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Feature
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HSA
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HRA
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Who is eligible to participate?
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Employees who are
covered by a high-deductible health plan.
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All employees.
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For 2009,
the IRS defines that as a health plan with a deductible of at least $1,150
for individuals or $2,300 for families. The employee cannot be covered under
other health plans, cannot be enrolled in Medicare, and cannot be claimed as
a dependent on someone else's tax return.
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There are special
issues that affect participating principals of employers organized as S
corporations, partnerships, LLCs, and sole proprietorships.
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For 2010,
deductibles will be at least $1,200 for individuals or $2,400 for families.
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Who owns the account?
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The employee.
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The employer.
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Who is eligible to make contributions?
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The employee, the
employer or both.
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Only the employer.
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What are the contribution limits?
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For 2009,
eligible individuals may contribute a max of $3,000 for self-only coverage
and $5,950 for family coverage, regardless of the deductible under the
high-deductible health plan (HDHP). Catch-up contributions are permitted for
individuals 55 years old and older.
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The employer is
allowed to determine contribution limits.
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For 2010,
maximum contributions will be $3,050 for self-only coverage and $6,150 for
family coverage.
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What are considered covered expenses?
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All qualified medical
expenses (as defined in Section 213(d) of the Internal Revenue Code), COBRA
premiums, health plan coverage while receiving unemployment compensation,
Medicare premiums and expenses (no Medigap premiums), and qualified long-term
care premiums.
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The employer is
allowed to define covered expenses.
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Covered expenses can
include all Internal Revenue Code Section 213(d) qualified medical expenses;
health insurance premiums for current employees, retirees and COBRA
beneficiaries; and qualified long-term care premiums.
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May unused balances be rolled over for future plan years?
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Yes. The rollover is
automatic.
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The employer is
allowed to define whether all or part of the balance may be rolled over.
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Are there requirements as to which type of health plan is
offered?
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Yes.
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No.
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Employees must be
enrolled in a high-deductible health plan with a deductible of $1,150 or
higher for an individual, $2,300 or higher for a family (2009) or $1,200 or
higher for an individual, $2,400 or higher for a family (2010).
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However, most HRAs are
offered in tandem with a high-deductible plan.
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