HSA Growth Continues, With Plan Sponsors Calling for More Education

The latest PSCA survey revealed rising health savings account usage, with employers advocating for more education to further participant uptake.

Employee contributions and average account balances in health savings accounts are continuing to creep up, though plan sponsors see further participant education as key to boosting HSAs even further, according to the results of the sixth annual HSA Benchmarking Survey conducted by the Plan Sponsor Council of America.

According to the survey, the average participant contribution was $2,609 in 2023, up from $2,323 the previous year. Similarly, average account balances ended the year at $6,165, reflecting a slight increase from $6,130 in 2022.

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About 30% of employers are positioning health savings accounts as part of a broader retirement savings strategy. That is down from a little more than 40% in 2022, but still ahead of 27% marked in 2021, according to prior PSCA reports.

Meanwhile, only 30% of employers allow participants to view or manage HSA balances through their retirement portals, according to PSCA.

 

Organization size (number of employees)

Position HSA as retirement strategy

1 – 49

50 – 199

200 – 999

1,000  – 4,999

5,000+

All

Yes

22.5%

24.3%

32.6%

30.1%

31.6%

27.4%

No

72.9%

63.6%

57.2%

58.9%

57.9%

63.1%

Not yet, but planning to

4.7%

12.1%

10.1%

11.0%

10.5%

9.5%

Organization size (number of employees)

Participants can view or load their HSA balance in their retirement portal

1 – 49

50 – 199

200 – 999

1,000 – 4,999

5,000+

All

Yes

32.5%

24.8%

23.5%

33.8%

36.4%

28.4%

Despite the potential for HSAs to augment retirement saving, 87% of employers reported that their HSA investment options do not mirror their 401(k) investment lineups., 87% of employers reported that their HSA investment options do not mirror their 401(k) investment lineups. However, this figure is down 5% from 2022, indicating a gradual shift in alignment.

 

Organization size (number of employees)

HSA funds mirror 401(k) funds

1 – 49

50 – 199

200 – 999

1,000 – 4,999

5,000+

All

All funds are the same

0.0%

2.3%

2.0%

3.3%

3.2%

2.0%

Some funds are the same

4.6%

4.5%

7.9%

8.3%

9.7%

6.7%

No, but it is a goal

3.1%

3.4%

5.0%

5.0%

6.5%

4.3%

No, and it is not a goal

92.3%

89.8%

85.1%

83.3%

80.6%

87.0%

The survey found that education remains a top priority for employers aiming to boost HSA participation. The dominant focus of educational efforts was explaining the tax benefits of HSAs and contribution limits. Another topic of significance targeted by HSA education was saving HSA funds for retirement.

 

Organization size (number of employees)

Priorities in Participant Education

1 – 49

50 – 199

200 – 999

1,000 – 4,999

5,000+

All

Understanding the tax benefits of the HSA

61.3%

73.3%

79.1%

81.9%

78.4%

73.5%

Contribution limits

54.0%

54.1%

68.7%

69.4%

70.3%

61.4%

Choosing between HSA and 401(k)/403(b) plan contributions

8.1%

8.1%

10.4%

8.3%

16.2%

9.4%

Saving HSA funds for retirement

38.7%

40.7%

52.2%

55.6%

51.4%

46.2%

Rollovers

6.5%

11.1%

20.9%

20.8%

27.0%

15.1%

The survey highlighted increased adoption and usage of HSAs overall. High-deductible health plans tied to HSAs are gaining traction, with 60% of employees opting for an HSA-qualifying health option when available. Among eligible employees, 90% held an HSA in 2023, with three-quarters actively contributing to their accounts.

The survey analyzed the experiences of more than 500 employers offering HSA-qualifying health options in 2023. PSCA conducted the survey in the summer of 2024.

Respondents Recommend Simplicity, Data Sharing for Saver’s Match

Retirement industry representatives, providers and academics weighed in on how to best implement a federal matching program for lower-income savers.

The IRS and U.S. Department of the Treasury have received responses from industry organizations and individuals representing employers, recordkeepers and participants regarding how to best implement the Saver’s Match program created by the SECURE 2.0 Act of 2022.  

The IRS and Treasury received more than 100 public comments in response to their  September request for feedback, with responses coming from a mix of financial professionals, industry organizations and plan providers.

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The Saver’s Match is designed to provide a federal match into a defined contribution plan for lower-income workers; the program will replace the current Saver’s Credit, a tax credit, with a federal match of up to $1,000 at a rate of $0.50 per dollar contributed by a worker.

While commentator focus areas varied, there was a consistent theme calling for simplification, both of delivery and of reporting needs. Many pointed out that, because plan sponsors will not be required to offer the benefit, ease of use and seamless distribution across Treasury, recordkeepers and the IRS will be essential.

Mark Iwry, a nonresident fellow at the Brookings Institution and a former senior adviser to the U.S. Secretary of the Treasury who helped craft SECURE 2.0, wrote of an attempt to institute such a matching program as far back as 1999. While his letter showed he does not view the current setup as perfect, he is a champion of getting as much uptake as possible when the Saver’s Match is implemented in 2027.

“Although the expanded Saver’s Credit (which we suggested renaming as the Saver’s Match) is still limited to a maximum of $1,000 per year, permits plans and IRAs to refuse the matching deposit, and has been subjected to a long-delayed effective date, it represents an unprecedented reform to our system,” Iwry wrote. “The improved outcomes for potentially 20 to 30 million [low-to-middle-income] savers (or more) will be well worth the coordinated effort by Treasury and IRS and by private-sector stakeholders to implement the Saver’s Match in an effective and workable manner.”  

Iwry went on to lay out more than a dozen process suggestions, including:

  • Forgoing the need for savers receiving the match to claim it on their tax return, as many are not required to file a return;
  • A unique identifier number provided by plan administrators, recordkeepers or individual retirement account owners that would include all the personal and account information needed to for the federal match to be deposited; and
  • A “data before dollars” strategy in which advance notice of a deposit is sent, then either approved or denied by the plan administrator, to try and mitigate errors.

Retirement Industry Organizations

The SPARK [Society of Professional Asset Managers and Recordkeepers] Institute submitted in a lengthy comment letter based in part on meetings it has held with industry stakeholders on how to best implement the program.

SPARK Institute Executive Director Tim Rouse laid out the challenges the institute sees in “developing a reliable and efficient system for getting Saver’s Match contributions transferred from the Treasury to an individual’s account within a retirement plan,” which is an institutional arrangement between the employer and the participant, with recordkeepers in between.

The letter went on to suggest various ways of setting up a seamless transaction, such as tracking numbers for participants, using IRS Form 8888—currently used for direct deposit of tax refunds to IRAs—or utilizing existing information such as participants’ social security numbers and employer identification numbers.

Pew Charitable Trusts, which has coordinated working groups to help advance the Saver’s Match, called on Treasury and the IRS to “automate as much as possible” of the program to ensure uptake. John C. Scott, Pew’s project director for retirement savings, noted the current uses—and friction points—for Form 8880, used for the current saver’s credit; he suggested solutions to improve it by way of simplicity and uptake, including offering it free via tax software.

Pew’s Scott also called on Treasury to fund and advance a “general publicity campaign” through channels such as social media that are “direct, easy-to-understand, and actionable.”

The AARP also weighed in, noting the potential for the Saver’s Match to improve savings across household wealth, generally, and in a way that could narrow the racial wealth gap. The organization called for the tax setup for the match to be offered free via tax software.

Recordkeepers and States

Retirement plan companies including Paychex Inc., the Retirement Clearinghouse LLC, TIAA and Vestwell also weighed in with public comments.

Among calls for simplicity, TIAA recommended a system to “hold matching contributions that are rejected” due to inadequate information or errors so they can eventually get to participants.

“A holding mechanism, including an account, is necessary to ensure that rejected matching contributions are preserved and allocated once any outstanding issues are resolved, thus protecting individuals/participants from unintended financial loss,” wrote Wayne McClain, a TIAA managing director and associate general counsel.

TIAA also made the case that Treasury and the IRS, rather than plan sponsors, should be responsible for communicating eligibility and benefits to participants, as it is “unrealistic to expect plan sponsors to navigate the complexities of individual financial situations.”

Retirement Clearinghouse, which oversees the Portability Services Network of recordkeepers, made the case that the piping for its portability network could be used for the Saver’s Match for both in- and out-of-network recordkeepers.

“With modification, the functionality and operations utilized by PSN members can be extended to non-PSN recordkeepers who chose not to be a part of PSN or are not fully automated, as well as IRA providers that are, or are not, fully automated,” Retirement Clearinghouse President and CEO J. Spencer Williams wrote.

Some state treasuries also contributed commentary, including California, which has the largest state automatic individual retirement account program.

Angela Antonelli, a research professor and executive director of the Center for Retirement Initiatives at Georgetown University, pointed out the potential for the match to bolster recently introduced state auto-IRA programs, but only if executed thoughtfully.

“Because employers are not allowed to match contributions in the state auto-IRA programs, the Saver’s Match will provide a much-needed boost for individuals saving through these state programs,” she wrote. “As Treasury and the IRS consider how to implement the Saver’s Match, some concerns, if left unaddressed, could potentially increase operational costs for SFRPs or, in the worst-case scenario, prevent SFRP participants from receiving these matching funds.”

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