Sunday, June 10, 2012

What Are the Pros and Cons of health Savings Accounts?

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Q: My firm recently began gift a condition Savings inventory (Hsa) available to all the employees. Why are employers throughout New Jersey rolling out these plans? What are the pros and cons of a Hsa?
 
The question - Healthcare Costs. If you think rising healthcare costs are only the assurance company's question or your employer's problem, think again. Most employees pay 10%-90% of their healthcare costs, when all costs are included. All it takes is a quick relate of your pay stub over the last few years to see that the assurance clubs are passing on addition healthcare costs to employers and employers are passing on these costs to employees. Healthcare costs have risen 8%-10% each year over the last three years and are likely to grow two to three times the rate of inflation for the foreseeable future.   
 
Compounding the question - New Jersey assurance Laws. Almost every state in the U.S. Can deny individuals coverage through the underwriting process. New Jersey is one of only five states in the U.S. That provides for "guaranteed issue" - which guarantees condition coverage, regardless of condition status, age, claims history, or any other risk factor. Although this may be determined a blessing, it is an high-priced blessing. Almost by definition, this increases the cost of assurance coverage for everybody in the state to inventory for those who use the benefits most.
 
The clarification - condition Savings Account. Just a quick background on condition Savings inventory (Hsa) and how it works. Established as part of the Medicare designate Drug, Improvement, and Modernization Act of 2003, the Hsa is a hybrid in the middle of condition assurance and a resignation plan. The Hsa was established so savings used for qualified curative expenses for yourself, or anyone you claim as a spouse or dependent would be free from taxes. Qualified curative expenses include: curative doctors, dental and optic care, chiropractic care, long-term care, and Medicare Part A or Part B and Medicare Hmo assurance premiums. Unqualified curative expenses include: cosmetic surgery, condition club dues, nonprescription drugs and medicines and funeral expenses.
 
A gift to a Hsa is only permitted if the condition assurance with it has a deductible (your out of pocket expense) of at least ,100 for personel coverage or ,200 for house coverage. The current gift limit per year is ,850 for personel coverage or ,650 for house coverage. Those 55 and older can contribute an additional 0 in 2007. 
 
Contributions are all pre-tax, a astronomical benefit for those seeking tax breaks. If the savings are used for qualified curative expenses, the entire number can be withdrawn free of taxes. Yes - that is right, free of taxes. If the savings are used for other purposes, the resignation is taxed as income and accessed a 10% penalty (if under the age of 65). At age 65, when Medicare begins, withdrawals are only taxed as income at your then tax rate. All interest, gains and dividends in a Hsa are sheltered from taxation - allowing all income to aggregate on a tax-advantaged basis. 
 
Unused balances can be rolled over from year to year. Many employees view the Hsa as a resignation plan - providing them a tax-advantaged way to save for resignation above and beyond their 401(k) and their personel resignation inventory (Ira).
 
A Win for Employees, Employers and Insurers. Because the Hsa is based on a high deductible assurance plan the employee takes on a higher level of accountability and risk for curative expenses than a primary assurance policy.  Employees who run their house to the physician office every time person has the sniffles (because the visit only costs them , while the assurance firm pays the remaining under a primary plan) will think twice when they pay the full out of their own pocket under a Hsa. 
 
That said, those out of pocket costs are all with pre-tax dollars that were contributed to the Hsa. By utilizing a Hsa employers can sell out their prime costs by as much as 50%, passing most or all of those savings directly to the employees. Many employers, particularly in "guarantee issue" states like New Jersey, are implementing a Has based on these benefits.
 
Action Steps - Implement a condition Savings Account. Implement a Hsa for your firm or ask your boss to implement one. With condition care costs addition faster than wage increases, employees are bearing more and more of the cost burden. A Hsa provides a pre-tax means to contribute towards an inventory that will grow over time, with the option to use the money for curative expenses on a tax-free basis or for any purpose in resignation on a penalty free basis. Implementing a Hsa saves money for all those complex and forces employees to be more responsible with their own savings.
 
While the healthcare question is not going away soon, the Hsa provides one qualified tool to combat the problem. When it comes to prominent employee benefits, speak with a licensed financial expert before development irreversible decisions that may haunt you for years to come.

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