Health
Savings Accounts
A Tax Advantage to Offset Health Care Expenses
Health
Savings Accounts, or HSAs, were
created by Congress to combat rising
medical costs by providing an incentive for more
consumers to pay "first-dollar" medical expenses. An HSA is an IRA-like
account that is designed exclusively for covering medical expenses incurred
by the HSA account beneficiary (the person who
establishes the account) and his or her
dependents. However, there are some differences.
What
are an HSA's benefits?
HSAs can provide significant tax benefits to eligible individuals. Not only
can HSAs provide tax benefits related to paying qualified medical expenses,
they may also provide benefits similar to many tax-favored retirement plans.
A summary of HSA tax advantages is shown below.
Tax
Benefits
> > HSA
contributions - by employer or employee - are excluded
from income
> > HSA
earnings are tax deferred.
> > If
used for qualified medical expenses, HSA assets are never
taxed.
> > Unused
HSA assets may be used for retirement; however, they will be subject to a 10
percent penalty until
the HSA account beneficiary turns age 65. If not used for medical expenses, they
will be subject to income taxes.
> > Upon
death, HSA assets become the property of a named death beneficiary, or of the
HSA account beneficiary's estate. A spouse may treat the assets as his or her
own HSA, while nonspouse death beneficiaries must treat such assets as ordinary
taxable income.
What
are qualified medical expenses?
In order for HSA assets to retain their tax-free status, they may only be withdrawn
and used for certain expenses.
these
expenses include
> > actual
medical expenses, including doctor visits, prescriptions,
transportation to get medical care, and dental care,
> > long-term
care insurance,
> > healthcare
coverage when unemployed,
> > certain
continuation-of-benefit healthcare coverage, and
> > certain
health insurance after age 65.
Non
qualified uses of HSA assets are subject to taxation and
a 10 percent penalty unless the HSA account beneficiary
is age 65 or older, dies, or is disabled.
Who is eligible to participate?
You are an eligible individual for any month if you:
> > are covered under an HDHP on the
first day of such month:
> > are not also covered by any other
health plan that is not an HDHP (with limited exceptions);
> > are not enrolled for benefits
under Medicare (generally not yet age 65): and
> > are not to be claimed as a dependent
on another person's tax return.
What is considered an
HDHP?
An HDHP is an insurance policy that meet, certain dollar limits as shown in
the table below.
Can self-employed individuals have
an HSA?
Sole proprietors and others who are self-employed can have
an HSA, and are, in fact, often ideal candidates for an HSA.
In such situations, the business owner is both employer and
employee. HSAs are often advantageous for the self-employed
because:
> > high-deductible
health insurance plans generally have modest premium costs,
and may be an effective cost-containment mechanism for the
employer,
> > the
employer is protected against potentially catastrophic healthcare
expenses, and
> > the
HSA may serve the dual purpose of providing for both medical
and retirement expenses.
Health Savings Accounts |
2009 |
2010 |
| Definition of High Deductible Health Plans
- Deductibles/Out of Pocket Limits |
| Single Coverage - Minimum/Maximum |
$1,150/$5,800 |
$1,200/$5,950 |
| Family Coverage - Minimum/Maximum |
$2,300/$11,600 |
$2,400/$11,900 |
Health Savings Account Contribution Limits |
| Single Coverage |
$3,000 |
$3,050 |
| Family Coverage |
$5,950 |
$6,150 |
What are the HSA contribution rules?
The total amount you or your employer may contribute to an HSA for any taxable
year is dependent upon whether you have
individual or family coverage under a high deductible health plan.
*HDHP and contribution limitations
are revised each year to reflect cost-of-living increases.
In addition to the standard HSA contribution
limits shown in the previous table, if you have attained age
55 before the close of a taxable year, you may also contribute
an additional amount known as a "catch-up" contribution.
2009 - $3,000 for individual coverage and $5,950 for family
coverage plus $1000 catch-up contribution if you are over age
55. (See Internal Revenue Service Publication 969 for more
information.)
2010 - $3,050 for individual coverage and $6,150 for family
coverage plus $1000 catch-up contribution if you are over age
55. (See Internal Revenue Service Publication 969 for more
information.)
Do HSAs require reporting?
> > HSA
holders must report all contributions and distributions on
their individual income tax returns.
> > An
employer contribution is reported on a business tax return,
as well as on the W-2 form of any employee receiving an employer
contribution.
> > All
contributions and distributions from an HSA account are also
reported by the custodian or trustee where the HSA is held.
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