For house owners and HR managers of smaller companies, providing medical insurance protection to their staff is arguably a given. And, whereas it may be comparatively expensive, for these firms which are thought of “small companies” by the Reasonably priced Care Act (ACA) there are monetary and tax incentives that may make it reasonably priced.

And affordability is a key issue for workers, as nicely.

For instance, in case you occur to have a reasonably small enterprise with a lot of older staff, premiums will are usually greater. As one monetary web site has famous,

“Medical insurance charges go up as a policyholder will get older; the biggest will increase usually happen after age 55. This displays the upper well being care prices anticipated for older Individuals. 

On the excessive finish of the age vary, premiums for customers 64 and older are capped at thrice the bottom charge. As an illustration, a 64-year-old pays $1,230 per thirty days for a Silver plan, which is thrice costlier than the month-to-month charge of $410 for a 21-year-old.”

However even for these on the decrease, “extra reasonably priced” finish of the month-to-month premium spectrum, it may be difficult to handle the prices for some youthful employees.

Which is why the choice of a Well being Financial savings Account (HAS) mixed with a high-deductible well being plan (HDHP) has change into an more and more common, particularly amongst wholesome, under-30 staff.




So, what’s an HSA?

Based on one supply, an HSA is a particular checking account on your staff’ eligible well being care prices. Your staff can put cash into their HSA by way of pre-tax payroll deduction, deposits, or transfers. As the quantity grows over time, they will proceed to reserve it or spend it on eligible bills.

An HSA permits your employees to place cash away and withdraw it tax free, for use for certified medical bills resembling deductibles, copayments, coinsurance, and extra.

Whereas the quantity allowed for an HAS is substantial, the IRS does put a cap on the annual contribution. Nevertheless, all unused contributions roll over from 12 months to 12 months. For 2023, the IRS has elevated that restrict to $3,850 for self-only protection and $7,750 for household protection.

And if contributors are 55 and older, they will contribute an extra $1,000 as a “catch-up” contribution.

Worker eligibility for contributing to an HSA requires that your staff:


  • Not be enrolled in a well being plan that’s not an HSA-eligible plan, resembling a full objective well being care versatile spending account (FSA)
  • Not be enrolled in Medicare
  • Not claimed as a depending on another person’s tax return


As well as, whereas HSAs have extra danger because of the excessive deductible prices of the related HDHP, there’s a potential additional benefit. This is because of the truth that HSAs may also be seen as the one retirement account that’s triple tax-free. It is because the cash staff put in is tax-free, the cash they take out is tax-free, and the funding features are tax-free.



Whereas an worker can arrange an HSA on their very own, this feature for offering reasonably priced healthcare protection may also be supplied by employers.

An article from the Society of Human Useful resource Managers (SHRM) explains how this works,

“An worker’s HSA could also be funded by contributions from the employer, from the worker or each. Employers could select to contribute a set quantity or make “matching” contributions. The IRS units annual limits on the quantities which may be contributed to the HSA. If an HSA is funded by contributions from each the employer and the worker, it is going to be necessary to make sure that the full contributions stay inside the annual IRS limits.”

If you happen to and your staff select to have an HSA choice, understand that whereas your contributions to certainly one of your worker’s HSA could also be excluded from the worker’s earnings, all employer contributions, together with these made by the worker by way of a cafeteria plan, should be reported in field 12 of the worker’s W-2.

The article additionally notes that typically, contributions made by an employer to the HSA of an eligible worker are excludable from an worker’s earnings and usually are not topic to federal earnings tax, Social Safety or Medicare taxes. And, as a good thing about the employer, the employer contributions are deductible as a enterprise expense to the corporate.


HSAs Have Some Disadvantages

In accordance one funding website, there are a couple of drawbacks for workers choosing an HAS:


  • They’ll owe earnings taxes plus a 20 p.c penalty in the event that they withdraw funds from their HSA for non-qualified bills earlier than they flip age 65. After 65, they’ll owe taxes however not the penalty.
  • Excessive-deductible well being plans (HDHPs), that are a requirement for HSAs, aren’t all the time the best choice for workers, particularly for many who have important healthcare bills. For this reason an HSA/HDHP choice is often finest for youthful and wholesome employees.



JC Lewis Insurance coverage is a long-time, family-owned agency of professional brokers and is predicated in Sonoma County. We provide California medical insurance plans solely from main medical insurance carriers which are licensed to do enterprise in California.

And we’re licensed and authorized by every of those insurance coverage carriers to supply protection to small group employers, together with Medicare supplemental and prescription drug plans for seniors.

If you’re self-employed otherwise you’re an employer that doesn’t at the moment supply worker well being advantages, there are lots of choices out there on your employees in addition to for you and your loved ones. So, whether or not you’re deciding between an HMO plan, PPO plan, and even an HAS/HDHP, we’ve received your again.

Once you’re searching for medical insurance coverage for you and your loved ones, you might be prone to have a number of questions and issues. That’s nice as a result of we welcome your questions about well being protection insurance coverage, and you may be assured that JC Lewis Insurance coverage Providers will show you how to discover the fitting answer.





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