Benefit Comparison

HRA

FSA

HSA

Pre-tax employee contributions

No

Yes

Yes

Employer contributions required

Yes

Optional

Optional

Maximum limit on contributions

No1

No1

Yes2

Employer pre-funded, entire election available for reimbursement at beginning of plan year

Optional

Yes

No

High Deductible health plan (HDHP) required

Optional

Optional

Yes3

Claims are required

Yes4

Yes4

No5

Benefit payments are tax-free

Yes

Yes

Yes

Pays all IRS Code Section 213 expenses

Optional

Yes

Yes

Pays long-term care expenses or insurance

Optional

No

Yes

Employees carry over unused amounts

Optional

Optional6

Yes

Employee can take to new employer

No

No

Yes

Employee can use at retirement

Optional

No

Yes

   

1

IRS does not limit. Employer sets plan limit.

2

IRS-imposed limits for 2011: Annual limit of $3,050 for single coverage and $6,150 for family coverage if HDHP coverage begins by December 1. Catch up contributions for those 55 and over: $1,000.

3

IRS-imposed limits for 2011: Minimum deductible of $1,200 with maximum out-of-pocket expenses of $5,950 for single coverage and a $2,400 minimum deductible with maximum out-of-pocket expenses of $11,900 for family coverage.

4

Certain debit card swipes may not require a claim form and receipts to be submitted if electronically adjudicated.

5

Payment substantiation upon audit of Form 1040.

6

Employers may elect a 2-1/2 month "grace" period for employees to use leftover funds from a previous plan year to pay for expenses incurred in a new plan year.

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