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What exactly is an HSA?
Health Savings Accounts (HSAs) are tax-exempt accounts where
funds grow to pay for medical expenses. They were created to
help give control back to consumers and lower healthcare costs.
HSAs provide a financial incentive for consumers to select a
High Deductible Health Plan (HDHP). HDHPs have lower monthly
premiums than traditional plans. The HSA/HDHP combination
provides consumers with more incentive to shop carefully for
healthcare services.

An HSA is your account. If you switch jobs, the HSA goes with
you. Your money rolls over every year. There is
no "use it or lose it" requirement.
High Deductible Health Plans
In order to open an HSA, you must have a qualified High
Deductible Health Plan. The IRS determines the guidelines for
qualified HDHPs. The current IRS guidelines are:
| IRS Requirements for 2010 |
| |
Single Plan |
Family Plan |
| Minimum Deductible |
$1,200 |
$2,400 |
| Maximum Out-of-Pocket |
$5,950 |
$11,900 |
| Contribution Limit |
$3,050 |
$6,150 |
| Catch-Up Contribution (55 or older)* |
$1000 |
$1000 |
| * If a spouse is also 55 or older, a second HSA must be established and a second contribution of $1000 could be made to that account. |
| |
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| IRS Requirements for 2009 |
| |
Single Plan |
Family Plan |
| Minimum Deductible |
$1,150 |
$2,300 |
| Maximum Out-of-Pocket |
$5,800 |
$11,600 |
| Contribution Limit |
$3,000 |
$5,950 |
| Catch-Up Contribution (55 or older)* |
$1,000 |
$1,000 |
| * If a spouse is also 55 or older, a second HSA must be established and a second contribution of $1,000 could be made to that account. |
The HSA Team can help you with a listing of providers that
offer High Deductible Health Plans.
When you have a qualifying HDHP, the following contribution
guidelines apply.
- Anyone can contribute to your HSA.
- Your contributions are tax deductible.
- If your employer contributes to your HSA, that
contribution is done on a pre-tax basis.
- Any pay-roll deductions made through Section 125 for
your HSA are also on a pre-tax basis.
- You may contribute the annual maximum amount as
determined by the IRS, regardless of your plan’s deductible.
The maximum for 2010 is $3,050 for individuals and $6,150
for families.
- You may contribute the annual maximum amount determined
by the IRS, regardless of when your coverage begins, if you
maintain coverage for the 12 month period beyond the
calendar year in which you first became eligible. The
maximum for 2010 is $3,050 for individuals and $6,150 for
families. Example: if you have individual coverage that
begins in November 2009, you may still contribute $3,000 for
2009 when you maintain coverage through the end of 2010.
- Your employer may roll over funds from your HRA or FSA
account once, according to the legislative provisions.
- If your employer allows the FSA extension where 2009 FSA
funds can be used until March 15, 2010, you may still
contribute to an HSA, if your FSA balance is zero or the FSA
balance is transferred to an HSA by January 1st, 2010.
Here are some key points about distributions:
- You can use your money tax-free at any time for eligible
medical expenses.
- When you turn 65, you can use the money for non-eligible
medical expenses. The money is subject to income tax, and
there are no IRS penalties.
- If you are under age 65 and use your money for
non-eligible medical expenses, you will be subject to income
tax and a 10% tax penalty.
Comparing HSAs, HRAs, and FSAs
| Question |
HSA |
HRA |
FSA |
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Do the funds belong to the employee?
|
Yes |
No |
Yes |
| Can the money be invested and the employees earn interest? |
Yes |
No |
No |
| Can the employees use the funds for things other than medical expenses? |
Yes |
No |
No |
| Can the employee take the money with them if they switch employers? |
Yes |
No |
No |
| Do the funds rollover year-to-year? |
Yes |
Generally, No |
No |
| Who can contribute to the account? |
Employers and/or Individuals |
Employers |
Employee |
HRAs are employer owned. FSAs have the "use it or lose it
clause". Money has to be spent by the end of the calendar year
or it is forfeited to your employer.
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