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News Items, by Subject

Health savings accounts (HSAs)


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[Official Guidance] Text of 2018 Instructions for IRS Form 8889: Health Savings Accounts (HSAs) (PDF)
"Use Form 8889 to: [1] Report health savings account (HSA) contributions (including those made on your behalf and employer contributions), [2] Figure your HSA deduction, [3] Report distributions from HSAs, and [4] Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual." (Internal Revenue Service [IRS])
Defective Health Plan Designs May Defeat HSA Enrollment
"[O]ne of two design strategies may help you counter the selection bias ... [1] Move to full replacement with two HSA-capable health options. Instead of comparability, match employee contributions to the HSA.... [2] If you retain a choice design, consider changing the PPO and HMO designs to be consistent with the HSA-capable health option so that employees can clearly compare the point-of-enrollment and point-of-purchase cost sharing." (Plan Sponsor Council of America [PSCA])
[Opinion] ECFC Applauds Report on Reforming the Healthcare System by Increasing Consumer Choice
"[The report prepared by DOL, HHS, and the Treasury Department] outlines several legislative changes that could be made to increase the use of HSAs by: [1] Allowing innovative insurance products (such as those that provide payment for generic drugs below the deductible or fixed fee payments for primary care) to be coupled with HSAs; [2] Allowing individuals enrolled in a health insurance plan with a 70 percent actuarial value (AV), or below, to contribute to an HSA; and [3] Raising the contribution limits to HSAs." (Employers Council on Flexible Compensation [ECFC])
Don't Walk Back on Your HSA Strategy
"[One recent study] showed that 65% of participants use [HSA] funds on immediate expenses, resulting in 45% of accounts with balances less than $5,000.... [Another study] showed that diabetics who were involuntarily switched from a traditional to a high deductible plan, were more likely to delay necessary care. So if HSAs are a good idea, how do we make this a better experience without patients avoiding necessary care?" (Frenkel Benefits)
ACA: Limits, Fees and Penalties Through 2019
"The [ACA] contains a number of limits and penalties that apply to employers.... Employers use one of the three allowable safe harbor compensation methods to determine affordability ... Penalties for failure to comply with the Employer Shared Responsibility provision.... Flexible Spending Accounts ... Health Savings Account (HSA) ... Transportation Fringe Benefits ... Patient-Centered Outcomes Research (PCORI)". (OneDigital Health and Benefits)
Deposit Interest Rates in Health Savings Accounts
"Recent averages suggest providers may not be feeling much pressure to raise HSA deposit rates, with the largest providers feeling even less pressure as they focus on creating account value through other means." (Devenir)
IRS Updates Health and Fringe Benefit Plan Limits
"The IRS has updated various health and fringe benefit plan limits for 2019. A comparison of the 2019 and 2018 limits is listed [in a chart]." (Kilpatrick Townsend)
[Official Guidance] Text of IRS 2018 Instructions for Forms 1099-SA and 5498-SA: Distributions From an HSA, Archer MSA, or Medicare Advantage MSA, and HSA, Archer MSA, or Medicare Advantage MSA Information (PDF)
"Due to the very low volume of paper Forms 1099-SA and 5498-SA received and processed by the IRS each year, these forms have been converted to an online fillable format.... File Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA, to report distributions made from a health savings account (HSA), Archer medical savings account (Archer MSA), or Medicare Advantage MSA (MA MSA). The distribution may have been paid directly to a medical service provider or to the account holder. A separate return must be filed for each plan type." [Also released: 2018 Form 5498-SA.] (Internal Revenue Service [IRS])
What Fees Reveal About Your HSA Provider
"Friction is caused by the degree of difficulty to access HSA investments, which could be in terms of excess fees, non-integrated trading platforms, unnecessary forms, or other red tape. The easier it is for your employees to invest their HSA is an indication of a provider's understanding of and alignment with your employee's long-term HSA investment success." (HealthEquity)
The Impact of Health Status and Use of Health Care Services on Disenrollment From HSA-Eligible Health Plans
"Overall, 5 percent of HSA-eligible health plan enrollees in 2013 and 2014 switched to a different type of health plan in 2014 and 2015.... There is evidence that individuals who disenrolled from HSA-eligible health plans were more likely to have certain health conditions than those who remained enrolled in the HSA-eligible health plan.... Individuals with multiple conditions were even more likely to disenroll.... Individuals with claims related to childbirth were twice as likely as those with no health conditions to disenroll from HSA-eligible health plans." (Employee Benefit Research Institute [EBRI])
Top 10 HSA Providers: Morningstar 2018 Assessment
"Transparency remains low for many of the top HSA providers ... Investment menu designs have improved, with several plans ... reducing investment menu overlap or adding core investment options.... Fees vary across HSA plans but remain elevated.... [T]he average cost for passive funds ranges from roughly 0.30% to 0.75% per year, and the average for active funds from about 0.80% to 1.20%. Eight of the 10 plans require investors to keep $1,000 or $2,000 in a checking account before they can invest, which can create an opportunity cost." (Morningstar)
Making HSA-Qualified Health Plans Work for Low-Income Employees
"Key elements of this strategy include: [1] Offering employees a matching contribution of $250 to $500.... [2] Offering an annual upfront employer HSA contribution seed of $500 to $1,000 that helps workers and their families, especially those with lower incomes, cover healthcare costs and establish a financial cushion early in the plan year. [3] Making employer contributions income-tiered so that low-income employees and their families get the full employer seed amount while higher-income workers get progressively lesser amounts." (HealthEquity)
[Official Guidance] Text of IRS 2019 Instructions for Forms 1099-SA and 5498-SA: Distributions From an HSA, Archer MSA, or Medicare Advantage MSA, and HSA, Archer MSA, or Medicare Advantage MSA Information (PDF)
"Due to the very low volume of paper Forms 1099-SA and 5498-SA received and processed by the IRS each year, these forms have been converted to an online fillable format.... File Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA, to report distributions made from a health savings account (HSA), Archer medical savings account (Archer MSA), or Medicare Advantage MSA (MA MSA). The distribution may have been paid directly to a medical service provider or to the account holder. A separate return must be filed for each plan type." [Also released: 2018 Form 5498-SA and 2019 Form 5498-SA.] (Internal Revenue Service [IRS])
Annual Savings Trends Report Reveals How Individuals Are Saving for Their Financial Futures
"Retirement savers ages 25 to 34 are most likely to be on track to meet their retirement goals.... Plans designed with automatic enrollment features see an average participation rate of 80%, which is 10 percentage points higher than participation in plans without automatic enrollment.... 401(k) account balances across all generations and income ranges are relatively low compared to what most experts suggest will be required to cover retirement goals." (Ascensus)
The Effect of Employer-Provided Telemedicine Benefits on Employee HSA Eligibility
"[1] Clearly communicate to employees enrolled in an HDHP that use of the telemedicine benefit will prohibit contributions to the HSA bank account. [2] Include telemedicine program in any COBRA offer of coverage. [3] If offering benefits through a cafeteria plan, offer telemedicine contributions as pre-tax elections. [4] Prepare and file a Form 5500 for any telemedicine plan with 100 or more participants ... [5] Discontinue the offer of telemedicine services to those enrolling in the HDHP and who have, will have, an HSA bank account, until the time that any new regulatory guidance is rendered." (OneDigital Health and Benefits)
Health Savings Account Balances, Contributions, Distributions, and Other Vital Statistics, 2017
"Enrollment in high-deductible, HSA-eligible health plans was estimated to be between 21.4 and 33.7 million policyholders and their dependents and covered nearly 3 in 10 employees in 2017. The HSA market did not exist until 2004.... 95 percent of HSAs with individual or employer contributions in 2017 ended the year with funds to roll over for future expenses.... One-half of HSA owners contributed to their account in 2017, and 36 percent of HSAs did not receive any contributions (individual or employer) in 2017." (Employee Benefit Research Institute [EBRI])
Despite HSA Popularity, Owners Not Maximizing Contributions or Investments (PDF)
"Half of HSA owners contributed to their account in 2017, and 36 percent of HSAs did not receive any contributions (individual or employer) in 2017. Among accounts with contributions, individual contributions in 2017 averaged $1,949 and employer contributions averaged $895. Only 13 percent of account holders contributed the fully allowable annual amount. Investment potential was even less realized. A mere four percent of HSA owners had invested assets beyond cash." (Employee Benefit Research Institute [EBRI])
Choosing the Right Flexible Benefit for Employees
"Trying to decide which of the many employer-sponsored benefits out there to offer employees can leave an employer feeling lost in a confusing bowl of alphabet soup -- HSA? FSA? DCAP? HRA? ... While there are many details to cover for each of these benefit options, perhaps the first and most important question to answer is: which of these benefits is going to best suit the needs of both my business and my employees?" (United Benefit Advisors)
Administration Provides New Health Options for Small-Business Employees
"Americans should have more options than one plan their employer selects for them. And they should be able to maintain their insurance when they change employers or exit the job market to raise a family or care for a sick loved one. That's why the administration is proposing a regulation that would create a new way for employers to provide health coverage for employees. This proposal would give millions of workers and their families more control over their health care. It also holds the promise of more-efficient health-care spending, expanded business growth, and higher wages." (Alexander Acosta, Steven Mnuchin and Alex Azar, via The Wall Street Journal; subscription may be required)
[Official Guidance] Text of IRS Publication 5157A: Volunteer Income Tax Assistance (VITA)/Tax Counseling for the Elderly (TCE): Affordable Care Act - Taxpayer Scenarios for 2018 Returns (PDF)
52 pages. "The purpose of the following examples is to give volunteers an opportunity to practice completing forms and worksheets associated with the [ACA] tax provisions. Adequate information is provided to prepare simple tax returns with various health insurance coverage scenarios that you may encounter. Following each scenario are screen shots from the tax preparation software that will allow you to check your work. " [Rev. Oct. 2018] (Internal Revenue Service [IRS])
Employees Missing Out on the Benefits of Health Savings Accounts
"While HSAs can be a high-value option to help employees prepare for health care costs in retirement, most employees use them primarily as spending accounts for immediate health expenses. Two-thirds of respondents (65%) use their HSA money for current health care needs, large and small, while 8% focus on saving their funds for the future. Because employees regularly use HSAs to pay for current health costs, less than half (45%) have more than $5,000 saved." (Willis Towers Watson)
[Official Guidance] Text of IRS Publication 4942: Volunteer Income Tax Assistance (VITA) / Tax Counseling for the Elderly (TCE) Specialty Course -- Health Savings Accounts (PDF)
54 pages. "This course was developed to help volunteers assist taxpayers who have an HSA. HSAs allow individuals with high-deductible health insurance to use tax-deductible contributions to pay qualified medical expenses. The course covers: [1] HSA eligibility, contributions, and distributions; [2] Reporting HSA activity on Form 8889, Health Savings Accounts; [3] Determining the HSA deduction." [Rev. 10‑2018] (Internal Revenue Service [IRS])
[Official Guidance] Text of IRS Publication 4885: Screening Sheet for Health Savings Accounts (HSA) (PDF)
"Only volunteers with Health Savings Account Certification may assist taxpayers with HSA issues.... This Screening Sheet will help you identify HSA issues that are within the scope of the VITA/TCE program. Use the Determine HSA Eligibility section to determine if taxpayer is eligible for an HSA; use Part I for contributions/deduction; use Part II for distributions." [Rev. 10‑2018] (Internal Revenue Service [IRS])
Health Savings Accounts: Some Frequently Asked Questions and Answers (PDF)
"If an employee terminates employment, can an employer retrieve the employer contributions it made to the terminated employee's HSA account? ... If an employer contributes to HSAs and is subject to FMLA, is the employer required to continue HSA coverage during FMLA leave like other health plan coverage? ... Is a plan document, summary plan description, Annual 5500 reporting, or COBRA continuation coverage required for HSAs, like other plans? ... How does the state tax treatment of HSAs differ from federal tax treatment?" (EPIC)
Little-Known Loophole Allows Some Families to Save Beyond the Max in HSAs
"If you and your spouse share a single family HSA and you both are 55+, only one of you can make the $1,000 catch-up contribution to the HSA. The workaround is easy, though. One of you opens a second HSA to which you contribute your $1,000 catch-up contribution.... If you have an adult child still covered by your medical plan (under age 26, per the [ACA]), the opportunity to stash some tax-free cash is even greater." (Financial Finesse)
A Closer Look at Health Savings Accounts: An Overlooked Retirement Savings Vehicle
"Legislation has been proposed to enhance HSA accounts ... [1] An HSA could be used to pay for over-the-counter medications. [2] HSA contribution limits would be raised to $6,650 for individuals and $13,000 for families ... [3] Individuals who are actively employed but participating in Medicare Part A and covered by a qualifying HDHP would be able to contribute to and HSA. [4] Flexible spending account (FSA) and health reimbursement account (HRA) balances could be transferred to an HSA.... [5] Individuals would no longer be barred from contributing to an HSA if his/her spouse is enrolled in a medical FSA." (Cammack Retirement Group)
Proposed Legislation Would Expand HSAs
"[T]he 'Restoring Access to Medication and Modernizing Health Savings Accounts Act' [H.R. 6199] ... would allow people to participate in direct primary care arrangements (DPCAs) and remain eligible to maintain an HSA as long as the DPCA's monthly fee doesn't exceed $150 for individuals or $300 for families.... [E]mployers would be allowed to offer various free or discounted medical services, either onsite or at a retail clinic, to employees without jeopardizing employees' HSA eligibility.... [T]he 'Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act' [H.R. 6311] ... proposes raising contributions from $3,450 to $6,650 for individuals and $6,900 to $13,300 for families, practically doubling the limit." (DataPath)
[Guidance Overview] ACA Numbers and Limits 2014-19: Reference Guide (PDF)
One-page chart lists various dollar limits for 2014‑2019, including: [1] 4980H Large Employer Shared Responsibility Penalty; [2] 5000A Individual Shared Responsibility Penalty; [3] 36B Marketplace Subsidies/Premium Tax Credits (PTC); [4] Health Insurance Reforms; and [5] Health Savings Accounts. (Kaufman & Canoles, P.C.)
[Opinion] Stop Making 401(k) Contributions -- Fill Up Your HSA First
"HSAs are triple tax-free ... HSA payroll contributions are truly tax-free ... No use it or lose it ... Paying retiree health care expenses ... No age 70‑1/2 minimum distribution requirements ... Contribution limits ... HSAs and retirement planning ... Investing HSA contributions important." (Robert C. Lawton, via Forbes)
Could HSAs Be Getting a Make-Over?
"Congress is working on two bills that may significantly change those rules to make [HSAs] more manageable.... [1] Eligible expenses would include the purchasing of over-the-counter medications with a health savings account (HSA), flexible savings account (FSA), or a health reimbursement account (HRA) without requiring a prescription. [2] Certain sports and fitness expenses, including gym memberships, would qualify as medical expenses up to a limit of $500 a year for an individual. [3] HSA contributions limits would be raised to align with out-of-pocket limits of the [ACA].... [4] HSAs opened within 60 days after gaining coverage under a HDHP will be allowed to operate as if they had been opened on the same days as the HDHP." (Hill, Chesson & Woody)
Participants Mostly in the Dark About HSA Benefits
"EBRI's database shows only 6% of HSA accounts that were opened in 2016 had the maximum contribution.... However, when EBRI looked at HSA accounts that were opened in earlier years, it found a consistent pattern of more maximum contributions taking place in 2016 depending on how long someone used an HSA." (Pensions & Investments)
Person-Centered Strategies: Health Savings Accounts
"The HSA tax structure provides a number of opportunities for consumers to save for important health care expenses, to be prepared for medical emergencies, and even to plan for retirement down the road.... While anyone with an eligible HDHP can open and use an HSA, self-employed and business owners may particularly benefit from these types of plans.... HSAs have grown in popularity within the group market, and they remain an area that has a lot of opportunity for growth on the Exchanges and the individual market." (Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS])
2018 Midyear HSA Research Report
"HSA consumers had accumulated $51.4 billion in their HSA at the end of June, a year over year increase of 20.4%.... The total number of HSAs grew to 23.4 million at the end of June, up 11.2% from a year ago.... Overall, accounts grew by 5.2% in the first half of 2018, compared with 5.0% in 2017, 8.5% in 2016, and 5.5% in 2015.... HSA investment assets reached an estimated $9.8 billion at the end of June, up 45% year over year.... Direct employer relationships are the leading driver of new account growth, accounting for 42% of new accounts opened in the first half of 2018." (Devenir)
HSAs Can Reduce Your Employees' Fear of High Deductibles
"[T]he easiest way to put your employees' minds at ease is for you to contribute to their HSA to provide a cushion.... Another option would be to offer a match of employee contributions.... [Consider] attaching a Post-Deductible Health Reimbursement Arrangement (HRA)." (OneDigital Health and Benefits)
Retiree Health Benefits Education: What Boomers Want and Need
"If you offer an HSA, it's important that Baby Boomers understand how a health savings account works with Medicare.... For those just a few years out from retirement, your education plan may include helping them understand eligibility requirements for both Social Security and Medicare, as well as any penalties that might arise from applying late to Medicare.... If you have a health & wellness program in place, take measures to boost participation and steer employees, especially older participants, toward healthy habits to help them live well and be productive." (Corporate Synergies)
[Opinion] Health Savings Accounts: What's the Problem? What's the Solution? Part 2
"Congress might also consider: ... [1] Amend Section 401(h) so that individual account retirement savings plans ... can add a tax-preferred 'sidecar' retiree medical account to accept employer contributions ... [2] Allow workers who have qualified for non-contributory Medicare Part A coverage the same opt out option for Medicare's Hospital Insurance coverage that is offered to workers who paid less taxes and did not qualify for non-contributory Medicare Part A coverage.... [3] Confirm that Congress' use of different language was intended to exclude all contributions to Health Savings Accounts, whether made through a cafeteria plan or directly, from the calculation of cost for Cadillac Tax purposes.... [4] Clarify/confirm that ERISA does not apply where employers increase HSA participation and contributions by adopting cafeteria plans and automatic enrollment features." (Plan Sponsor Council of America [PSCA])
What Dental Expenses Can a Limited-Purpose Health FSA Cover Without Preventing HSA Eligibility?
"While a limited-purpose health FSA plan document may limit dental coverage by reference to the statutory language, you may want to consider identifying specific procedures that will not be covered. Also, be sure your plan document includes language that preserves the plan administrator's discretionary authority to interpret the plan's coverage limitations." (Thomson Reuters / EBIA)
[Opinion] Health Savings Accounts: What's the Problem? What's the Solution? Part 1
"None of the current proposals offer changes that would address the real issue: access to HSA-qualifying coverage and HSA savings rates. Simply put, most American workers are missing out on the most valuable benefits tax preference offered in the tax code!" (Plan Sponsor Council of America [PSCA])
Health Savings Accounts (HSAs) (PDF)
16 pages. "This report summarizes the principal rules governing HSAs, covering such matters as eligibility, qualifying health insurance, contributions, withdrawals, and tax advantages. It concludes with a discussion of HSA data limitations and recent research findings on HDHP enrollment and HSA utilization trends." [R45277 July 31, 2018] (Congressional Research Service [CRS])
Companies Offering CDHPs, HSAs, FSAs, and HRAs in 2018
"CDHPs rose from 30% in 2014 -- and 23% in 2017 -- to 40% in 2018 ... While CDHPs have grown overall, somewhat surprisingly the prevalence of full replacement CDHPs actually decreased very slightly, down to 3% in 2018 from 4% in 2017.... [T]he number of employers offering health reimbursement arrangements (HRAs) has remained relatively steady in the last five years, growing in prevalence by 2% from 2014 to 2018." (Connect Your Care)
HSA Contribution Rules: Counter-Intuitive Coordination with Medicare
"Medicare enrollment of an employee has several consequences -- including some retroactive consequences -- for the employee's right to make contributions to a health savings account (HSA). But many employees are unaware that Medicare coverage of the employee's spouse does not necessarily have any effect on the employee's right to make HSA contributions, or the amount of those contributions." (Lockton)
Will an Increase in HSA Limits Prompt Additional Contributions? (PDF)
"[EBRI] has found that only 13 percent of account owners contributed the maximum in 2016. This, despite the fact that contributions to an HSA benefit from a triple-tax advantage ... EBRI's research also reveals that account holders who held their HSAs for a longer period of time tended to contribute more." (Employee Benefit Research Institute [EBRI])
Three Things You Need to Know About Congress' Effort to Expand HSAs
"[1] Many of the proposed changes affect how and when a person can contribute to an HSA and how the funds can be used and rolled over.... [2] One HSA expansion provision is not so straightforward -- allowing HDHPs to cover up to $250 (self-only) and $500 (family) annually for non-preventive services that currently may not be covered pre-deductible ... [3] How late is 'too late' to make changes for January 1?" (Mercer)
HSA Bills Increasing Contributions and Expanding Access Pass House
"On [July 25], the House passed ... H.R. 6199: Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, [and] H.R. 6311: Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act of 2018 ... Both bills still need to pass the Senate, where 60 votes are required to overcome the filibuster and reach the President's desk for signature.... Senate passage is far from certain." (ABD Insurance & Financial Services)
House Adopts Bills Enhancing HSAs, FSAs, and HRAs
"Individuals would now be able to purchase over-the-counter (OTC) medications with an HSA, FSA, or HRA without being required to obtain a prescription for eligibility purposes ... Certain sports and fitness expenses -- including gym memberships and the cost to participate in certain physical exercise programs -- would be treated as qualified medical expenses up to a limit of $500 a year for an individual and $1,000 a year for a joint return ... HSA contribution would be raised to $6,650 for individuals and $13,300 for families ... Individuals would no longer be barred from contributing to an HSA if his/her spouse is enrolled in a medical FSA ... Spouses over the age of 55 would be able to make 'catch-up' contributions to the same HSA." (Connect Your Care)
What Are Your Health Insurance Options If You Retire Before Medicare?
"If you think COBRA is a likely option, reach out to your benefits department to find out how much it costs today.... If you have an HSA, make sure you're maxing out your contributions to the account now ... By investing in accounts like Roth 401ks and IRAs, you can lower the amount of taxable income you generate in a year when you withdraw from these accounts. This may help you to qualify for Healthcare Exchange subsidies and will eventually allow you to keep your Medicare premiums down as well." (Financial Finesse)
Health Savings Account Participants Are Healthcare's Savviest Consumers
"HSA participants are: ... [1] 38 percent more confident they understand their health insurance coverage and 54 percent more confident in forecasting out-of-pocket healthcare costs.... [2] 23 percent more likely to make cost/value-based decisions than the general population....[3] 46 percent more likely to research and compare costs and 37 percent more likely to seek out alternatives.... [4] 68 percent more likely to have a savings goal and 80 percent more likely to be saving aggressively for future healthcare savings." (Alegeus Technologies)
Ways and Means Reports Out Eleven Health Care Bills After a Two-Day Markup
"The bills reported out of the Ways and Means Committee ... deal with the following topics. [1] Delay of the implementation of the Cadillac Tax.... [2] Broadening of Qualified Medical Expense definition.... [3] Increase HSA contribution limits.... [4] Expand eligibility for HSAs ... [5] HSA 'housekeeping' issues.... [6] Modification of the ACA premium tax credit." (Employers Council on Flexible Compensation [ECFC])
[Opinion] Ways and Means Bills Would Expand HSA Tax Breaks, Weaken Insurance Marketplaces
"The House Ways and Means Committee is marking up several bills this week that would raise contribution limits for [HSAs] and expand the allowable uses of these accounts, at a cost of $41 billion over ten years ... The bills also include other problematic provisions providing premium tax credits to people who buy plans offered outside the [ACA] marketplaces and delaying the ACA's excise tax on high-cost plans ... In all, the bills would cost $92 billion over the next decade[.]" (Center on Budget and Policy Priorities)
HSA Eligibility for Retirement-Age Individuals
"[W]hen an individual who is 65 commences Social Security benefits, that individual is automatically enrolled in Medicare Part A.... [O]nce an employee or spouse is enrolled in Medicare Part A, they are no longer eligible to make contributions to an HSA. To complicate the contribution calculation, in the year an employee turns age 65 and commences Social Security benefits, enrollment in Medicare Part A will apply retroactively up to six months." (Benefits Bryan Cave)
House Committee Considers HDHP/HSA Enhancements (PDF)
"[T]he House Ways and Means Committee's Subcommittee on Health held a hearing focusing on ways to improve access to and increase flexibility in establishing HSA-compatible, high-deductible health plans. While Congress is not likely to act on these proposals before mid-term elections in the fall, they could ultimately propel future legislation on this topic." (Conduent)
Using Your Health Savings Account
"You are not required to take funds out of your HSA at the time that a qualified expense occurs. You can leave that money in your HSA and, as long as you keep your receipts showing that you paid for those qualified expenses, you can wait to reimburse yourself for that expense at any time in the future, even if you are no longer covered by an HDHP when you decide to reimburse yourself." (United Benefit Advisors)
The New Rx for Retirement: Maximizing Retirement and Health Savings (PDF)
16 pages. "[This paper] presents a savings optimization model to help determine how to allocate funds between retirement plans and HSAs for maximum spending power in retirement.... [1] The relevance of HSAs; [2] The retirement savings optimization model; [3] The savings optimization model in action; [4] Putting it all together." (Great-West Financial and Empower Retirement)
Mercer and American Benefits Council Testimony to House Subcommittee Hearing on Consumer-Directed Health Plans (PDF)
25 pages. "Approximately 34% of covered employees working for large employers (those with 500 or more employees) were enrolled in a CDHP in 2017, ... [a] 325% increase since 2009.... HSA-eligible plans save about 20% on plan costs when compared to PPO plans and are 6% less costly than PPO plans with deductibles over $1,000.... [T]he success of HSA-eligible plans in reducing plan costs is one of the few strategies proven to help 'bend the cost curve' and, in turn, help manage premium costs for employees[.]" (American Benefits Council)
The HSA in Your Future: Defined Contribution Retiree Medical
"The HSA's tax preferences coupled with current and future use options may make it more valuable to workers than contributing a similar amount of take home pay to a 401(k) or 403(b) ... Only a minority of workers have access to an HSA-qualifying health option. Only a subset of those eligible actually select the HSA-capable option. Even fewer who select that option contribute to the HSA. And, only a miniscule minority of those who contribute invest HSA assets." (Plan Sponsor Council of America [PSCA])
[Opinion] ECFC Statement Submitted to House Subcommittee Hearing on Consumer-Directed Health Plans (PDF)
"Congress should take steps to stop the impact of the Cadillac Tax on consumer-directed health plans.... If full repeal of the excise tax is not feasible, we would advocate that employee contributions to FSAs and HSAs be exempted from the calculation of the Cadillac Tax or any direct limitation that may be proposed on employer-provided coverage." (Employers Council on Flexible Compensation [ECFC])
Chairman's Statement at Hearing: Lowering Costs and Expanding Access to Health Care Through Consumer-Directed Health Plans
"Engaging consumers in their health care spending is critical to reining in our system's ever-increasing costs. [Health Savings Accounts (HSAs)] continue to increase in popularity, now covering more than 21.8 million Americans.... [W]itnesses will tell us about the barriers employers and individuals face when trying to offer or enroll in an HSA-qualified plan. Finally, we will examine the various reform ideas, including many authored by members of this subcommittee, that are aimed at expanding access to HSAs." (Committee on Ways and Means, U.S. House of Representatives)
Is Investing in an HSA a Good Idea?
"The long-running bull market is making it more tempting than ever for clients to try and realize long-term, tax-free earnings growth within HSA accounts. That strategy can often make sense, say financial professionals, but financial advisors should make sure clients fully understand their range of options." (Financial Planning)
Reasons to Integrate Health Savings Into Your Retirement Plan Offering
"[1] Health Savings Accounts address concerns about future costs ... [2] Health Savings [Accounts] are triple tax-free now and in retirement ... [3] HSAs can be easily integrated into an existing plan ... [4] Health Savings Accounts can boost employee recruiting and retention." (Bronfman Rothschild)
SEC Issues Investor Bulletin for HSAs
"[The May 18, 2018] Investor Bulletin was [the SEC's] attempt to explain how HSAs operate and outline what people should be aware of when they make contributions to an HSA. Investor Bulletins are neither legal interpretations nor statements of SEC policy." (Employers Council on Flexible Compensation [ECFC])
 
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