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1. How do HSAs differ from health FSAs?

HSAs and Health Flexible Spending Accounts (FSAs) differ in many ways, including use of funds post-layoff. Individuals who have lost their jobs continue to have access to the funds in their old HSA and can even transfer that HSA to a new provider. In other words, as long as the employee remains covered by a high-deductible health plan (HDHP), there is no "use it or lose it" rule. The funds simply roll over from year to year and continue to grow tax-free. Health FSA funds, on the other hand, are forfeited at the end of each year (absent a grace period or carryover allowance). Employees who are furloughed or laid off similarly lose the amounts in their health FSAs.

A health savings account (HSA) is a trust created exclusively for the purpose of paying qualified medical expenses of an account beneficiary. An eligible individual or an employer may establish an HSA with a qualified HSA custodian or trustee. The popularity of HSAs has only grown since the benefit's inception. In fact, as of December 31, 2021, the Employee Benefit Research Institute's (EBRI) HSA Database contained 13.1 million accounts with total assets of $39.5 billion. Even COVID-19 couldn't slow HSA participation. EBRI reported that, despite increased health care spending in the wake of the pandemic, average balances in HSAs increased since 2020, rising from $3,622 to $4,318 in 2021. And, encouragingly, the share of accountholders who invest their HSAs has crept steadily upward since EBRI began analyzing its HSA Database.

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Are you advising your employees correctly when it comes to health savings accounts? In the gallery above are 10 important tax and financial planning questions and answers employers should be aware of regarding this important employee benefit. The following is content pulled from ALM's Tax Facts Online that answers some of the most important questions surrounding HSAs.

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Emily Holbrook

Emily Holbrook serves as owner and head content creator at Red Label Writing LLC, a content studio that collaborates primarily with the insurance and financial services sectors. She can be reached at [email protected].