HSA
Information for Employers
Great Lakes HSA has
prepared this section to answer the most popular
questions we receive from employers regarding HSA
health plans. Before you decide on adopting an HSA
program, review the information on this section.
If you have any specific questions, one of our HSA
experts would be happy to provide you with more
information.
Why
Should an Employer Offer an HSA Plan?---------------------------
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Its
not just about saving money, its giving your employees
another option in managing their own healthcare,
while making them responsible consumers.
One
of the major problems with current health insurance
plans, is the fact that employees are unaware of
the true costs for health care services. Most employees
actually think a visit to the doctor only costs
their typical co pay amount of $20. Even if the
visit is not really necessary, at $20 there is little
incentive not to see the friendly doctor.
With
a HSA plan, copays are eliminated and employees
quickly become responsible consumers as they are
now aware of the true cost of that visit.
In
addition, when you switch from a traditional health
plan to a Qualified HSA plan, you could save up
to 50% on your annual premiums. Along with this
cost saving, pre-tax contributions reduce your payroll,
FICA and social security tax.
Savings-_______________________________________________________________^
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Its no secret that raising the deductible
of your health plan can save money, but what will
be the reaction of our workforce? HSA premiums are
30-40% less then traditional health plans. The price
for this savings can really hurt your employees
as their deductible could rise from $250 to $2500!
To compensate them for taking this added risk, employers
typically refund 50-80% of the premium savings back
to the employees as "Employer Contributions"
to each employees Health Savings Account. So where
is the savings? In the 2nd year, your premium went
from $1,000,000 to $600,000. The renewal rate is
5% on $600,000 instead of 30% of $1,000,000. In
year two your premium is $630,000 instead of $1,300,000.
That is your Savings!
Employer Participation
- The Most Common Questions
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As
an employer, do I own my employees’ HSAs?
Can I control how they spend the money in them?
No, you do not own your employees’ HSAs.
The employee fully owns the contributions to the
account as soon as they are deposited, just as with
a personal checking or savings account to which
you would deposit their compensation.
My
employees want to contribute to their HSAs
but want to make sure they get a tax benefit out of
doing so. How does that work?
Employee contributions can be made to HSAs
on either after-tax or pre-tax basis. If made on an
after-tax basis they should be counted as an above-the-line
deduction on their tax return, effectively making
their contributions tax-free. If they want to make
the contribution pre-tax it can be done through a
Section 125 (also called a “salary reduction” or “cafeteria
plan”).
How
much do I have to contribute to my employees’ HSA,
as an employer?
As much or as little as you want
(while staying below the legal limit on the account
of $2,900 or $5,800 for employees with family coverage).(2008
Limits)
Do
HSA contributions have to be made in equal amounts
each month?
No, you can contribute in a lump sum or in any amounts
or frequency you wish. However, keep in mind that
the funds belong to the employee after they are deposited.
As
an employer, do I have to contribute the same amount
to every employee’s HSA?
Employer contributions must be “comparable”, that
is they must be in the same dollar amount or same
percentage of the employee’s deductible for all employees
in the same “class”. You can vary the level of contributions
for “full-time” vs. “part-time” employees, and employees
with “self-only” coverage vs. “family coverage”. You
do not need to consider employees who do not have
HDHP coverage as they are not eligible for HSA contributions.
Our
company offers benefits through a Section 125 plan,
do contributions have to be comparable under these
plans as well?
Section 125 plans (also known as “salary reduction”
or “cafeteria” plans) must meet a different set of
rules. Under these plans, contributions (both from
employer and/or employee) must meet “non-discrimination”
rules. These rules require the employer to ensure
that contributions do not favor higher compensated
employees.
Our
company wants to offer “matching” contributions, can
we do that?
Yes, but your company can only offer “matching” contributions
through a Section 125 plan. Remember that the non-discrimination
rules still apply.
I
don’t offer health insurance, but some of my employees
have opened HSAs and I’d
like to help them out, what can I do?
Your company can make pre-tax contributions to your
employees’ HSAs as long as you do so for all eligible employees. However,
the comparability rules apply. If you have a Section
125 plan, then the non-discrimination rules apply.
Advantages
to the S-Corp Owner
Owners
of S corporations find themselves in a difficult tax
position regarding health insurance. If you own more
than 2 percent of the S corp, your portion of health
care premiums is not deductible. However, if you adopt
a HSA health plan, you can contribute to an HSA, regardless
of percentage ownership or income. However, these
contributions must be made with "after tax"
dollars. You will only use the FICA/FUCA deduction
and take an "Above the Line" deduction during
tax time.
As an employer, you can contribute to an HSA on behalf
of an employee. This contribution is deductible to
the employer and beneficial to the employee. There
are comparability regulations, that can be avoided
if the employer contributions are run throuhg a 125.
There is a bit of flexibility in the 223 regulations
as employers are not required to make equivalent contributions
to highly compensated employees’ HSAs. In addition,
if the employer contributes to the non-highly compensated
group, the employer can discriminate among highly
compensated employees.
How
are contributions treated for owners and shareholders
of S corps?
Owners and officers with greater than 2% share of
a Subchapter S corporation cannot make pre-tax contributions
to their HSAs through the
company by salary reduction. In addition, any contributions
made to their HSAs by the
corporation are taxable as income. However, they can
make their own personal contributions to their HSAs and take the "above-the-line" deduction on
their personal income taxes.
How
are contributions treated for partners in a partnership
or limited liability company (LLC)?
Partners in a partnership or LLC cannot make pre-tax
contributions to their HSAs through the partnership by salary reduction. However,
they can make their own personal contributions to
their HSAs and take the
"above-the-line" deduction on their personal
income taxes.
May
a self-employed person contribute to an HSA on a pre-tax
basis?
No. Self-employed persons may not contribute to an
HSA on a pre-tax basis and may not take the amount
of their HSA contribution as a deduction for SECA
purposes. However, they may contribute to an HSA with
after-tax dollars and take the above-the-line deduction.
Tax Treatment
of Health Savings Account (HSA) for Employers
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Rules For Reporting Premium
Costs and HSA Contributions
Contributions into an HSA can be made either by an
individual or by an employer. If the individual makes
the contribution, the amount is DEDUCTIBLE from the
individual’s TOTAL INCOME (Line 22 on the current
version (2004) of Form 1040).
If the employer makes the contribution, the amount
is EXCLUDABLE from the employee’s WAGES (Line
7 on the current version (2004) of Form 1040). The
excluded amount is supposed to be noted on the employee’s
W-2 paperwork.
If the employer pays for all of the employees’
high-deductible insurance premiums, only the employer
is entitled to deduct this sum as a business expense.
LLC (Limited Liability Companies)
and LLP (Limited Liability Partnerships)
Small organizations often operate as an LLC. Under
the current tax laws, single-owner LLCs are taxed
as if they were sole proprietorships. LLCs with multiple
owners get the same tax treatment as a partnership
unless they elect to be treated as a corporation.
LLPs get the same tax treatment as a partnership.
Thus, there are no special tax advantages between
LLCs or LLPs under the HSA program.
C and S Corporations
With a “regular” or C Corporation, your
business must pay its own income tax on the taxable
profits of your corporation. The tax rate for corporations
varies by a few percentage points from what is due
from married or single taxpayers. Personal service
corporations (doctors, lawyers, engineers, architects,
etc) are taxed at a flat rate of 35 percent of their
net profit for the year. If you and others pay yourselves
a salary from a C corporation, your health insurance
premium costs are a business deduction for the corporation.
If you and others are drawing a salary from the income
that derives from your corporate business, each of
you have to pay a personal income tax on that income.
After-salary profits are taxed to the corporation.
Upon eventual distribution of the profits you and
others pay tax again – the dreaded “double
tax” on the distributed profits on your personal
tax return.
Tax rules for a “special”
or S Corporation are similar to those
for a partnership, i.e., you pay tax on your salary
and your share of after-salary profits. If an individual’s
shareholding in an “S” Corporation is
more than 2 percent, that person is eligible to deduct
the cost of company-paid health insurance premiums
as a gross income “adjustment” on the
Form 1040. Other shareholders are treated as employees
in the manner of C Corporations.
Corporations reporting taxable income
(profits) of less than $100,000 qualify for a significantly
lower corporate tax rate. Many small corporations
therefore strive to find as many business deductions
as possible, to get under the $100,000 limit. HSAs
are a new way to get there. Because owner salaries
and compensation are deductible as a corporate business
expense, contributions into an HSA can cut both the
corporate tax and income tax at the same time.
Because of the non-discrimination
rules for HSA contributions, a corporation with many
employees will set a practical limit on contributions
to all its employees, large and small.
Excluding Contributions From
An Employee's Taxable Income
On a payroll you must calculate withholding in accordance
with government tables to cover the employee’s
income tax. Federal Income Tax requires this withholding,
as do the majority of states that have State and/or
Local Income Tax. Contributions to HSAs on behalf
of employees are exempt from these taxes, and join
the list of other forms of worker compensation that
are not taxed:
• Generally all health coverage
policy premiums
• Generally all employer contributions to employee
retirement plans
• All worker’s compensation premiums or
benefits
• Extra sick pay or disability (after the first
six months)
• Reimbursements for moving expenses, parking
garages, public transit (subject to certain limits)
• Reimbursements for business expenses by employees
(T & E) when these are accounted for to the employer
More Tax Relief for Employers
In addition to withholding for income tax, you must
withhold a percentage of each employee’s pay
for Social Security and Medicare under The Federal
Insurance Contributions Act (otherwise known as FICA)
towards the benefits they will one day receive from
Social Security and Medicare.
In tax year 2004, the tax rate of a paycheck is 7.65%:
• 6.20 percent for Social Security
• 1.45 percent for Medicare
But wait, there’s more:
An employer must also pay an equal amount of taxes
to the government on behalf of the employee. And,
pay the employer's share of FICA on behalf of each
worker.
For highly paid employees,
there is a FICA ceiling.
For tax year 2004, the company does not have to pay
FICA once it has paid the first $87,900 in wages per
person. There is no Medicare ceiling; no matter what
the company pays its highest-paid worker, the company
still has to take out the Medicare tax.
Under the HSA program, employer contributions
to worker HSAs are not subject to any of these taxes,
nor are they considered to be gross wages when calculating
a variety of other taxes, such as Withholding Unemployment
Tax (FUTA). Unemployment tax benefits are regulated
by a combined state and federal program. Just like
income tax, the company has to withhold both a federal
tax (FUTA) and a state unemployment tax. The current
percentage for federal withholding for FUTA is 6.2%.
It is a single flat rate, paid up to a ceiling on
the first $7,000 of a worker’s pay.
The company’s state unemployment
tax rate will vary from state to state. The company
may also have to pay Disability Insurance Tax. In
certain states (notably New York and California) this
is a tax that pays for a mandated state disability
insurance program must be paid and/or withheld by
the employer. Under current federal rules, employer
contributions to worker HSAs are exempted from these
taxes as well.
Setting
Up Your Payroll For HSAs
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- Obtain Employer
Identification Number (EIN) for your business. You
must do this if you plan to pay wages to at least
one other person beside yourself. To apply for a
number, use IRS form SS-4. You can do this online.
- Decide how
frequently you’will issue paychecks (Weekly?
Biweekly? Monthly?).
- Decide which
of your workers are full time employees. Some of
your help may wish to be paid as independent contractors,
if eligible.
- Obtain a
completed withholding application (W-4 form), Social
Security Number, for each employee.
- Make a note
to file 1099s for each independent contractor you
expect to pay more than $600 in this tax year.
Working With the W-2
Each employee gets a W-2 by January 31st for the previous
tax year. Copies of each employee’s form are
also sent to the IRS in early February, along with
a summary sheet, the Transmittal of Wage And Tax Statements,
also known as IRS Form W-3. Employees who leave your
company before the tax year is over may also request
a copy of their W-2 earlier, so they can see what
the total taxes were relating to their employment.
Wages (plus tips and compensation)
for each employee are totaled for the year in Box
1. The amount of wages subject to Social Security
(the first $87,900 of wages) goes into Box 3. The
amount of wages subject to Medicare tax (everything
after the first $400) goes into Box 5.
The amount of withholding for each
tax (Box 2, 4, 6) should equal the amount you’ve
already paid in monthly and quarterly installments.
For how to calculate withholding, see IRS publication
#15-T.
Not everyone will use Boxes 7-11.
These report Social Security paid on tips and gratuities,
hardship advances for those who will qualify for the
Earned Income Tax Credit (EIC).
“Non-Qualified Plans”
are other payouts made by the employer on behalf of
the employee that may not be tax-exempt from FICA
or other payroll taxes. These include distributions
from pension plans, IRAs, and profit-sharing plans.
For example, if an employee leaves and “cashes
out” vested pension funds, the sum is noted
on the W-2, and the employee will be responsible for
the taxes.
Where then, are the deductions for
a company’s contributions to an employee’s
HSA? They are tucked away in Box 12, and identified
with a special code “W.”
Under Code “W”
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Box 12 is the section reserved for payments that generally
will be tax-exempt from gross income, and hence from
gross income taxes. These include income deferred
via a 401(k) plan (Code “D”), Moving Expenses
(Code “P”) and salary reductions to a
SIMPLE (Code “S”).
Employer contributions to a Health Savings Account
are Code “W.” So, in Box 12, if you made
a $200 contribution to a worker’s HSA, you’ll
indicate this by “200.00 W”.
If you do a W-2 for yourself or a
spouse, this is where you will indicate your contribution
to your own HSAs. If you contributed $4,500 to your
HSA, write down “4500.00 W”.
On the employee’s tax return,
any figure that appears in Box 12 must be matched
up as a pre-tax adjustment on the 1040. This is how
the IRS will track HSA deductions. This is how they
make sure that when the employer makes the contribution,
only the employer gets the tax benefits.
Box 13 requires you to check off squares
if the worker was exempt from any withholding (part
time worker or agent paid only by commissions), or
“actively participated” in any qualified
pension, profit-sharing, or stock-bonus plan, including
401(k) SEP or SIMPLE plans. (Again, this is an IRS
match point.)
Box 14 is reserved for other adjustments, which are
non-elective, such as required employer-employee matching
contributions to pension plans. Another match point.
Boxes 15-20 are where you report wages and withholding
payments for state and local tax.
This should get your company’s accounting and
payroll up to speed on HSAs.
Coordinating
with Cafeteria & Flexible Benefit Plans
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Flexible benefit plans (FSAs) can co-exist
alongside of an HSA Plan, however individuals should
not pay for medical expenses out of the Flex Plan
(individuals may want to allocate money for dental
or vision in the flex plan.)
The HSA legislation allows for individuals
to contribute to an HSA through a cafeteria plan,
if employee contributions are not run through your
125 plan, employee's HSA contributions can not be
made with pre-tax dollars. If your company does not
have a 125 plan, contact Great Lakes HSA and we will
walk you through the process to ensure you are compliment
with the 223 regs!
To find out more information about Cafeteria plans
click
here
HSAs
Can Exist Above ERISA Rules
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The Employee Benefits Security Administration
(EBSA) -- the administrative arm of the Department
of Labor (DOL) -- issued guidance on April 7, 2004,
confirming that employers can implement (and even
contribute to) Health Savings Accounts (HSAs) without
being subject to ERISA regulations.
Voluntary Safe Harbor Rules
According to Field Assistance Bulletin 2004-1, for
an HSA program to avoid ERISA regs, it must meet the
following four basic requirements:
- The program must be completely
voluntary.
- An employer cannot endorse the
program, but can administrate payroll functions
and publicize the program.
- An employer may only receive reasonable
compensation for payroll expenses.
- An employer can make no contributions
(exceptions below).
There are certain circumstances
in which an employer can contribute and still not
be subject to ERISA. The following conditions must
be satisfied:
Establishment of the HSA must be completely
voluntary.
The employer cannot make or influence
HSA fund investment decisions.
The employer cannot receive any compensation
in connection with the HSA.
No conditions can be placed on the
utilization of HSA funds beyond that permitted by
the Code.
The employer must allow the employee
to move funds to another HSA beyond that permitted
by the Code.The employer cannot
represent that the HSAs are established or maintained
by the employer.
Conclusion
This long-awaited guidance is very
positive. Overall, Field Assistance Bulletin 2004-1
should help increase HSA participation.
View the Entire Document - http://www.dol.gov/ebsa/regs/fab_2004-1.html
Setting up a
Health Savings Account
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What do I have to do to “establish”
my account?
Your account trustee/custodian will determine what
you need to do, which may include completing and processing
appropriate paperwork, and making a minimum deposit.
Who can help me establish
my account?
Great Lakes HSA!!!!
My bank/credit union doesn’t
offer HSAs, can I be my own trustee or custodian?
No, you must establish your HSA with an approved institution.
What is the difference between
an HSA “custodian” and an HSA “trustee”?
The differences between a “custodian”
and a “trustee” are minor. A trust is
a legal entity under which assets are actually owned
and held on behalf of a beneficiary. The trustee has
some level of discretionary fiduciary authority over
the assets of the fund. The trustee must exercise
that authority in the best interests of the beneficiary.
A custodial arrangement, on the other hand, is like
a trust, but the custodian simply holds the assets
on behalf of the owner of the assets. Other than holding
the assets and doing as the owner orders, the custodian
has no fiduciary obligations to the owner. The determination
of what constitutes a trust or custodial arrangement
is a determination made under state law.
Can couples establish a “joint”
account and both make contributions to the account,
including “catch-up” contributions?
“ Joint” HSA accounts are not permitted.
Each spouse should consider establishing an account
in their own name. This allows you to both make catch-up
contributions when each spouse is 55 or older.
Must couples open separate
accounts?
If both husband and wife are eligible to contribute
to an HSA, they are both eligible to establish separate
HSAs. However, if both spouses want to make “catch-up”
contributions when they are age 55+, they must establish
separate accounts.
How soon can I open my account?
Your account can be established as early as the effective
date of your HDHP coverage. However, if your coverage
begins on any day other than the first day of the
month, you cannot establish your account until the
first day of the following month.
I want to make sure my HSA
is “established” as soon as possible.
Can I establish my account before my HDHP coverage
begins?
You can complete all the paperwork and make a minimum
deposit to your account prior to the effective date
of your HDHP coverage. However, your account is not
officially “established” until your HDHP
coverage begins. But completing the necessary steps
before your coverage begins ensures that your HSA
will be “established” as early as possible.
This is especially important when your HDHP coverage
is effective on a non-business day.