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A Health Savings Account, or HSA, is a tax-exempt account with a financial institution in which funds accumulate to pay for medical expenses. What is a Health Savings Account? A Health Savings Account, or HSA, is a tax-exempt account with a financial institution in which funds accumulate to pay for medical expenses. They were created in response to the rising cost of health care with the intent to give the consumer back the control of their health care costs as part of a movement towards consumer-driven health-care. Why Would a Company Consider a HSA? HSA’S give financial incentives for employers of all sizes to provide health insurance benefits to their employees and allow them to save money on a pre-taxed basis for their medical expenses. HSA’S allows companies to enjoy tax reductions while having affordable health insurance premiums. How Does a HSA Work? Before a health savings account can be opened, a qualified High Deductible Health Plan (HDHP) must be in place to cover the individual or family. An HDHP provides health coverage for an individual or family with an affordable premium. The guidelines for an HDHP are determined by the Internal Revenue Service each year. To determine if your plan qualifies, please contact your health plan representative. HSA Contribution Limits Individual Coverage - Family Coverage - 2024 $4150 $8300 2025 $4300 $8550 CHANGE +$150 +$250 HSA catch-up contributions (age 55+) $1,000 per year Strategic Banking Partner Strategic Banking Partner for the Savings Account HRC handles all the administration and provides a local regional approach to the claims adjudication, employer interface, customer service, and employee training/education. However, the investment vehicle for the savings account needs to be offered through a qualified custodian/trustee. For this reason, HRC through our current strategic business partner Lighthouse 1, has aligned our administration with Healthcare Bank. As a national leader in the Health Savings Account market, Healthcare Bank located in Fargo, North Dakota, is dedicated to providing resources and expertise to help consumers gain control of their health care decisions. Custodial Expertise Deposits and investments for consumer-driven healthcare accounts are held and managed by Healthcare Bank, a division of State Bank & Trust (member FDIC). State Bank & Trust is one of the Midwest’s largest privately-held financial institutions, with combined asset management of over $4 billion dollars. Your partner in the CDH market, not your competition. Engaged in the custodial management of CDH funds and investments since the inception of HSAs, Healthcare Bank has the knowledge and experience of the consumer-driven healthcare industry to support benefit plan administrators as you look to market and brand your own CDH solutions. Custodial Transparency Healthcare Bank’s benefit banking solutions are unique from national competitors, as they serve to leverage the strengths of the administrator while Healthcare Bank remains a silent partner, supporting your HSA custodial needs. Cash Account Balance Interest Rates Cash Account Balance $0.01 - $1,999.99 $2,000 - $4,999.99 $5,000 - $9,999.99 $10,000 - $24,999.00 $25,000 and up Interest Rate 0.05% 0.10% 0.25% 0.35% 0.50% Annual Percentage Yield (APY) 0.00% - 0.05% 0.05% - 0.08% 0.08% - 0.17% 0.17% - 0.28% 0.28% - 0.50% (effective Apr 1, 2018) Please note that rates are subject to change and the numbers above may not always be accurate.

Health insurance premiums are not eligible on an FSA, but may be eligible with a health reimbursement arrangement (HRA) and are eligible on a health savings account (HSA) unless already paid for with pre-tax dollars. Health insurance premiums reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Health Insurance Premiums Health insurance premiums are not eligible on an FSA, but may be eligible with a health reimbursement arrangement (HRA) and are eligible on a health savings account (HSA) unless already paid for with pre-tax dollars. Health insurance premiums reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

A catheter is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Catheter reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Catheter A catheter is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Catheter reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

Erectile dysfunction treatment medicines are eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Erectile dysfunction treatment medicines are not eligible for reimbursement with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Erectile Dysfunction Treatment Erectile dysfunction treatment medicines are eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Erectile dysfunction treatment medicines are not eligible for reimbursement with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA). Learn More Previous Next

Oxygen equipment is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Oxygen equipment is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Oxygen Equipment Oxygen equipment is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Oxygen equipment is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA). Learn More Previous Next

Nursing services while at the hospital for a newborn covered by the plan are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Newborn nursing care reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Newborn Nursing Care Nursing services while at the hospital for a newborn covered by the plan are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Newborn nursing care reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

Insect bite creams and ointments are eligible over-the-counter (OTC) medications with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Insect bite creams and ointments reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Insect Bite Creams and Ointments Insect bite creams and ointments are eligible over-the-counter (OTC) medications with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Insect bite creams and ointments reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

Cosmetic procedures (e.g. facelift, Botox, hair transplants, liposuction, teeth whitening) are usually ineligible, unless the procedure is necessary to improve a deformity due to a congenital abnormality, personal injury or disfiguring disease. Therefore, in the vast majority of cases, cosmetic procedures are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Cosmetic Procedures Cosmetic procedures (e.g. facelift, Botox, hair transplants, liposuction, teeth whitening) are usually ineligible, unless the procedure is necessary to improve a deformity due to a congenital abnormality, personal injury or disfiguring disease. Therefore, in the vast majority of cases, cosmetic procedures are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

Analgesics (painkillers) are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or health reimbursement arrangement (HRA). Analgesics are not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Analgesics (OTC) Analgesics (painkillers) are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or health reimbursement arrangement (HRA). Analgesics are not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

A treadmill may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA). A treadmill is not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Treadmill A treadmill may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA). A treadmill is not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next

Guards for teeth grinding are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), or a limited purpose flexible spending account (LPFSA). Guards for teeth grinding reimbursement are not eligible with a dependent care flexible spending account (DCFSA). The purpose of this mouth guard must be for a medical purpose, such as nighttime grinding of teeth. HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Guards for Teeth Grinding Guards for teeth grinding are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), or a limited purpose flexible spending account (LPFSA). Guards for teeth grinding reimbursement are not eligible with a dependent care flexible spending account (DCFSA). The purpose of this mouth guard must be for a medical purpose, such as nighttime grinding of teeth. Learn More Previous Next

Epsom salt is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Epsom salt reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). HRA HSA FSA Limited Purpose FSA Dependent Care FSA HRA HSA FSA Limited Purpose FSA Dependent Care FSA Eligible Eligible with Rx Eligible with LMN Eligible Eligible with Rx Eligible with LMN < Back Epsom Salt Epsom salt is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Epsom salt reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Learn More Previous Next