HEALTH SAVINGS ACCOUNTS (HSA Plans)
General
The new year brings new limits on maximum HSA contributions
and minimum deductibles for qualified high-deductible health
plans (HDHPs).
In addition, President Bush signed new
HSA legislation that will have a positive impact for all
HSAs. The highlights of this legislation include:
- Allowing people to take their health savings accounts
with them if they move from job to job.
- Raising contribution limits and allowing for a one-time
transfers from IRA accounts.
- Allowing a contribution up to an annual limit of $2,900
individual/ $5,800 family, regardless of the deductible
for their insurance plan.
- Allowing the option to fully fund their HSAs regardless
of what time of year they sign up for the plan
Eligibility
- Individuals under the age of 65 are eligible to contribute
to an HSA if they have a qualified health plan.
- For self-only policies, a qualified health plan must
have a minimum deductible of $1,100 with a $5,600 cap
on out-of-pocket expenses (indexed annually).
- For family policies, a qualified health plan must
have a minimum deductible of $2,200 with a $11,200 cap
on out-of-pocket expenses (indexed annually).
- Preventive care services are not subject to the deductible.
In addition, coverage for accidents, disability, dental
care, vision care, and long-term care is not subject to
the deductible.
Contributions
- The maximum annual contribution is $2,900 for self-only
policies and $5,800 for family policies (regardless of the
selected deductible). Annual contribution allowances
for mid-year enrollment are allowed up to $2,900 individual/
$5,800 family if the accountholder remains HSA eligible
for at least 12 months.
- Individuals age 55 65 may make additional catch-
up contributions of up to $900 in 2008, increasing
to $1,000 annually in 2009 and thereafter. A married couple
can make two catch- up contributions as long as both spouses
are at least 55. Catch-up contributions will help individuals
accumulate assets for retiree health expenses.
- Contributions may be made by individuals, family members
and employers.
- Contributions made by individuals and family members
are tax-deductible (for the account beneficiary) even
if the account beneficiary does not itemize. Employer
contributions are made on a pre-tax basis and are not
taxable to the employee. Employers will be allowed to
offer HSAs through a cafeteria plan.
- Investment earnings accrue tax-free.
Distributions
- HSA distributions are tax- free if they are used to pay
for qualified medical expenses, such as:
- Amounts paid for the diagnosis, cure, mitigation,
treatment or prevention of disease,
- Prescription drugs,
- Qualified long-term care services and long-term care
insurance,
- Continuation coverage required by Federal law (i.e.,
COBRA),
- Health insurance for the unemployed,
- Medicare expenses (but not Medigap), and
- Retiree health expenses for individuals age 65 and
older (Note: retiree health plans would not have to
meet the $1,100/$2,200 minimum deductible requirements.)
- Distributions made for any other purpose are subject to
income tax and a 10% penalty. The 10% penalty is waived
in the case of death or disability. The 10% penalty is also
waived for distributions made by individuals age 65 and
older.
Treatment at Death
- Upon death, HSA ownership may transfer to the spouse on
a tax-free basis.
Effective Date
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