Profiles of HSA Users Roy Ramthun April 2014 Meet Roy Mr. HSA Topics: What will we cover? 1. Common myths about HDHPs & HSAs 2. Distinct profiles of HSA holders 3. How to use HSA profiles to your advantage 2014 2015 Breaking News! HSA Contribution Limits HDHP Minimum Deductible $6,550 $6,650 $2,600 Family $2,500 $1,300 Single $1,250 $3,300 $3,350 HDHP Out-of-Pocket Max $1,000 $1,000 $12,900 Family $12,700 Single Family Catch-Up NOTE: The IRS must publish the official numbers by June 1. $6,450 Single $6,350 Common Myths MYTH #1 “ HDHPs/HSAs are only good for healthy people” HSAs Are Good for Sick People, Too! o Preventive care is exempt from the deductible • Disease management costs are not o Catastrophic limits provide real protection • Limits apply to all covered benefits, including Rx • Limits cannot exceed (for 2014): • $6,350 for singles • $12,700 for families • ACA adopted these limits for all plans for 2014 HSA vs. ACA Limits: 2015 $6,450 Single $6,600 $12,900 Family $13,200 MYTH #2 “ HDHPs/HSAs are only good for young people” HDHP Enrollment Data 60+ 10% 0-19 27% 50-59 21% 20-29 12% 40-49 18% 30-39 13% Age distribution of people covered by HSA-qualified HDHPs, Individual Market, January 2013 MYTH #3 “ HDHPs/HSAs are only good for wealthy people” HSA Tax Deduction Data o Average tax deduction/return = $3,051 • < $50,000 -- $2,075 • $50,000 - $100,000 -- $2,410 • > $100,000 -- $3,936 o Percent of Returns, by income group • < $50,000 – 23% • $50,000 - $100,000 – 30% • > $100,000 – 47% Source = IRS Statistics of Income Bulletin (Winter 2014), data from 2012 tax returns HSA Enrollment Data o 15.5M Americans enrolled in HDHPs o 10.7M HSA accounts o $19.3B in assets in HSA accounts (only $2.3B invested) o $2,356 = average funded HSA account balance as of 12/13 Source = Devenir, data as of 12/31/13 Participant Profiles HSA Account Holders Unengaged Sitting Tight Saver Maximizer Pass-Thru Spender Investor Unengaged Sitting Tight Pass-Thru Spender Saver Maximizer Investor One Administrator’s Profile HSA Experience Matters HSA Investments, Low but Growing Employer Strategies EMPLOYER STRATEGIES To Help Sick & Low Paid Employees o HSA funding – amount & timing o HRA funding – post-deductible o Cafeteria plan benefits • FSAs, wellness programs, disease management programs, supplemental insurance o Support – education & communication EMPLOYER STRATEGIES Don’t Undersell the HDHP o Most employees assume HDHPs offer inferior coverage • Premium savings o HSA funding can actually lead to a richer plan than before (i.e., higher actuarial value) • “Bronze” HDHP (AV = 62.0%) AV with $500 contribution = 68.0% AV with $1,000 contribution = 73.6% AV with $2,000 contribution = 82.4% EMPLOYER STRATEGIES To Help Young Employees Communicate the power of compound interest EMPLOYER STRATEGIES Measure Engagement What data can help measure “engagement?” • How many employees never opened their HSA? • How many employees are not contributing any personal money to their HSA? • How many employees are spending every dollar contributed (i.e., minimal or zero balance)? • Are average balances or ? • Does changing the employer contribution amount or timing affect employee behavior? EMPLOYER STRATEGIES Make Data Work for You o The more employers know about their employees, the more they can: • Improve employee well-being • Reduce costs • Generate positive experience o Meaningful, usable data can help employers: • Understand employee “engagement” • Drive or align plan strategies o If your HSA administrator cannot provide good data, it might be time to switch EMPLOYER STRATEGIES Leverage Personalization Employee Strategies EMPLOYEE STRATEGIES How to Fund the HSA o Many people can contribute more than their out-of-pocket risk o Take advantage of employer matching contributions, if offered o Pay attention to employer incentives that may increase contributions o Don’t forget to factor in tax savings • Making contributions via payroll deduction is best o If uncertain how much to contribute, use the “look back” method o Ask questions – NEVER assume! Questions? Thank You!