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May 20, 2005

One spouse's low deductible health plan doesn't
necessarily nix HSA eligibility for other spouse

 

A married individual contributing to a Health Savings Account (HSA) can maintain eligibility even if a spouse has low-deductible family health coverage, but only if the spouses' plan does not cover the individual with the HSA.

 

The Treasury Department and the IRS released a ruling, Revenue Ruling 2005-25, confirming that an individual can be eligible to contribute to a HSA even if his or her spouse has non-qualifying family coverage, provided the spouses' coverage does not cover the individual.

 

The press release from the Treasury Department provided the following as an example of allowable coverage for married individuals. Steve and Mary Jones are married with three children.  Steve has a low deductible family health plan that covers him and the Jones children.  His plan does not qualify for an HSA.  The ruling clarifies that Mary, who is not covered under Steve's family plan, may have her own separate high-deductible health plan that does qualify for an HSA.

 

The ruling, released on April 13, 2005, clarified how much the eligible spouse can contribute to an HSA in this type of situation. In addition, the ruling provides three situations for review.

 

In an attempt to lower the cost of health care plans, Congress created HSAs. The plans rely on encouraging participants to become cost conscious consumers of health care benefits by converting insurance paid first dollar benefits to visible charges paid from each participating employee's HSA. Participants retain unused amounts in the HSA account, which may be rolled forward without tax to meet the needs of payment for services in later years. Participants control the use of their account and may even use it for "non-qualified", non-medical expenses, in which case the distribution is taxable.

 

The employer, the individual or both can make contributions to an HSA. If the employer makes contributions, it is excluded from the employee's income. When the employer makes contributions to an account, requirements state they should be comparable for all employees eligible for the HSA. The contributions are considered comparable if they are the same amount for all employees or the same percentage of the annual deductible.

 

"Health Savings Accounts are designed to help individuals take more control over how their health-care dollars are spent and save for future medical and retiree health expenses on a tax-free basis," said Treasury Secretary John W. Snow. "At a time when health care costs are rising rapidly and individuals, families and employers are struggling to find lower-cost alternatives, HSAs are a terrific option that I think every American ought to consider."

 

Infinisource Inc. offers an innovative HSA solution that boasts market driven interest earnings on accounts and a high level of plan design flexibility for employers. Visit our website www.benefitsolved.com for information on how you deliver HSAs to your clients to set up an HSA or contact our office at 800-779-6384.

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