, 2026 4:09 AM EST
Original File
Report_02162026_040715_000231.pdf

Summary

Q4 2024 HSA statement for Johan Jongsma showing beginning balance of $1,816.59, ending balance of $1,806.90, with $0.00 YTD contributions and $9,300.00 remaining contribution capacity.

Notes

No notes yet. Click Edit to add notes.

OCR Text

--- ## Page 1 Optum Financialยฎ P.O. BOX 271629 SALT LAKE CITY, UT 84127-1629 **Account number:** 412231515 **Statement dates:** 10/01/2024-12/31/2024 0385500 SP 2103 -C01-P85805- **JOHAN JONGSMA** 851 BRIGHTWATERS BLVD NE SAINT PETERSBURG, FL 33704-3719 --- Thank you for being a health savings account (HSA) customer since **06/2018**. ### Coming soon: Your tax documents Your 2024 tax forms will be available by the end of January. You'll be notified based on your communication preference, or you may sign in to your account online to download them. --- ### Your quarterly HSA statement at a glance | | | |:---|---:| | **Beginning HSA cash balance as of 10/01/2024:** | $1,816.59 | | **Ending HSA cash balance as of 12/31/2024:** | $1,806.90 | **Your 2024 YTD contributions:** **$0.00** --- $9,300 **Your 2024 contribution limit*** | | | |:---|---:| | **$9,300.00** | Amount you can still contribute | | **$0.00** | Your YTD contribution | --- ### Helpful tips **Contribute** Leading financial advisors consider HSAs one of the most powerful savings accounts due to it's pre-tax savings and unlike a 401k, you can access and use your HSA for eligible expenses at any time before retirement age. **Invest** Take your HSA beyond medical cost savings. You may be able to use it as a smart investment option that can help you build a financial plan for today and tomorrow. --- \*Your contribution amount can vary based on your Plan elections, eligibility and other factors. Please consult your legal, accounting or tax advisor to determine the amount applicable to your situation. --- ## Page 2 Optum Financialยฎ **Account number:** 412231515 **Statement dates:** 10/01/2024-12/31/2024 ### HSA cash transactions | Date | Description | Withdrawals/Debits | Deposits/Credits | |------|-------------|-------------------|------------------| | 10/31/2024 | Interest Payment | | $0.02 | | 10/31/2024 | Monthly Maintenance Fee | -$2.75 | | | 11/13/2024 | Printed Statement - Q3 2024 | -$1.50 | | | 11/30/2024 | Interest Payment | | $0.02 | | 11/30/2024 | Monthly Maintenance Fee | -$2.75 | | | 12/31/2024 | Interest Payment | | $0.02 | | 12/31/2024 | Monthly Maintenance Fee | -$2.75 | | | **Total** | | **-$9.75** | **$0.06** | 2103-01-b1-03858500-0001-05944486

Document Preview

100%
Page 1 of 1