Among the survey's findings:

Steady growth: The number of HSAs and HRAs grew to 5.7 million in 2010, up from 1.2 million in 2006. Assets in these accounts also increased to $7.7 billion in 2010, up from $835.4 million in 2006.
Average account balances: Although HSAs and HRAs continue to grow, the report found the average account balance dropped slightly in 2010 to $1,355, down from $1,419 in 2009. Men held higher average balances ($1,525) than women ($1,321). Older individuals (ages 55-64) held higher average balances ($1,791), than those younger than ($1,250-$1,400). Additionally, the study found that people who exercised, did not smoke, and were not obese held higher balances than those with less healthy behaviors.
Rollovers: Despite a decline in the average rollover amount in 2010, total assets being rolled over have been increasing; $4.2 billion was rolled over in 2010, up from $4 billion in 2009. The average rollover increased from $592 in 2006 to $1,295 in 2009, and fell to $1,029 in 2010. The percentage of individuals without a rollover decreased from 23 percent in 2006 to 10 percent in 2009 and increased slightly to 13 percent in 2010.
Race: Minorities with HRAs or HSAs have higher account balances that whites with these accounts. On average, minorities have an account balance of $1,531, while whites have an account balance of $1,387. However, both experienced a decline between 2009 and 2010; however, the decline was larger among minorities.
Household Income: Account balances increased with household income. The average account balance was $1,166 among individuals with less than $50,000 in household income; $1,303 among individuals with $50,000-$99,999, and $1,742 among individuals with $100,000 or more. Account balances increased for those with less than $50,000 in household income; fell for those with $50,000-$99,999, and stayed the same for those with $100,000 or more.
Education: Education has an impact on account balances independent of income and other variables. Individuals with a high school degree or less have an average of $1,219 in their account, while those with a college degree have $1,519, and those with a graduate degree have $1,558. Only individuals with a graduate degree experienced a decline in their average account balance in 2010.

Health savings accoutns are becoming a more popular mainstream health care option. HSA administrator HSA Bank, for example, announced Jan. 6 it has surpassed $1 billion in health savings account deposits.

Instant Insights /

HSAs and HRAs surge over four years

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