|
HSA |
HRA |
FSA |
|
Who is eligible? |
Anyone with a high deductible plan. |
Any business with 2 or more
employees. |
All businesses, but
typically implemented in larger organizations. |
|
Who owns the funds? |
Individuals |
Employer only.
|
Typically funded by employee
but either may fund (not both). |
|
How are funds deposited?
|
Money is deposited directly
into an account held by a financial institution. |
Employer reimburses employee when
presented with a valid explanation of benefits or receipt. |
A set amount of pre-tax
wages are deposited directly into the employee's account. |
|
Must the maximum amount
available under the fund plan be available at all times?
|
NO. |
NO. |
YES. The FSA must have
the full amount of coverage available even if the reimbursement exceeds
the participant's acutal current contributions to the plan at time of
reimbursement. |
|
What type of corresponding
health plans are allowed? |
From $1,000 - $5,000 deductible depending on
type of coverage. |
Any type of health plan. |
Any type of health plan. |
|
How does interest accrue? |
Through tax free accounts set
up in conjunction with the HSA. |
Interest does not accrue.
This is a reimbursement arrangement, not an account. |
Interest does not accrue. |
|
May unused dollars be carried
over to subsequent years? |
YES |
YES |
NO, unused funds are
forfeited. |
|
Is there a specified period
of coverage? |
No, HSAs remain set up as
long as the employee wishes. If an employee leaves the company, they take
the HSA with them. |
No. There is no
required period of coverage. Employers can set up plans any way
they choose including forfeiture or maintenance upon termination or
retirement. Remember, this is not an account, it is an
arrangement. |
YES |
|
Do the tax laws prohibiting
discrimination in favor of highly compensated and key employees apply? |
YES |
YES |
YES |
|
What is the tax treatment? |
Qualified HSAs are tax free
as long as the funds are spent on medical care as defined by the IRS
section 213. Contributions to the HSA reduce annual taxable
income. |
Reimbursements to employees
are tax free as long as they are used on qualified health care
purchases. |
Contributions to FSAs are tax
free and reduce annual taxable income. |