If you are enrolled in the High Deductible Health Plan and wish to contribute or change the amount you as the employee are contributing to the Health Savings Account, the attached form will need completed and returned to LLCC Human Resources for processing.  If you wish to have the first deduction taken from your Jan. 15 payroll, the form will need returned no later than Friday, Jan. 6.

Health Savings Account (HSA) Payroll Deduction Authorization Form