Comparison of an HRA, HSA and FSA
| |
| Establishment of account |
Employer sponsored (HealthSecure HRA
limited to public employers) |
Eligible individual
Employer
Integrated with employer-sponsored Section 125 plan
|
Employer sponsored benefit program via Section 125 plan |
| High Deductible Health Plan(HDHP) required |
No |
Yes |
No |
| Eligibility |
Employee who meets employer's defined eligibility criteria |
Eligible employee/individual covered by HDHP and no other non-HDHP coverage |
Employee who meets employer's eligibility criteria |
| FICA savings |
Yes |
Yes/No |
Yes |
| Maximum contribution |
No maximum. Employer may
impose a maximum, but there is no IRS limitation. Some limitations apply
in the for-profit market. |
For 2010
Individual - $3050
Family - $6150 |
No maximum
Employer may impose a maximum, but there is no IRS limitation. Some
limitations apply in the for-profit market. |
Tax deductibility -- employee |
Contribution has no impact on current year earned income |
Employee contributions are pretax if offered through a Section 125 Plan or tax deductible (through IRS Form 1040) if contributions are made independent from employer |
Employee contributions are pretax |
| Taxation of accumulated earnings |
Tax-free if assets
are held in a tax-exempt trust |
Tax-free |
N/A |
| Qualified retiree insurance premiums |
Retiree health insurance, including qualified LTC |
Limited |
None |
| Nonmedical withdrawals |
Not allowed |
Yes, but will be included in gross income and subject to 10% excise tax, unless made after death, disability or age 65 |
Not allowed |
| Carryover from year to year |
Yes |
Yes |
No |
| Portable after termination |
Yes (if vested) |
Yes |
No |