The Medical Savings Account Experts

HEALTH SAVINGS ACCOUNTS (HSA Plans)
NEW LAWS MAKE HSAs MORE ATTRACTIVE THAN EVER

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 $2,850, 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 in 2007.
    • For self-only policies, a qualified health plan must have a minimum deductible of $1,100 with a $5,500 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 $11,000 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

  • Contributions are allowed up to an annual limit of $2,850, regardless of the deductible for their insurance plan. The maximum annual contribution is $2,850 for self-only policies and $5,650 for family policies (indexed annually).
  • Individuals age 55 – 65 may make additional “catch- up” contributions of up to $800 in 2007, 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

  • January 1, 2007.
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