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Sample report

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A made-up employee, a made-up benefits guide, and the report we'd build from it. Yours uses your own guide and answers, so the numbers will be different.

Jordan, 34, single Example Co. 2027 benefits guide Expects a few doctor visits and new glasses Paid every 2 weeks
Jordan's benefits reportExample
🩺Health plan

Pick the HSA Plan

It saves you about $1,180 for the care you expect, after taxes and the $500 Example Co. puts in your HSA.

PlanYour expected yearWorst case
HSA Plan$2,940$4,500
PPO Plus$4,120$5,200
HMO Basic$3,610$4,800
💰HSA

Put in $2,400

That's $100 per paycheck, pre-tax. With Example Co.'s $500 it covers your expected care with room to spare. 2027 limit: $4,500.

📈401(k)

Contribute 6%

Example Co. matches 100% of the first 3% and 50% of the next 3%. 6% gets the whole match. Traditional over Roth at your tax rate, for now.

🧾Health FSA

Limited-purpose FSA: $300

A regular health FSA doesn't mix with an HSA. The limited-purpose kind covers your glasses with pre-tax money.

👓Dental & vision

Keep dental. Add vision.

Vision costs $130 a year and your glasses would cost about $250 without it.

🩹Disability

Sign up for long-term disability

Choose the after-tax option. It costs about $6 a paycheck, and any benefit would come to you tax-free.

Your enrollment checklist

  • Medical: choose HSA Plan, employee only
  • HSA contribution: $2,400 for the year ($100 per paycheck)
  • Limited-purpose FSA: $300
  • Dental: keep Basic · Vision: enroll
  • 401(k): 6%, Traditional
  • Life: basic only · Long-term disability: enroll, after-tax
  • ESPP, accident, hospital, critical illness: decline
  • Deadline: Nov 14. Save your confirmation page.

Per paycheck

HSA Plan premium$62
HSA contribution pre-tax$100
401(k) at 6% pre-tax, on $60,000$138
Limited-purpose FSA$12
Dental + vision$17
Long-term disability$6
Total from each paycheck about $260 less take-home after the tax savings$335

Example only. Jordan, Example Co. and these plans are made up to show the format. Your report is built from your own benefits guide and your answers. Educational content, not individualized financial advice.

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