On Dec. 8, 2003, President Bush signed the Medicare Prescription Drug, Improvement and Modernization Act, which allowed the creation of HSAs, effective Jan. 1, 2004. NFIB was instrumental in making this happen.

  • HSAs (formerly known as medical savings accounts) are tax-free accounts that are designed to help individuals and small businesses save for qualified health expenses.
  • An individual who is covered by a high-deductible health plan qualifies to open an HSA. The annual deductible must be at least $1,000 for individual coverage, and at least $2,000 for family coverage.
  • HSAs are a significant improvement over previous savings vehicles, which required much higher deductibles and only allowed either the employer or the employee to make contributions to the accounts.
  • Contributions to HSAs by individuals are deductible, and contributions by an employer are not included in the individual's taxable income.
  • In 2006, individuals, their employers or both can contribute tax-deductible funds each year up to $2,700 for individuals and $5,450 for families. These funds are rolled over from year to year, plus interest earned on money in the account is tax-free. Anyone covered under an HDHP can contribute to the account.
  • HSAs will help reduce the number of uninsured Americans by allowing small businesses and their employees more choice in the current small-group market.
  • Some small businesses have saved up to 42 percent when they have chosen a medical savings account over traditional insurance products.
  • By allowing portability (the ability to take the account from one job to the next) and more flexibility, HSAs will afford employers a better opportunity to offer employees health insurance at reasonable rates.

To find out if you qualify for an HSA, call NFIB HealthBenefits at 888-488-6266.