Health Savings Accounts (HSAs) were created as a tax-favored
framework to provide health care benefits mainly for small to midsize
businesses and the self-employed. So, assuming your company falls into one of
these categories, have you considered the strategy of using these accounts with
a high-deductible health plan (HDHP)?
Tax benefits
The tax benefits of HSAs are quite favorable and substantial.
Eligible individuals can make tax-deductible (as an adjustment to AGI)
contributions into HSA accounts. The funds in the account may be invested
(somewhat like an IRA), so there’s an opportunity for growth. The earnings
inside the HSA are free from federal income tax, and funds withdrawn to pay
eligible health care costs are tax-free.
An HSA is a tax-exempt trust or custodial account established
exclusively for paying qualified medical expenses of the participant who, for
the months for which contributions are made to an HSA, is covered under an
HDHP. Consequently, an HSA isn’t insurance; it’s an account, which must be
opened with a bank, brokerage firm, or other provider (typically an insurance
company). It’s therefore different from a Flexible Spending Account in that it
involves an outside provider serving as a custodian or trustee.
Dollar limits
The 2016 maximum contribution and deduction for individual
self-only coverage under a high-deductible plan is $3,350, while the comparable
amount for family coverage is $6,750. Individuals age 55 or older by the end of
2016 are allowed additional contributions and deductions of $1,000. However,
when an individual enrolls in Medicare, contributions cannot be made to an HSA.
For 2016, an HDHP is defined as a health plan with an annual
deductible that is not less than $1,300 for self-only coverage and $2,600 for
family coverage, and the annual out-of-pocket expenses (including deductibles
and co-payments, but not premiums) must not exceed $6,550 for self-only
coverage or $13,100 for family coverage.
Worthy of consideration
An HSA with an HDHP is, of course, but one benefits strategy of
many. But it’s worth considering. Please call us for help determining whether
it would be the right move for your company this year or perhaps in 2017.
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