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HSA Information
 

Glossary

Amendment to an existing HSA: An Amendment to an Existing HSA occurs as a result of a name change due to marriage or legal decree, or by adding or changing a designation of beneficiary.

Contribution: A Contribution is a deposit to an HSA. The amount of annual contributions to an HSA are limited by IRS regulations. For more on calculating contribution limits please see Excess Contributions.

Distributions (withdrawals): A withdrawal from your HSA is called a distribution. For IRS reporting purposes there are five types of distributions: death, disability, excess contribution removal, normal, and prohibited transactions.

Death: If you are requesting a distribution as a beneficiary, you must furnish to the Trustee, Custodian, or Issuer, an original death certificate to verify your entitlement to receive the distribution. This verification is used by surviving spouse beneficiaries to claim ownership of an HSA. Death distributions to non-spouse beneficiaries, require liquidation of the account, and are generally includable in ordinary income of the non-spouse beneficiary.

Disability: You may take a distribution due to disability only if the disability renders you unable to engage in any substantial gainful activity and it is medically determined that the condition will last continuously for at least 12 months or lead to your death. Disability distributions may be subject to ordinary income tax.

Excess Contribution Removal: If you have made an excess annual contribution to your HSA, you must generally take the appropriate steps to remove the excess contribution. Failure to remove the excess within the same tax reporting period may result in additional taxes and penalties.

Normal Distribution (withdrawal): Distributions for any reason other than removal of an excess contribution, death, disability, or a prohibited transaction are deemed Normal Distributions. Normal Distributions received for payment of a qualified medical expense are excludable from your gross income. Distributions which are not used to pay qualified medical expenses will be includable in your gross income and may be subject to an additional excise tax of 6% in addition to normal taxes.

Prohibited Transactions: A prohibited transaction is any distribution for non-medical expenses other than a death, disability, or excess contribution removal.

Excess Contribution: An Excess Contribution is any contribution amount made above an individual’s annual contribution limit as determined by the applicable health plan. The contribution limit can be calculated by prorating the lesser of the health plan deductible or IRS contribution limit by the number of full months the health plan has been in effect.

FSA: A Flexible Spending Account (FSA) is an employee benefit that allows an employee to designate pre-tax dollars to pay for un-reimbursed healthcare or dependent care expenses. The employee determines how much money to contribute to an FSA at the beginning of each plan year. When an FSA is combined with an HSA, the FSA must be designated as a Limited Purpose FSA. A Limited Purpose FSA is generally designated for dental and vision expenses which are not otherwise covered by insurance.

HDHP: Health Savings Accounts must be coupled with a qualified High Deductible Health Plan (HDHP). The guidelines for a qualified HDHP – including minimum deductible requirements and maximum out-of-pocket expenses – are determined by the IRS and are indexed for inflation each year.

HRA: A Health Reimbursement Arrangement (HRA) is an employer-funded, tax-favored savings account employees can use to pay for healthcare expenses. Any accumulated funds are generally forfeited upon termination of employment. When an HRA is combined with an HSA, the HRA must be designed as a Post-deductible HRA, Suspended HRA, or Retirement HRA

HSA: A Health Savings Account (HSA) is a tax-favored savings account you can use to pay for healthcare expenses. Once the contributions are deposited to your HSA, they are owned by you and can accumulate year to year to as savings for future needs. A requirement for opening an HSA is that it be coupled with a qualified high deductible health plan (HDHP) that covers medical expenses after the deductible is met. >

MSA: A Medical Savings Account (MSA) is a tax-favored savings account, often referred to as the predecessor to the HSA. MSAs originated as a pilot program in 1997 for self-employed and small employers (generally 50 employees or less). Like an HSA, MSAs are owned by the accountholder and rolls over year to year to let you build up savings for future needs; however, MSA health plan requirements are more tightly defined and contribution limits are restricted to 65% of the deductible for single coverage and 75% of the deductible for family coverage. With the introduction of HSAs, new MSAs can not generally be established.

Qualified Medical Expense: A Qualified Medical Expense is generally any expense incurred primarily for the prevention or alleviation of a physical or mental defect or illness. A partial listing is provided in Section 213d of IRS Ruling and IRS Publication 502.

Power of Attorney (POA)/Authorized Signer: Since IRS regulations require that only one individual own the HSA account, the accountholder can authorize a spouse or another third-party through power of attorney to write checks or use their debit card. If POA is requested on the original application the check order (if applicable) will include both the accountholder and authorized individual's name. Likewise, if two debit cards are requested, the accountholder's name will appear on one card and the authorized individual's name will appear on the second card.

Rollover: A rollover occurs when you have been issued a check for HSA/MSA funds by a trustee or custodian and you deposit the check into a new HSA/MSA at another trustee or custodian. Please note the rollover timeliness and 12 month restrictions for rollovers.

Rollover Timeliness: The funds you receive from the distributing HSA/MSA must be deposited into another HSA/MSA within 60 days after you receive them. When counting the 60 days, include weekends and holidays. There are generally no exceptions to the 60 day rule and the IRS cannot grant extensions. Receipt generally means the day you actually have the funds in hand. For example, the 60 days would begin on the day following the day you pick up the check from the Trustee or Custodian or you receive the check in the mail.

Rollover 12 month Restriction: You are entitled to one distribution per year per HSA which may be rolled over. Twelve (12) months must pass after receipt of one distribution which you roll over before you may take another distribution from the same HSA to roll over. The focus is on distributions out of an HSA. Twelve (12) months must elapse between the time you receive a distribution of the assets to be rolled before you can receive another distribution of those same assets for rollover purposes.

Transfer: A transfer occurs when you move HSA/MSA funds directly from one trustee or custodian to another trustee or custodian. The funds are directly transferred by the initial trustee or custodian to a new one, on your authorization. There is no limit to the number of transfers that can occur in any year.