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• Employee
Q&A
• HSABank
Information
• HSABank
Enrollment
A Review of
the Opportunities from Offering HSAs to Employees
At present over eleven
million Americans have Health Savings Accounts (HSAs) The explosion of
interest in HSAs will provide employers with an opportunity to offer more
options to employees and to save money.
For more information
on the specifics of HSAs and High Deductible Health Plans, see the answer
to the question in the section Employee Q&A: What
is a Health Savings Account and how can it help me?
This review will outline
the opportunity to an employer, in a Q&A format, with a look at questions
that employers might have. That is supplemented with answers to questions
that employees might have. This review will also discuss the assistance
McNeil Benefits Insurance Services can provide.
The
opportunities to employers includes the following:
• Offer employees more options
than they currently have, which generally
is what employees want.
• Save money; to take out an HSA,
the employee must select a High
Deductible Health Plan (HDHP), which generally costs much
less than a traditional plan. The employer can choose to
keep some or all of that
savings in premium.
• Contributions to HSAs are pre-tax
or tax deductible,
even for owners who have maxed
out on their retirement
plan contributions. |
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HSA Primer
ELIGIBILITY
Must be covered by a High Deductible Health Plan and not covered elsewhere.
Must not be over age 65 in order to make contributions into the HSA. |
DEFINITION
Equivalent to a medical IRA, with contributions deemed tax deductible
(for federal taxes only in California at this time), and withdrawals
income tax free if used for eligible medical expenses (i.e., most
medical, dental, and vision expenses), COBRA premiums or most Long
Term Care premiums.
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MAXIMUM
CONTRIBUTIONS
In 2011 the single coverage amount is $3,150 and that is increased
to $3,100 in 2012. For a family the amount is $6,150 in 2011, and
this is increased to $6,250 in 2012. The amount is no longer tied
to the deductible. Additional contributions may be made for those
age 55-64. |
ADVANTAGES
TO AN EMPLOYER
More options to employees and the ability to save money. |
Q&A For
Employers
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How
complicated is
Health Saving Account
administration? |
From
the employer’s perspective, they are fairly easy. Once the
employee selects an HDHP, the employer can sponsor an HSA,
but that is not required, since each employee can elect his/her
own HSA. The employer can facilitate the process by transmitting
the HSA contributions from the employees to the HSA
vendor, similar to other payroll deductions. |
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What is involved in
communicating the
plan? |
McNeil Benefits Insurance Services can help provide the explanation
of the HDHP benefits and also explain the tax aspects
of HSAs and the pros and cons of this concept for employees. |
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What are typical fees
charged by HSA vendors? |
The fees tend to be in the $3-$8/month range. See the pricing
from such HSA vendors as HSA Bank, Sterling HSA, Chase
HSA, and Wells Fargo HSA. |
| _____________________________________________________________________________________ |
Does the employer
have to contribute to
the HSAs of the employees? |
No, but to encourage participation, most employers that offer
HSAs will pay into the HSA some percentage of the premium
savings received because the employee elected the usually
lower-cost HDHP. |
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Are there discrimination
tests with HSAs? |
HSAs have some comparability discrimination tests, to make
sure any employer contributions are evenly provided, BUT the
comparability tests do not apply if the contributions are made
through a Section 125 cafeteria plan. That solves the problem
of discrimination issues in most cases, even though the pre-tax
payments would come under cafeteria plan rules. |
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How does the HDHP
work? |
A typical HDHP has a deductible of about $1,500 to $3,000 or
more, and nothing may be paid under that deductible other
than preventive care such as annual physicals. Prescriptions
come under the deductible as well. This provides less coverage
but also results in a much lower premium normally. The Out of
Pocket limits under HDHPs are sometimes lower than other
PPO plans. |
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What
web-based technology
is available to help explain
the HDHP and HSAs and
support the process? |
Keith McNeil,
the CEO of McNeil Benefits Insurance Services,
is the co-founder of Enwisen, an award-winning web-based
employee benefits communication company (now owned by Lawson Software)
with clients such as Yahoo!, L.L. Bean, Twentieth Century Fox, Zion’s
Bank, and Jergens (see www.enwisen.com). He is able to offer a Web-based
portal
that will allow employees to see a summary of their benefits,
etc. The separate version of the portal for HR departments
was sold by Enwisen to PlanSource (which we work with) and includes
an extraordinary amount of HR information from CCH,
a leader in such HR information, as well as a Life Events section
and a vast amount of health information that
can be very helpful to anyone with health questions or problems. |
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Employee
Q&A |
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