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What You Need to Know about Health Savings Accounts (HSAs)

Echo Huang • Oct 20, 2020

Open enrollment season is quickly approaching, and I want to make sure you take full advantage of all that's available to you, especially a Health Savings Account (HSA). The HSA is a powerful tool to help you save and invest in paying for your qualified medical expenses (QMEs) now and into retirement. It's become popular as more employers move to high deductible health plans (HDHP) to reduce insurance premiums. A critical note about an HSA is that you must choose an HDHP instead of traditional (lower deductible) health insurance plans if you wish to make contributions to an HSA. 

Six Essential HSA Facts

I have used HSAs for 10+ years and find them to be very beneficial. Here are a few essential facts I'd like to share with you:

1.    The HSA provides triple tax benefits. Contributions are made with pre-tax dollars (free of federal, state, and FICA taxes) through payroll if your employer offers it. If you purchase an HDHP on your own in the insurance market, you can set up your own HSA online and make contributions before the tax return filing deadline. You can choose how to invest the balance, and the growth is tax-deferred. Distributions are income-tax-free if they are used to pay for qualified medical expenses (QME). "Typical" retiree expenses on health care are often as high as $500/month (or $1,000/month for a married couple), much of which is HSA-eligible QMEs, including Medicare premiums and out-of-pocket medical costs (although Medigap coverage doesn't count). 

Once enrolled in Medicare, you can no longer contribute to an HSA. But you can take distributions from your HSA for QME.

2.    How much can I contribute per year? The annual limit on HSA contributions for 2021 will be $3,600 for self-only and $7,200 for family coverage, which is about a 1.5 percent increase from the 2020 limits. This represents an increase of $50 for self-only coverage and $100 for family coverage compared to 2020.

3.    Unlike the Flexible Spending Account (FSA), the HSA balance does not expire. This feature is a crucial difference between the HSA and the FSA. The FSA balance (also funded by your pre-tax dollars and your employer) must be spent by the end of your plan year, while funds contributed to the HSA can be invested and grow for many years to come.

In fact, I recommend that clients set aside extra cash in their savings account to pay for non-deductible medical expenses instead of taking distributions immediately from their HSAs so that the HSA balance can be invested for growth—treating this account as the tax-free bucket for inevitably higher medical expenses during retirement.

One other exciting difference between the HSA and the FSA is that, with the HSA, you can save your QME receipts, and, as long as you've not included them on your tax return as part of your itemized medical deductions, you can choose to get reimbursed for those expenses in the future.


1.    The HSA can be more beneficial than a 401(k) to maximize wealth accumulation. Consider this: Pre-tax 401(k) plan distributions will be taxable in the future, and a Roth 401(k) requires using after-tax dollars to fund it to have tax-free distributions. On the other hand, the HSA balance—funded with pre-tax dollars and distributed tax-free—can be distributed before age 59½ without paying taxes and penalties. 


In addition, it can even be more beneficial than some 401(k) plans with matching employer contributions. 


For example, if your employer matching is 25% of contributions to your 401(k) plan, your future income tax rate must be lower than 25% in order to surpass the contributions to your HSA. Additionally, if your future tax rate is projected to be 40%, then $1.25 to your 401(k) plan equals $0.75 after paying 40% future income tax, which is 25% lower than the $1.00 going to the HSA. Clearly, the HSA had significant advantages.

2.    Coordinate with your spouse to avoid excess contributions. If you and your spouse each have your own HDHP, then it's critical you coordinate your contributions, so your total in one tax year does not exceed the maximum contributions for a family as set by the IRS.


Also, be sure to account for any employer contributions in the overall contribution total. If your employer contributes $500 to your HSA, then this amount reduces the maximum you can contribute to your HSA. 


If you happen to contribute too much, you can withdraw the excess contributions by your tax return filing due date, including extensions. Otherwise, you will pay a 6% excise tax on the excess contributions.


3.    What happens to your HSA upon your death? The answer here depends on who the beneficiary is. If your spouse is the designated beneficiary, then he or she can own this account balance, and it continues as an HSA account. Suppose the designated beneficiary is someone other than your spouse. In that case, the account stops being an HSA, and the fair market value of the account becomes taxable to the beneficiary in the year you die. If your estate is the beneficiary, the account's value is included on your financial income tax return. 


Prioritizing Your Savings


According to Fidelity's annual "Health Care Cost Estimate" study for retirees, a 65-year-old couple will need an estimated $245,000 to cover health care expenses in retirement. Think of your retirement savings (IRAs and 401k) as going to other retirement expenses such as food, shelter, and clothes, and you can see that you need to jump-start your savings in your HSA for your health care costs.

I understand that you may have a few goals competing for your resources. Here is my proposed ranking of wealth-maximizing actions for investing and paying down debts:


  1. Contribute the maximum to an HSA (if eligible) and contribute enough to a 401(k) plan to get the maximum employer match.
  2. Pay down high-interest-rate debt. If the interest rate is greater than 6%, pay down the debt quickly as investing may not generate a 6% annualized return over the short-term, and you don't control the sequence of returns in stock markets.
  3. If you can save more and have college-bound kids, contribute to a College Savings 529 Plan if it produces state income tax savings. 
  4. If you can still save more, then contribute to a Roth IRA if your income is below the IRS limits.
  5. If you can save more, then maximize contributions to the unmatched portion in your employer-sponsored retirement plan accounts (401k or403b).


Health care costs in the U.S. are increasing, and having an HSA is a great way to save for both your current health expenses and especially for your expenses in retirement. And, with the upcoming open enrollment season, it's vital that you set aside some time to compare health insurance plans, including HDHPs. Work with your health care professional and your financial advisor to analyze your health and tax situation to make the best decisions for you and your family. 


And if you need help and guidance on this, I invite you to schedule a complimentary 30-minute Discovery Call with my firm, Echo Wealth Management. I'm licensed in all 50 states and would be very glad to see how we can be of service to you and your family.

By Fang Huang 03 Dec, 2022
How important is long-term care? It is important enough for you to plan it. It is important enough for you to do it. It is important enough for you to think twice. That is why we observe National Long-term Care "Planning" Month in October, followed by National Long-term Care "Awareness" Month in November. The double reminder tells us that long-term care is critical in creating a healthy financial picture. It can be a meaningful gift that enhances peace of mind to the very end for you and your loved ones. In the previous article, we discussed the following: How long-term care is not as scary as you think Long-term care as part of your wealth management plan Why plan early for long-term care Let's now expand the long-term care conversation to explore the most common questions people ask to help you gain clarity on the next steps. What is long-term care, and why is it important? Long-term care involves various services designed to meet a person's health or personal care needs during a short or long period. These services help you live as independently and safely as possible when you can no longer perform everyday activities independently. What are the three basic levels of long-term care? Care is usually provided in three main stages: independent living, assisted living, and skilled nursing. Nursing homes offer care at home or in the community. Nursing homes provide skilled nursing care, rehabilitation services, meals, activities, help with daily living, and supervision. What is the monthly cost of long-term care? According to Genworth's year 2021 data, monthly median costs for Minneapolis Area are $11,708 for a semi-private room in a nursing home facility. Homemaker services: $7,055. How long do most people live in long-term care? According to the latest AOA research, the average woman needs long-term care services for 3.7 years, and the average man for 2.2 years. What are the significant trends in long-term care? An AARP survey revealed that 90% of adults over 65 would prefer to remain in their homes as long as possible. This statistic should be significant to long-term care facilities because they must consider including in-home health care to meet changing consumer preferences. What is commonly offered at long-term care facilities? These services typically include nursing care, 24-hour supervision, three meals daily, and assistance with everyday activities. Rehabilitation services, such as physical, occupational, and speech therapy, are available. Remember that you might stay at a nursing home for a short time after being in the hospital. Why is long-term care growing? An aging population and the increasing prevalence of chronic conditions will drive up demand for long-term care services, including assistance with the activities of daily life. What is the purpose of a long-term care policy? Owning a long-term care insurance policy aims to help you maintain your lifestyle as you age. Medicare, Medicare supplement insurance, and the health insurance you may have at work usually won't pay for long-term care. Thank you for exploring this important topic with us. For a complimentary long-term care plan review, schedule a time with an Echo Wealth Management team member. Together, let's identify possible action items to help you deliver continued peace of mind for your family.
By Fang Huang 28 Sep, 2022
According to LIMRA's 2022 Insurance Barometer Study, the secret to financial security is owning life insurance. Choosing the right products can help you to better protect your family’s lifestyle today and into the future. No matter what your age or situation is, owning a life insurance policy is an excellent family protection strategy. It allows you to leave an inheritance without your beneficiaries having to pay income tax on the death benefit they receive. Your beneficiaries could use the death benefit to replace your lost earned income and pay for essential expenses such as food, shelter, credit card bills, funeral or cremation costs, student and auto loans, medical bills not covered by health insurance, and so much more. It can also be used to provide extra support for retirement and the unexpected such as injury or illness. Whether you’re single, retired, or in any stage, life insurance can be a critical tool in a comprehensive financial plan. As a general rule of thumb, it’s an excellent idea to review your life insurance needs with a licensed financial professional every year to see where you stand regarding adequate coverage - should benefit increase or additional policies be necessary. Let’s explore how your life insurance needs may change according to the three primary stages of work and life. 1. Primary years (single and early career) Life insurance is often overlooked in the career establishment years, especially if you do not have a spouse or children who financially depend on you. The first step is to check with your employer and explore their benefits. Still, employer-sponsored policies typically offer coverage about 1-2 times your annual salary, which is a fraction of the coverage you may need. In addition, group life insurance coverage typically does not carry over with a job change. A good decision would be to purchase an individual or private life insurance policy outside of the workplace to supplement their coverage through work, especially if you have student loans or debt with a co-signer, support aging parents, or don’t wish to leave final expenses to family. Getting an early start on life insurance is smart as rates are typically much more affordable when you’re young and healthy. Generally, level-term life insurance (20 to 30 years) works well for people who plan to have children in the future. Level-term life insurance means the premium does not change during 20 or 30 years, unlike the group term policy through work. For example, it can cost $250,000 to raise a child, and you have a student loan balance and a mortgage, paying less than $500 per year could potentially have $1 million coverage when you are under age 30 and healthy. 2. Growth years (married with children and mid-career) At this stage, the need for life insurance coverage typically increases with your growing family and career advancement, so be wise in how you structure your policies. Consider the coverage you need to replace future lost earned income and any large debts that would burden your loved ones. In addition, factor in the cost of raising your children through college and add emergency savings for economic and lifestyle disruptions. Employer-sponsored life insurance benefits are typically not enough for your dual-income and household expenses, so consider increasing the benefits on your existing policy and purchasing life insurance for your spouse and children are great ways to help with maintaining adequate coverage for the entire family. Suppose your income is high and you have maximized contributions to all retirement plans. In that case, you can consider buying a permanent life insurance policy that has cash value and will pay the death benefits regardless of how long you live. The cash value can be invested, and the earnings are not taxed each year which helps you pay for the cost of insurance. 3. Empty nest (estate/retirement planning and late-career) In your final working years, you may have set aside a good bit of savings for retirement, but planning for your financial future doesn’t stop here. As you get older, you could tap into the cash value from your life insurance policy to help supplement your retirement income and may avoid paying income taxes on the earnings if you choose to borrow from the cash value. The unpaid loan balance will reduce the death benefit, which is all right as your beneficiaries may not need as much death benefit when you are retired and much older. The primary purpose of life insurance changes from income replacement to wealth transfer when you have accumulated enough assets to retire. If your estate is over $3 million, including the death benefit of your life insurance policies, consider advanced estate planning to reduce potential estate taxes. For Minnesotans, the estate exemption is $3 million per person for 2022, which means you may need to pay 13% to 16% Minnesota estate tax on the amount that exceeds $3 million. Federal estate exemption is $12.06 million for 2022, but it may be cut in half after the year 2024. The amount above the estate exemption amount is subject to a 40% federal estate tax. If you would like to minimize the shrinkage of your nest egg, using proper life insurance can be a solid strategy to address estate tax exposure. Setting up an irrevocable life insurance trust (ILIT) to own your existing permanent life insurance policies or buy a new one can remove the death benefit from your estate. In addition, you can gift annually to the trust to pay for the insurance premiums over time to further reduce your estate. Take advantage of an annual gift exclusion of $16,000 for 2022 and $17,000 for 2023 to fund the ILIT. You may not need to use much of your lifetime gift exemption as you file your gift tax return (Form 709). The ILIT with Crummey power gifts remains one of the most powerful estate planning tools for high-net-worth individuals. Done properly, you avoid entirely gift tax, estate tax, and income tax on your legacy to future generations. For business owners with most of their net worth in their business, liquidity is an issue as the estate taxes are due nine months from the day of death. To preserve the business for the next generation and to avoid selling stock portfolios during market decline to pay estate taxes, consider using life insurance to provide the money to pay estate taxes efficiently. Life insurance policies and tax laws are complicated, and they keep changing. I recommend you work with your trusted advisor who can help you assemble a financial dream team, including an estate attorney, a tax CPA, and a life insurance agent to give you customized recommendations and help you implement the strategies. Whether you have general or specific questions about life insurance, you can schedule a meeting with an Echo Wealth Management team member at any time. We'll be happy to answer your concerns and help you to find the right policies to achieve adequate coverage at every stage of your life.
By Fang Huang 31 May, 2022
You might be thinking… Other people get disabled, not me. My business can run without me. I’d rather put my money into growing my business. The truth is illness and injury impact all of us, even businesses. Whether you are a key employee or business owner, understanding the possible outcomes of a temporary or permanent disability will help you to identify smart solutions for your financial plan. Let’s look at each situation and its solution. 1. As a high-income earner, having both a workplace policy (group long-term disability insurance) and a private policy (individual disability insurance) helps to ensure that you will have adequate income protection for everyday living expenses like mortgage, utilities, and groceries. 2. Suffering a disability does not mean that you must stop contributing to your retirement account. Having a disability retirement security policy helps you to make that dream a reality; it pays benefits to a trust to be accessed as retirement income. 3. The worst thing that can happen to a business owner is when s/he can no longer keep the business open. Having overhead expense insurance helps you to pay for necessary expenses like employee salaries, accounting fees, and office rent. The key benefit here is that you can either return to your financially sound business or sell the business that has not depreciated because of your disability. 4. As a business owner, it’s crucial that you have a funding solution for your business should you or another owner become too sick or hurt to work. Disability buy-out insurance funds a buy-sell agreement helping to buy-out the disabled owner’s interest in the event of a long-term disability. Benefits are typically tax-free, and the disabled owner is taxed only on the gain from the sale of the business. If you are the main income earner in your family, even if you have group long-term disability insurance, it may not be enough to pay your basic living expenses as the benefits are taxable if your employer pays the premiums. You can consider buying an individual disability insurance policy that can supplement your current group coverage. Individual policies are not tied to employment that offers more flexibility as you may decide to change your job. Some policies can have an automatic increase in benefits feature based on your earned income without going through underwriting. According to the Centers for Disease Control and Prevention, one out of four adults in the U.S. will suffer some type of disability. You work hard for your family and/or business, so make protecting your income a priority. Remember that a disability is more than just an accident. It can happen to anyone, anywhere, anytime. To get started on a complimentary disability plan review, get in touch with me today and together, let’s take the necessary steps to protect the financial future of your loved ones, business, and/or key employees.
By Fang Huang 23 Feb, 2022
Sometimes, the unknown can be a bit scary. Previously, I’ve shared several financial tips that will allow you to plan for your financial independence and to own your future. Today, I want to ask you to give me a few somber minutes of your time. I am asking you to turn off your emotions and turn on your intellect only. This way, you will be protected from your emotions entering in and shutting you off from discussing a tough but important topic: Long-Term Care. Come out from under the blanket for a few moments to learn about this important element of financial planning. Let’s look at what it is, and I promise you, it’s not as scary as you might think. Long-Term Care as Part of Your Wealth Management Plan Yes, long-term care is just as important in your wealth management plan as is saving for your children’s education. Maybe I could make it easier for you to consider if I asked you to look at long-term care as a protection for your children/loved ones in lessening their burden when caring for you. When her fifty-year-old husband suffered a fatal stroke, “Lily” came to me to figure out what financial decisions she needed to make for her and her daughter in case she ever needed long-term care. Neither she nor her husband had a long-term care policy because they assumed they wouldn’t need it until they were in their seventies or eighties. Like most people their age, they thought they had more time to think about it. Another reason people don’t think about long-term care is the same reason they often don’t want to think about estate planning - they don’t want to dwell on their own disability. No one wants to think about being incapacitated and not being about to perform the six activities of daily living: eating, dressing, bathing, toileting, transferring, and continence. Unfortunately, the reality is that many of us have to face this situation at some point in our lives. Too many people make the mistake of waiting too long to take out a policy to protect them from this eventuality. Why Plan Early? More than a decade ago, Congress passed a law to encourage more people, especially baby boomers, to plan early by buying long-term care insurance. Special tax benefits were offered to motivate people to plan ahead so that they didn’t end up on government assistance, either Medicare or Medicaid. The government’s attempt to incentivize individuals to plan early was a good idea for a number of reasons: First , monthly premiums are based on your age when you apply. This makes premiums less expensive when you’re younger. Second , people often wait until their late fifties or later to buy long-term care insurance without realizing that predicting the withdrawal of the benefits is problematic - we rarely know when we will need long-term care. A stroke or a heart attack can happen to people in their forties or fifties. Third , coverage is dependent upon your current health status. If you have a sudden heart attack or injury and have an extended hospital stay, the chances of getting a long-term care policy afterward dwindle away to almost nothing because of your preexisting condition. It’s best to buy your policy when you’re young and healthy because not everyone can qualify if they wait longer. This is particularly true for those with a family history of Alzheimer’s. These individuals are more likely to use long-term care for a longer period of time, which makes it even more important to consider buying long-term-care insurance early before you may show symptoms and buy a longer benefit period than the average of three years. I bought my policy before I turned forty. No one in my office at the time had heard of someone buying a policy this young. I had a good reason. For years, I had been calling home to my mother in China, and every time we spoke, she told me how difficult it had been for her to visit my uncle, who had Alzheimer’s and no longer recognized her. He was the oldest brother who put her through college after my grandfather died; he was like a father to her. After nine difficult years with Alzheimer’s, my uncle passed away, and this made me realize how important it is to have long-term-care insurance, not just so that you get adequate care as you decline mentally or physically, but also so that the estate you’ve worked so long to build isn’t used to pay for this care or for modifications to your home if, for example, you can’t climb the stairs. With the high cost of this care, paying out of pocket could leave your family penniless. The costs of long-term care often exceed what the average person can pay from their income and other assets. If you think about all the possible health scenarios you could face in your life, it becomes apparent that a financial plan that doesn’t include long-term-care planning is not comprehensive. Too often, people focus on investment planning or college or retirement planning without considering what would happen to their wealth if they were suddenly faced with the cost of long-term care, which can be upward of $7,000 a month. If you or your spouse needed two or three years of long-term care, that could significantly derail your retirement plans. It’s important to be smart about your resources now so that you don’t leave yourself open to that amount of risk. Very often, people do not plan ahead. This is due to a reluctance to think about getting older, developing a disability, becoming less independent, or needing help with personal care. At the same time, they often believe that health insurance, Medicare, and/or disability coverage will cover most long-term-care services should they be needed, so they don’t need to dwell on illness and aging. Health insurance, Medicare, and/or disability coverage is very limited in its coverage. That means people are often living with a false sense of comfort that their needs, should they have any, will be taken care of long-term. Thanks for bringing your head out from under the covers to read about long-term care. If you’d like to have a more personal conversation about what options and plans may be best for you, please get in touch with me today.
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