Do I need a certain type of account?

Yes. It specifically needs to be a Health Savings Account with a qualified provider recognized by the Treasury Dept. as providing these services. The administrator plays a critical role in providing the necessary IRS reporting and providing advice, and tax assistance throughout the life of the account. There is no third-party substantiation or adjudication of claims, therefore current reliable information and advice is very important.

Since an HSA is a tax-exempt trust, there are requirements per code 223(d) who can be a Trustee; the trustee is a bank, an insurance company, or another person that demonstrates to the satisfaction of the Treasury that the manner in which such persons will administer the trust will be consistent with the requirements of code 223(d).

In addition to the required IRS reporting, the administrator should have experience in MSA/HSA regulations and be accessible to provide advice. The account should be interest-bearing when it gets to a certain size, and provide longer-term investment capabilities such as mutual funds, stocks and bonds the same way an IRA or 401(k) account does.

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