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TIPS FOR JULY 2008
   
Health Savings Accounts (HSAs)

IRS Announces 2009 Amounts

Rev. Proc. 2008-29

Like many other tax provisions, the HAS rules include amounts that are adjusted annually for inflation.  Because of the Tax Relief and Health Care Act of 2006, HAS adjustments are now announced earlier than others, giving employers and health plans sufficient time to incorporate the changes before the annual benefits enrollment season arrives in the fall.  Thus, the IRS recently announced the 2009 HAS inflation adjusted amounts, which are as follows:

 

2009

2008

Self-only Coverage:

   
Contribution limit $3,000 $2,900
Plan min. deductible  1,150  1,100
Plan out-of-pocket limit  5,800  5,600

Family Coverage

 

 

 
Contribution limit $5,950 $5,800
Plan min. deductible  2,300  2,200
Plan out-of-pocket limit 11,600 11,200

GAO report on HSAs.  As the 2009 amounts were released, the Government Accountability Office (GAO) issued a report to Congress on various aspects of the HSA program.  Highlights of the report include:

  • The number of individuals covered by HSAs has increased significantly from about 438,000 in 2004 to about 6.1 million in 2008.
  • Many individuals eligible to open an HSA do not.  From 2005 to 2007, 42-49% of high deductible health plan enrollees reported that they had not opened an HSA.  20-24% said they did not plan to open one because they didn’t think they needed it, or they couldn’t afford it.
  • In 2005, the average AGI of taxpayers with HSA activity was $139,000, compared to $57,000 for other filers.

Congress continues to debate the impact high deductible health plans and HSAs are having on individuals’ ability to afford health care.  Some claim they shift the risk of health care from employers and insurers to individuals who cannot afford it.  On the other hand, some claim they have enables many small businesses to offer their employees health care that otherwise would not have been available.

               

   
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