| |
HSA Plans |
HRA plans |
| Availability |
Individuals
Groups of any size |
Groups of any size
(Not available to some business partners) |
Max. Contributions
|
Whichever is less:
$2600 for singles/ $5150 for families*
An amount equal to the deductible |
Employer may reimburse no more
than 50% of the deductible. |
Add'l. Contribution Allowance
|
In 2004- $500 extra allowed for people age 55 to
65
After 2004- $100 more per year up to $1000 extra
by 2009 |
Not applicable |
| Eligible Contributors |
Individuals, Employers, Employees |
Employers only |
| Tax Deductibility- Employer |
Contributions are tax deductible |
Reimbursements are tax deductible |
| Tax Deductibility- Employee |
Contributions are pre-tax, if offered through a
cafeteria plan
Contributions are tax deductible (no need to itemize)
if not offered through a cafeteria plan
Withdrawals are not taxed if used for qualified medical
expenses |
No employee tax deduction since
account is funded solely by employer |
| Fund or Account Ownership |
Employee |
Employer |
| Portable |
Yes |
No |
| Rollover of Funds |
Yes |
Employer decision: Determines
if rollovers are allowed. Sets caps on amounts. |
| Funding Required |
Yes |
No pre-funding necessary |
| Plan Types |
High-Deductible PPO Plan
High-Deductible Indemnity Plan |
High-Deductible PPO Plan
High-Deductible Indemnity Plan |
| Deductibles Singles- 2004 |
$1,200, $2,000, $2,500, $3,000, $3,500, $4,000,
$5,000 |
$2,00, $3,000, $4,000, $5,000 |
| Deductibles Families- 2004 |
$2,400, $4,000, $5,000, $6,000, $7,000, $8,000,
$10,000 |
$4,000, $6,000, $8,000, $10,000 |
| Benefit Percentage |
100%, 80% or 50% |
100%, 80% or 50% |
| Out-of-Pocket Maximum |
Based on selected deductible and benefit percentage
(does not include out-of-network costs) |
$1,000, $2,000, $3,000 (plus deductible) |
| Rx Copay |
Not allowed |
Not offered |
| Administration |
Insurance company, TPA or bank |
Self-administered, insurance company or TPA |
| Administration Fee |
$3.95 per employee per month |
$6.95 per employee per month |
| Withdrawals for Non-Qualified Medical Expenses |
For ages under 65: taxable and subject to 10% penalty |
Reimbursements only for qualified
eligible expenses. Employer determines whether to
pay after age 65 |
