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Health Savings Account Basics

Health Savings Accounts are a popular strategy in the Small Business sector to provide a flexible alternative to standard fare health plans.  It has been the fastest growing sector for health benefit products recently.  The combination of high deductible health insurance plans reducing monthly premiums and tax favored employee accounts offering flexibility for coverage on minor expenses has been quite attractive. 

 

Successful Health Savings Account Implementations have the following attributes:

-Employer Contributions             It is important for you to establish an Employee health savings account contribution schedule and stick to it.  There’s no better recipe for failure than handing your employees a high deductible health plan with practically all the benefits expensed out of pocket towards the deductible.    Your employees will need protection against the deductible they face- particularly since they most likely are coming from a traditional health insurance plan, whether it be an HMO or PPO, where there are co-pays for medical expenses deductible waived.  You can read more in our section on HSA Contributions.

-Implementation Education       Health Savings Accounts will most likely be a new experience for your employees so it will be important for you to educate, educate, educate.  Multiple opportunities for your employees to review and respond to the HSA opportunity presented will make for happy employees. Review sessions are also important, following up ensuring everyone is clear on questions and implementation.  The concept it pretty straightforward once the staff has had some time to familiarize and utilize.

-Collateral          Providing customized collateral concise to your company’s rollout will alleviate nervous and confused minds.  The simpler the better but it should show clear examples of the specific plan you are implementing so the deductible, premium, and account contribution numbers match the real implementation.

-Roll Over           There are a number of new laws which allow a one-time Flexible Medical Spending account rollover, Health Reimbursement rollover, and IRA account transfer to the HSA account.

-Employee Contribution                              Your employees should also be informed of their options to contribute personal funds to the Health Savings Account.  The account after all belongs to the Employee.  Funds’ remaining in the account stay with the employee even after the employee terminates employment.  The employee then begins to understand healthcare isn’t free as they see the transactions first hand process from Provider to Insurer back to Member.

Knowledgeable Health Savings Account Administrator  Nothing ruins your day than calling your HSA administrator and not getting any answers to your questions.  In the beginning, when Health Savings Accounts were first launched as a congressional pilot program, the first few Health Savings Account Administrators were small in number and large in expertise.  This was mainly because as a pilot program it had to continually pass re-approval status in Congress so large financial instituations did not quickly jump to offer the accounts.  Now that the popularity of Health Savings Accounts for Small Groups is staggering the largest financial institutions in the country have jumped on board to offer them.  The downside of opening your HSA account at your conglomerate bank is potentially finding someone with expertise on tax and contribution questions can be difficult.  

 Other important resources:
California Small Group health quote
California Small Group online doctor listing
California Group Enrollment and Eligibility Center

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