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HSA Guide for Business Owners

Andrew Martins
Andrew Martins
Staff Writer Staff
Updated Jun 29, 2022

If you're considering setting up health savings accounts for your employees, now is the time to learn more about them.

What is a health savings account (HSA)?

A health savings account is commonly referred to as an HSA. According to, these accounts provide a way to set aside pretax money to pay for any medical expenses. The purpose of HSAs is to lower healthcare costs by eliminating taxation. Health savings accounts are permitted for use toward deductibles, copayments, coinsurance premiums and any out-of-pocket medical costs.   

When it comes to ensuring your employees can enjoy the healthcare benefits your small business provides, few fringe benefits provide the tax-advantaged saving power of an HSA. As they allow employees to stash pretax funds from their paychecks to help cover nearly any qualified future medical expense, HSAs are a flexible way to help your workforce take full advantage of your company’s health plan. Configuring your small business’s health plan can be a formidable task, but with enough information, you can decide whether offering your employees an HSA is the right step for your team.

The defining features of an HSA

With an HSA, employees have access to a specialized savings account designed for the sole use of covering healthcare costs. It must be used in conjunction with a high-deductible health plan (HDHP); employers cannot offer an HSA through any other type of health insurance plan.

Coverage of healthcare costs

First and foremost, HSAs are intended to cover any out-of-pocket medical expenses that aren’t paid by your primary medical insurance plan. According to the IRS, eligible health costs include birth control, copays, dental work, prescriptions, eyeglasses and vision care, COBRA premiums, and many other health-related costs. Costs like child care, health club fees, cosmetic surgery and weight loss programs are among the ineligible expenses.

Contribution limits

Another restriction placed on HSAs is how much money a person can add to their account in a given year. The IRS annually sets contribution limits to keep people from reducing their income tax by too large of a figure. The 2020 contribution limit for individual coverage accounts is $3,550, and family coverage accounts have a maximum contribution amount of $7,100. These amounts are subject to change annually.

Employer match

While most HSAs are fueled by an employee’s pretax contributions, employers and other parties can chip in as well. Many employers offer matching contributions. Remember that every employer contribution is still subject to the annual limit set by the IRS, though, so the money coming in from the employee and the employer should not exceed that high-water mark. An employer may promote an HSA matching program as a fringe benefit to attract new employees.


Another major feature of an HSA is its “portability.” In the event that you leave an employer, your HSA stays with you, acting as a savings account that you can use for health costs regardless of where you work. Other types of healthcare accounts, like flexible spending accounts (FSAs), do not allow the funding to carry over – in many cases, the accrued funds go away at the end of the year. Restrictions are in place for how often you can transfer an HSA. Currently, the IRS permits health savings accounts to be rolled over once every 12 months.  


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HSAs and taxes

The defining feature of an HSA – and one of the biggest reasons to offer one – is its three large tax advantages. Unlike with other savings accounts, money can be deposited into an HSA directly from an employee’s paycheck before the various taxes are taken out, thus reducing their taxable income at the federal level. Employer contributions are also tax-free.

Outgoing HSA funds also have a tax advantage. According to the IRS, you won’t be taxed for any money you withdraw from your HSA for qualified medical expenses. When an HSA earns interest – it is a savings account, after all – that increase is also tax-free.

Most states follow the federal government’s guidelines when it comes to taxes for these accounts. That being said, California and New Jersey fully tax HSAs, while New Hampshire and Tennessee tax the interest earned.

How offering HSAs benefits employers

While an HSA can be a huge benefit for employees, business owners can also enjoy some benefits for offering the accounts. Consider the following perks as you evaluate whether an HSA is right for your business.

Monetary savings

Since HSAs are a feature of HDHPs, businesses automatically begin saving money by saving on health insurance premiums. Furthermore, HDHP coverage gives your employees more ownership of their healthcare needs, so the annual premiums felt by employers are not as high. An HSA can also save you money on employee salaries, as it can be an attractive benefit in exchange for a lower annual salary.

Reduced tax liability

Once enrolled in an HSA, both the employee and the employer save on their taxes. Specifically, both parties save upward of 7.65% on their FICA taxes, since contributions are not considered wages. Thanks to the tax savings that an HSA can offer an employer, more funds are immediately available for other needs within the company. You can invest more directly in your business’s needs when funds aren’t tied up in healthcare costs.

Mutually beneficial business relationships

HSAs help a business establish a relationship with the associated bank. Such relationships are key in other areas of your business, such as obtaining loans and opening lines of credit. Over time, the HSA will help improve your credit rating.

Improved workplace morale

Healthcare plans and HSAs are often seen as a pathway to a happier and healthier workforce. Healthcare-related bankruptcy is not a new concept in America, so helping your employees pay for their medical needs not only reduces your team’s stress, it also means they will be more likely to take advantage of their health coverage. When

Setting up an HSA as an employer

If the terms of an HSA interest you and you think it may be time to offer the benefit to your employees, you’ll be happy to know that setting one up is relatively easy. The following steps should be taken to launch an HSA:

  • Contact your current insurance carrier. If you’ve already picked a health insurance provider, see if it also offers an option for HSAs. If so, it will likely have a preferred financial institution that you should use to establish your HSA. If that’s not the case, or you don’t like that provider’s option, you can reach out to most other banks or FDIC-insured HSA providers to learn about their compatible programs.

  • Determine plan options. HSA providers have different plans available to business organizations. Research each plan to determine the contribution minimums and maximums for all types.

  • Compare banking partners. As you search for a banking partner for your HSA, you should compare factors like fees, investment options, flexibility for both you and your employees, and how the funds are disbursed. This decision will have a major impact on your business and your employees’ lives, so it’s important to get it right, even though HDHPs and HSAs are known for being flexible.

  • Manage employer contributions. Once you select a provider, you have to decide whether your business will contribute to employee accounts. You must then create a Section 125 cafeteria plan for your HSA. With such a plan in place, your employee benefits will fall under the jurisdiction of Section 125 of the federal tax code.

  • Prepare all documentation. After you make those selections, your employees give the bank their necessary documentation and contribution amounts. Employees’ HSAs are generally configured at the start of the plan as well as during open enrollment. As your plan continues, you will have to provide tax documents, like W-2s, that outline employee contribution levels and any employer contribution amounts.

  • Set up a cafeteria plan with an accountant. A cafeteria plan refers to Section 125 health insurance. The accountant will send all necessary paperwork to the IRS to confirm that your HSA meets the requirements and that employees can access pretax funds for medical expenses.

How much does an HSA cost an employer?

The cost for an HSA depends on whether the employer plans to match contributions to the fund. For instance, you may agree to match up to $50 per month for each employee who contributes to the HSA. Employers are never under any obligation to make HSA contributions. To set up the HSA with an accountant, you may have to pay a nominal one-time fee, usually less than $100, according to Core Documents.

Can a self-employed person have an HSA?

Yes, according to the IRS, a self-employed professional can have an HSA. To qualify, the self-employed worker must have a high-deductible healthcare plan that is eligible for HSAs.

Image Credit: thodonal / Getty Images
Andrew Martins
Andrew Martins Staff
Andrew Martins has written more than 300 articles for and Business News Daily focused on the tools and services that small businesses and entrepreneurs need to succeed. Andrew writes about office hardware such as digital copiers, multifunctional printers and wide format printers, as well as critical technology services like live chat and online fax. Andrew has a long history in publishing, having been named a four-time New Jersey Press Award winner.