Wednesday Afternoon—HSAs, HRAs, and Consumer-Driven Health Care
Coverage of all the guidance on health savings accounts (HSAs) and more!
“Excellent, informative, very valuable.”
Agenda
12:30 p.m.
- Registration
1:00 p.m.
- What Is Consumer-Driven Health Care? An overview of common vehicles that give employees a financial stake in health care decisions: health FSAs, HRAs, and HSAs.
- Health Reimbursement Arrangements (HRAs). Legal requirements and design issues for employer-funded HRAs with carryovers: documentation; stand-alone HRAs versus integrated HRA+HDHC arrangements; timing of benefit accrual; what expenses can be reimbursed; ERISA, COBRA, HIPAA, and cafeteria plan concerns; and the impact of health care reform, including the rule prohibiting annual limits and the prescription requirement for OTC medicines and drugs.
- Health Savings Accounts (HSAs) Who can have an HSA? What’s a high-deductible health plan and can it offer any first-dollar coverage? Can an employee with an HRA, health FSA, or other coverage have an HSA?
2:45 p.m.
- Coffee Break
3:00 p.m.
- HSAs (cont’d) What amounts can an individual or employer contribute to an HSA? What is the full-contribution rule? Can HRA or health FSA funds be transferred to an HSA? What and whose expenses can be reimbursed tax-free by an HSA? What timing restrictions apply to reimbursements?
- Offering HSAs in the workplace. What nondiscrimination and reporting rules apply? What is comparability and when does the cafeteria plan exception apply? What employer documentation is needed? Do ERISA and COBRA apply? Special issues to consider when HSAs are offered through cafeteria plans. How are the reimbursement rules and potential penalties affected by health care reform?
- Which Design for Which Employer? With so many options, what can an employer do to maximize its particular goals?
4:30 p.m.
- HSAs, HRAs, and Consumer-Driven Health Care program ends
