Frequently Asked Questions

Your Health Savings Account (HSA) coupled with a High Deductible Health Plan (HDHP) can help you save money on your medical expenses. By choosing the HDHP you can save significantly on your health care premiums.

General Information

A Health Savings Account (HSA) is what you get when you combine a high-deductible health insurance plan and a tax-exempt savings account. They are designed to allow individuals to use pre-tax dollars to help pay for current and future medical expenses.

 

graph of how an HSA works

HSAs offer a triple tax advantage:

  • Contributions are 100 percent tax-deductible for the account holder.
  • Funds grow on a tax-deferred basis and funds are not taxed if used for an eligible expense.
  • After age 65, funds can be used tax-free for eligible expenses, including Medicare premiums, or taxed with no penalty for other expenses.

Taking money out of your HSA is as easy as taking money out of your checking account. There are no claims to file - you simply swipe your HSA debit card or use Online Bill Pay. If you choose to reimburse yourself for eligible expenses, you can simply make a funds transfer using Online Banking, using Online Bill Pay or withdrawal funds at an ATM.

Yes. Your HSA funds can be used for your spouse and dependent children's out-of-pocket eligible expenses, even if they are not on your health plan. Please remember that no one in your family can have a medical FSA if you have an HSA.

HSAs are individual accounts based on IRS rules. If you’re both covered by a qualified HDHP, you can each setup accounts or you can run all expenses through one account.

The IRS has requirements for eligible individuals. If you are eligible for Medicare, usually at age 65, you can no longer make contributions to a HSA. Funds may still be used for eligible expenses, including Medicare premiums, tax-free.
At age 65, funds can continue to be used for eligible medical expenses tax-free. You may also use the funds for non-eligible expenses and you are only subject to ordinary income tax without any IRS penalty.
  • No use it or lose it rules
  • Unspent balances in accounts remain in the account until spent
  • Accounts can grow through investment earnings, just like an IRA

Enrollment and Contributions

  • Make contributions through Shelter Insurance payroll
  • Make a funds transfer through HSACentral.net or the HSA Central mobile app
  • Visit a Central Bank branch
Taking money out of your HSA is as easy as taking money out of your checking account. There are no claims to file - you simply swipe your HSA debit card or use Online Bill Pay. If you choose to reimburse yourself for eligible expenses, you can simply make a funds transfer using Online Banking, using Online Bill Pay or withdrawal funds at an ATM.
It stays in your account. The funds in your HSA is your money, there is no "use it or lose it" rule. Funds accumulate and carry over year after year.
In 2024, Shelter Insurance will contribute
  • $250 for insured-only coverage
  • $375 for insured + spouse or insured + child(ren) coverage
  • $500 for family coverage
The IRS has a maximum limit for your HSA contributions.
2025 HSA Annual Contribution Limits
Contributions Individual Family
IRS Contribution Limit $4,300 $8,550
IRS Contribution Limit
age 55 and older
$5,300 $9,550
The deadline for contributions is the same as your tax filing deadline excluding extensions. For most individuals this is April 15.
2024 HSA Annual Contribution Limits
Contributions Individual Family
IRS Contribution Limit $4,150 $8,300
IRS Contribution Limit
age 55 and older
$5,150 $9,300

The money in your HSA is always yours – there is no “use it or lose it” rule. All balances in your HSA are fully vested and remain in your account until spent. The money is yours even if you change jobs or health plans. With an HSA, you are in charge. You decide how much and when to contribute and whether or not to invest some of your savings in mutual funds for greater potential long term growth.

 

  • Employers and employees can contribute to HSAs as long as the account holder meets the requirements for HSA eligibility
  • Family members or any other person can make contributions on behalf of an eligible individual
Yes. Your HSA funds can be used for your spouse and dependent children's out-of-pocket eligible expenses, even if they are not on your health plan.
Yes. Multiple individuals may have an HSA debit card issued in their name. IRS requires your HSA to be an individual account, but you may name other persons as dependents and order them a debit card through hsacentral.net
In January, you will receive a 1099-SA and a 5498-SA from your bank to use in filling out form 8889 along with your W-2.

Distributions from your HSA

Funds in your HSA earn interest automatically. You also may choose to visit with one of our investment representatives who can assist with other investment options or invest your funds online by logging into HSACentral.net.
If you are under the age of 65, you will owe income tax plus a 20% IRS penalty. After 65, the 20% penalty is waived and you will only owe income tax.
No. The funds must be in your HSA before you can use them, unlike a cafeteria plan. However, you are able to reimburse yourself for the eligible expense when funds are available.
The good news is that you do not lose your HSA. This account is yours and goes with you. If your new employment has a high deductible health plan, you may still make contributions and withdrawals. No changes. If you quit or are terminated, you may still make withdrawals for health related expenses. However, you may no longer make contributions to the account. If you withdraw the funds for something other than a qualified expense, there will be a 20% penalty from the IRS.

If this is a benefits related question, please contact Karen Akers at (573) 214-6557 or by email, kakers@shelterinsurance.com with Shelter Benefits Management Inc. If this is a bank account related question, please contact Central Bank at hsa.boone@centralbank.net.

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