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Self Directed Healthcare
Overview : Consumer Directed HealthCare  Bob Johnston,CBC
Agenda : ,[object Object],[object Object],[object Object]
Per Employee Health Care Costs from 2001 to 2006
Business Leaders are Seriously concerned about rising healthcare costs ,[object Object],[object Object],[object Object],[object Object]
CDHC _ an alphabet soup of new plans FSA HSA  HRA
Common Ingredients of Consumer Directed Plan ,[object Object],[object Object],[object Object],[object Object]
Three Types of CDHC Accounts ,[object Object],[object Object],[object Object]
Flexible Spending Accounts  ( FSA ) ,[object Object],[object Object],[object Object],[object Object]
Health Re Imbursement Accounts ( H R A ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health Savings Accounts ( H S A ) ,[object Object],[object Object],[object Object],[object Object]
Summary Funding Method Comparison Yes, earns tax-interest No an Arrangement Yes Is it a Personal Account Employee and/or Employer Employer Employee and/or Employer Who funds it Employee and/or Employer Employer Employee and/or Employer Who owns it  HSA HRA FSA
Summary Funding Method Comparison  HSA HRA FSA Employer contribution deductible to employer, non-taxable to employee, Deductible by employer and non taxable to employee Contributions are tax-free and reduce annual income Tax Benefits 100% of deductible or $2,600 Individual / $5,150 family, whichever is less No Federal income tax law limits $5,000 per year Contribution Limits
Summary Funding Method Comparison HSA HRA FSA Qualified medical expenses,including OTC drugs. No health insurance premiums, except for long term care insurance. Qualified health insurance premiums and medical expenses, including OTC drugs Qualified medical expenses including OTC drugs and health insurance premiums Allowed Expenses Employee contribution deposited pre-tax Tax Benefits
Summary Funding Method Comparison HSA HRA FSA Yes. Personal account that belongs to employee No. Funds belong to employer No. “ Funds must be spent by years end” Portability Unused funds carried over indefinitely and may be invested Employers discretion No “ Use it or Lose it “ Carryover  Tax penalty for non-medical  expenses

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Self Directed Healthcare

  • 2. Overview : Consumer Directed HealthCare Bob Johnston,CBC
  • 3.
  • 4. Per Employee Health Care Costs from 2001 to 2006
  • 5.
  • 6. CDHC _ an alphabet soup of new plans FSA HSA HRA
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Summary Funding Method Comparison Yes, earns tax-interest No an Arrangement Yes Is it a Personal Account Employee and/or Employer Employer Employee and/or Employer Who funds it Employee and/or Employer Employer Employee and/or Employer Who owns it HSA HRA FSA
  • 13. Summary Funding Method Comparison HSA HRA FSA Employer contribution deductible to employer, non-taxable to employee, Deductible by employer and non taxable to employee Contributions are tax-free and reduce annual income Tax Benefits 100% of deductible or $2,600 Individual / $5,150 family, whichever is less No Federal income tax law limits $5,000 per year Contribution Limits
  • 14. Summary Funding Method Comparison HSA HRA FSA Qualified medical expenses,including OTC drugs. No health insurance premiums, except for long term care insurance. Qualified health insurance premiums and medical expenses, including OTC drugs Qualified medical expenses including OTC drugs and health insurance premiums Allowed Expenses Employee contribution deposited pre-tax Tax Benefits
  • 15. Summary Funding Method Comparison HSA HRA FSA Yes. Personal account that belongs to employee No. Funds belong to employer No. “ Funds must be spent by years end” Portability Unused funds carried over indefinitely and may be invested Employers discretion No “ Use it or Lose it “ Carryover Tax penalty for non-medical expenses