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7 Ways Employers Can Boost The Success Of HSA Accounts

For employers looking to help employees save on current medical expenses, as well as grow funds for retirement healthcare costs, a health savings account (HSA) and an HSA-qualified health plan is a perfect choice. However, plan sponsors should be aware that the way they set up and communicate their plans could have a major impact on employee adoption rates. Here are 7 simple tips for developing an HSA-focused plan that gets employees excited about participating:

1. Offer HSA investment options, rather than just a cash/debit card option

A recent Nationwide study found that more than 70% of participants said one of their top fears in retirement is their health care costs getting out of control. For employers, the best way to rectify those fears is to give participants the option to invest HSA funds and let them grow for retirement medical expenses. And given that the average couple retiring in 2019 at age 65 will be liable for nearly $400,000 of non-Medicare-covered medical expenses, having a dedicated savings stream for healthcare costs is much needed. Employees should know that if they paid for that amount of medical expenses with 401(k) funds, they could pay up to an additional $100,000 in taxes. However, by investing HSA dollars, they can grow funds to pay for those costs tax-free.

2. Check with new hires about transferring previous HSAs

As employees are hired, plan sponsors should check whether they have existing HSAs they’d like to transfer over to the new company HSA. This has two benefits; first, it keeps employees from forgetting about prior HSAs by consolidating their funds into one account. And second, if their prior HSA provider didn’t allow HSA funds to be invested, transferring their balance into a new (hopefully investment-friendly) account allows them to start investing all their funds.

3. Cover the HSA maintenance fee for their employees

Often, HSA providers charge a maintenance fee to cover the cost of operating the account. By paying their employees’ administrative fee, employers can eliminate a significant hurdle to their employees’ participation.

4. Make contributions to their employees’ HSAs

In 2020, 32% of all HSA contributions were from an employer, according to Devenir, and the average employer contribution was $673. By contributing to their employees’ HSAs or matching employee contributions, plan sponsors can incentivize further HSA contributions from their employees.

5. Educate employees about HSAs multiple times throughout the year

Too often, an annual open enrollment meeting is the only time employees hear about HSAs. Consider folding HSAs into ongoing employee conversations about retirement planning and wellness. A good place to start is holding small group meetings after open enrollment meetings where employees can discuss the benefits of HSAs and ask deeper questions.

6. Use multiple communication options to educate employees about HSAs

A PowerPoint presentation during open enrollment can be a good start for educating employees, but it doesn’t have to be the only step. Consider using HSA “how-to” guides, flyers, videos, webinars, and more to drive home the value of HSAs to employees.

7. Educate employees about how to allocate 401(k) and HSA contributions

Employees might not understand why they would want to contribute to an HSA if they’re already contributing to their 401(k). Employers can boost HSA participation by educating employees about HSAs’ unique triple tax benefit (contributions are tax-free or tax-deductible, earnings and interest grow tax-free, and qualified medical expenses are tax-free too). By investing their HSA funds and building medical nest eggs, employees can pay for qualified medical expenses in retirement tax-free and save their 401(k) funds for other retirement costs.

It might be easy to think that encouraging employee HSA contributions would decrease contributions to other savings accounts, but a recent Alight study suggests that isn’t the case. According to their study, employees who contributed to both an HSA and a 401(k) put a total of 11.8% of their pay into the accounts (2.9% into the HSA and 8.9% into the 401(k)). However, employees who just contributed to their 401(k) only put 6.8% of their pay into the account. Plan sponsors can encourage employee HSA contributions without worrying that they will negatively impact 401(k) contributions.


By following these tips, employers can have robust HSA accounts that employees see value in and are excited to join.