Category: Education

For Accountholders: 2011 Tax Forms & Information

New This Year: Forms 1099-SA and 5498-SA Sent by January 31, 2012

We are acting on feedback from clients who tell us that waiting until May for us to send Form 5498-SA is not helpful, as many of you file your tax report by April 15 or earlier.  Expect to receive all tax-related reports on your HSA account by the end of this month. In case you’re wondering about those reports, below is a quick summary:

  • Form 1099-SA – This form records all the disbursements you’ve generated in 2011. For many of us, we associate any 1099 form in the context of taxable income.  That is NOT the case with HSAs.  Form 1099-SA simply tells the IRS what amounts were spent from your HSA account and whether any of those dollars were used for “nonqualified” expenses. Sterling will also send the IRS an electronic version of Form 1099-SA. Please note that we will report to the IRS that distributions were for qualified medical expenses except in those instances in which we had knowledge of an unqualified distribution or if you closed your account. If your records indicate to the contrary, please let us know, so that we may correct our files. If you spent zero dollars out of your HSA account in 2011, then you will NOT receive Form 1099-SA. Please know that account fees are not reported as distributions from your account. We are not tax advisors, but we understand that these fees may also be deductible as “Other Miscellaneous Deductions”. Please consult your tax preparer.
  • Form 5498-SA – This form records all contributions made to your HSA account in 2011, regardless of who makes them. If you did not make any contributions, then you will not receive this form. Note that you are allowed to make contributions for the 2011 tax year up to April 15, 2012. If you decide to do so, then we will reissue your form 5498-SA by no later than May 31, 2012. Please remember that unless you tell us differently, any contributions received in 2012 will be posted to your account as 2012 contributions. If you intend the contributions for 2011, then you need to note that online (the pull down category allows for “prior year” contributions) or write it on the check.

While Sterling sends you forms that can help you prepare your tax return, these forms are not to be sent to the IRS. Instead, you need to send Form 8889 along with your tax return. This form can be obtained from the IRS website here: http://www.irs.gov/pub/irs-pdf/f8889.pdf. While we can’t complete this form for you, your statement is a key source of information and should help you. Again, if you plan to add more deposits to your HSA account for tax year 2011, then you will need to add those amounts to what is included on the attached statement when you file your taxes. By the way, we’ve heard from many clients that filing your tax returns without Form 8889 could cause the IRS to give you special attention, so please include this form in your tax filing.

2011 Contributions – In case you’re planning to maximize your tax-deductible contribution for 2011, please remember that you and your employer may contribute in total up to $3,050, if you are under 55 years of age and have single HSA compatible health coverage, and up to $6,150 if you are under 55 years of age and have family HSA compatible health coverage. If you are 55 years old and over and not receiving Medicare benefits, then you may also contribute an additional “catch-up” contribution of  $1,000. Your spouse is also entitled to a catch-up contribution if he/she meets the eligibility requirements noted above. For your spouse to make the catch-up contribution, he/she will need to open a spousal HSA account. It’s a quick and easy process and we’d be happy to help.

Problem With Excess Contributions – Please compare your year-end statement against the contribution limits noted above. If you’ve contributed in excess of those limits, then you need to let us know immediately so we can help you correct this. If you fail to do so, then the IRS will levy an excess contribution penalty. To prevent that from happening, please call us at 800.617.4729. Customer service representatives are available Monday – Friday from 8 am to 6 pm Pacific time.

Tax Issues for Residents of California, Alabama and New Jersey – While HSA contributions enjoy federal tax advantages, remember that if you live in California, Alabama or New Jersey, your contributions are not tax-advantaged for state income tax purposes. That means for residents in these three states, contributions are not tax-deductible, employer contributions are considered taxable income, and any interest earned is considered income for state tax purposes.

2012 Contributions – In 2012, the maximum amount that can be contributed to your HSA is $3,100 for accountholders under age 55 with single coverage and $6,250 for accountholders under age 55 with family coverage. “Catch-up” contributions of $1,000 for accountholders who are 55 years or over are allowed. Spouses age 55 and over may also contribute $1,000 towards a “catch up” account, but they must have a spousal HSA account.

Sterling does not offer tax advice, but if you have questions about this information, please call or email at 800-617-4729 or customer.service@sterlinghsa.com. Customer service representatives are available Monday – Friday from 8 am to 6 pm Pacific time.

2011 Tax Forms & Information

FAQs: Self Insurance

What is self insurance?

Under self insured plans, the employer provides health benefits to employees using its own funds, rather than pay fixed premiums per employee per month to a health insurance carrier. The employer is responsible for funding payments needed to pay for plan benefits and pays for claims as they are incurred.

An essential principle of self insurance is the concept that health insurance protects against two areas of exposure: predictable costs and unpredictable costs. Self insured employers assume the risks associated with predictable claims costs. Unpredictable costs, such as shock claims or catastrophic losses, are generally covered under stop loss (excess loss) contracts issued by an insurance carrier.

Self insurance provides a proven and effective mechanism for employers to control the flow of its money, gain investment income, and gain complete control of the health benefits plan design.

What is stop loss?

Stop Loss, also known as Excess Loss, limits an employer’s liability so that the employer does not take 100% of the risk for catastrophic claims. Under stop loss, specific coverage covers catastrophic claims on one individual at a specified deductible (also known as employer’s retention). Aggregate coverage covers claims that significantly exceed the expected claims level for the entire group of covered persons (the aggregate attachment point).

Who is Sterling’s stop loss carrier?

Sterling has contracts with multiple “A” rated stop-loss carriers, enabling us to work with clients with a small employee population, as well as with large corporations. We work with clients who have claims experience and those who don’t throughout the country.

Why is self insurance gaining in popularity?

The passage of the Patient Protection and Affordable Care Act (PPACA), commonly known as Healthcare Reform, makes self insurance more appealing than ever because self insured employer plans are exempted from state mandates and explicitly exempted from some requirements under PPACA. Less than 20% of the current reform mandates apply to self insured arrangements.

Self insured plans give employers greater cost control. Health benefits costs for employers increased at a rate of 7.3% in 2011 and are expected to increase by 8.5% in 2012, considerably more than the general rate of inflation as measured by the CPI. By self insuring, employers have greater control over cash flow as funds are expended only when employees submit a claim. Moreover, Sterling’s disciplined approach to benefit design increases the opportunities for cost savings as employees are engaged more directly in cost-effective alternatives. Finally, employers enjoy access to and transparency of utilization data to guide wellness programs and other strategies designed to reduce cost. Employers can review reports on a regular basis and monitor trends specific to the company workforce.

How many people are covered under self insurance?

The number of employees in the U.S. covered under self insured health plans has increased from 44% in 1999 to nearly 60% today. The fastest growing market segment is employer sponsored groups with fewer than 1,000 employees – 29% of employers in 2008 compared to 48% in 2010.

How does self insurance compare to fully insured plans?

Fully Insured:

  • Employer pays a fixed monthly premium to the insurance carrier.
  • Premium covers expected claims and administrative costs, as well as insurer’s risk charge.
  • When claims are lower than expected, the insurance carrier keeps the difference. If actual claims are higher than expected, insurance carrier pays the difference.
  • There is little transparency for employers to understand the details of healthcare costs and little incentive for employer engagement.
  • Frequently, there is little incentive or engagement on the part of employees to make healthy, cost conscious choices.

Self Insured:

  • Employer pays a fee to a plan administrator (TPA) who performs functions such as claims processing and securing discounts from providers and to a stop loss reinsurer who pays for claims above a predetermined level.
  • Employer pays the actual claims incurred by enrolled employees and their dependents and must budget accordingly.
  • Employers can design the health plan to meet the needs of the company and employees, including real incentives for employees to participate in wellness and pharmacy care management programs that reduce costs.
  • Employers have a direct financial incentive to be much more proactive in engaging employees to improve health status.

What is Sterling SIA’s role in self insurance?

Sterling functions as a third party administrator (TPA) to manage the employer’s self insured plan. We do so through our partners and our own staff and proprietary systems. Sterling works with employers and their benefits consultants to develop custom benefit design, underwrite stop loss insurance, implement the benefit plan, manage the Sterling HealthAssets™ accounts for employees, and provide customer support to employers and employees.

Contact us today for more information.

What You Need to Know About Open Enrollment

Along with the return of school buses and shorter days, Fall is open enrollment time – the period in which you can sign up for, or adjust, your participation in your employee benefits package.

A recent study conducted by Harris Interactive and released as part of the Aflac WorkForces Report found that most workers regret their health benefit choices. The study reports that 77 percent of workers say they’ve made mistakes in their benefit decisions in the past, with 42 percent saying they waste money every year.

The most common mistakes include:

  • choosing the wrong deductible
  • not taking advantage of flexible spending accounts (FSAs)
  • passing on coverage — such as vision and dental care

What can you do to make the most of your benefits package?

  1. Visit the Consumer Reports Health website for information on how to choose a plan as well as what changes you should expect due to healthcare reform.
  2. If your employer offers an Flexible Spending Account, sign up for it. See below for more on FSAs.
  3. Make sure you put enough money in your FSA. According to the Aflac report, 43 percent of respondents said they didn’t contribute enough to the account.
  4. Visit the Sterling Resources page for links to companies we’ve partnered with in order to help you negotiate healthcare bills, find the best doctors and medical service providers, comparison shop for prescriptions, and more.
  5. Of course, the best resource during open enrollment is always your Human Resources department. They will have all the information that is specific to your particular benefit offerings.

About Flexible Spending Accounts (FSAs)

FSAs enable you to set aside pre-tax dollars to pay for qualified medical, dependent care, and commuter transportation expenses. Depending upon your tax-bracket, an FSA can save you up to 40% on items you already pay for out-of-pocket – such as co-pays for doctor visits, daycare tuition fees, and even gasoline for your “commuter highway vehicle” (better known as your car)!

Don’t forget that even if you’ve participated in an FSA in the past, you still have to re-enroll in these benefits each year, during open enrollment.

Sterling is led by experts in the health benefits and banking industries for one primary purpose – to put our customers in control of healthcare spending. Please contact us with any questions on Flexible Spending Accounts (FSAs), Health Savings Accounts (HSAs), Health Reimbursement Arrangements (HRAs), Premium Only Plans (POPs), or COBRA.

http://www.sterlinghsa.com/resources/

September-October Schedule of Events

Below is the schedule of events for September – October 2011. Please note the schedule is subject to change. Please visit the Events tab on our Facebook Page for the very latest information on Sterling events.

Speakers from Sterling are regarded as the best and most knowledgeable in the industry.

Please note that some events are Continuing Education (CE) Courses for health professionals only. Others may be events sponsored by organizations requiring membership to attend.

For more information on an event or to schedule a speaker, please contact us or phone (800) 617-4729. Please note that all event times are Pacific, unless otherwise indicated.

Date: Tuesday, September 20, 2011
Time: 9am – 11am Eastern Time
Location: 144 Metro Center Blvd, Warwick, RI (AmWINS Call Center Building)
Topic: Redefining Value in Health Care
Type of Event: CE Course
Speaker: Christine Bettner, EVP, Business Development, Sterling HSA
Contact: Marina Weiss, Director of Sales, Sterling HSA -
marina.weiss@sterlinghsa.com

Date: Tuesday, September 27, 2011
Time: 10am – 11am
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Tuesday, September 27, 2011
Time: 2pm – 3pm
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Wednesday, September 28, 2011
Time: 10am – 11am
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Wednesday, September 28, 2011
Time: 2pm – 3pm
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Tuesday, October 4, 2011
Time: 10am – 11am
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Tuesday, October 4, 2011
Time: 2pm – 3pm
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Wednesday, October 5, 2011
Time: 10am – 11am
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com

Date: Wednesday, October 5, 2011
Time: 2pm – 3pm
Topic: Understanding the Opportunity for Self-Insurance in the Age of Reform
Type of Event: Webinar
Contact: Morgan Anthony, Senior Director of Sales, Sterling HSA – morgan.anthony@sterlinghsa.com