Health Savings Account (HSA)


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HSA Plan C 2019 Table

HSA Plan N 2019 Table

HSA Basic Information:

Both you and your employer contribute money to the Health Savings Account (HSA). The IRS maximum annual contribution to an HSA for 2019 is $3,500 for single coverage and $7,000 for dependent coverage. These maximums apply to the sum of your own contributions and your employer’s contributions. Members ages 55+ can make additional “catch up” contributions to their HSA each year until they enroll in Medicare. The additional catch-up contribution for 2019 remains at $1,000. Employees may elect to make changes to their HSA contributions during the calendar year. If no HSA contribution level is selected during Open Enrollment, the contribution amount will default to $25 per pay period.

Your HSA belongs to you and is "portable" which means that even if you leave your employer, you take your account with you and can use it to pay for eligible medical expenses for you and your tax qualified dependents. Since the account belongs to you, you are responsible for the account investments and fees, so be sure to review the HSA investment options and account fees that apply.  The account fee information is found on p.29 in the Plan Year 2019 Enrollment Booklet.

Any employee enrolled in Plan C or N may elect to have an HRA or HSA.

Using a Health Savings Account (HSA), you can set aside pre-tax money to pay for eligible health care expenses. Examples of eligible expenses that you can spend your HSA funds for include:

  • Deductibles and Coinsurance
  • Dental, Drug and Vision expenses 
  • Over-the-counter medications, such as aspirin, cold medicines, antacids and cough supplements if you have a prescription from your doctor

HSA Eligibility:

The IRS sets the guidelines outlining when an employee can enroll and contribute to and HSA.  These rules apply only to the employee and not any covered family members.

For you to qualify for a Health Savings Account, you must meet all of the following stipulations:

  • Be enrolled in a Qualified High Deductible Health Plan (QHDHP). Plan C and Plan N qualify as QHDHPS.
  • You cannot have other major medical health coverage, except for another QHDHP.  Cancer and other limited coverage plans are fine.
  • You cannot be enrolled in Medicare A or B
  • You cannot be enrolled in TRICARE
  • You cannot be claimed as a dependent on someone else’s tax return.

HSA Rules for Dependents Under Age 26

While the Patient Protection and Affordable Care Act of 2010 (PPACA) allows parents to cover their dependent children (up to age 26) on their health plans, the IRS has not changed its definition of an eligible dependent for using HSA funds. This means that a person could have their 25-year-old dependent child covered on Plan C or N but are not able to use funds from their HSA to pay for medical expenses for that 25-year-old dependent. HSA funds used in violation of this rule will be taxable and could be subject to penalties. For all HSA plans, the IRS definition of an eligible dependent is one the HSA account holder is able to "claim" the child/relative as a dependent on their tax return. If the HSA account owner cannot claim the dependent on their tax return, they are not allowed to spend HSA dollars on services provided to that child/relative. The IRS defines a qualifying dependent child as follows:

  • Daughter, son, stepchild, sibling or stepsibling (or any descendant of these)
  • Has same principal place of residence as the account holder for more than one-half of taxable year
  • AND not yet age 19 or if a student is not yet age 24
  • OR permanently and totally disabled.