The health savings account (HSA) is a tax-advantaged, individual account that can be used to pay for qualified healthcare expenses.

Employees who enroll in the high deductible health plan (HDHP) medical coverage option in menu options may be eligible to set up and contribute to an HSA.

Employers that select the HDHP are strongly urged to offer an HSA as a way to help employees close the HDHP deductible gap and save for future healthcare expenses.

Key features of the HSA include the following:

  • Employees who enroll in the HDHP may be eligible to set up and contribute to the HSA through pretax payroll deductions. The employer may also contribute to employees' HSAs.
  • The HSA earns interest tax-free, and funds may be invested when the account balance reaches $1,000. Withdrawals for eligible expenses are also tax-free.
  • Unused HSA funds roll over from one year to the next with no limits.
  • The HSA is fully portable, making it an attractive way for employees to save for future healthcare expenses, even into retirement.


To be eligible to set up and make contributions to an HSA, the employee

  • must be enrolled in the HDHP, and their employer must offer the HSA;
  • cannot be covered by any other medical plan that is not an HSA-compatible health plan, including a spouse's medical plan;
  • cannot typically be enrolled in a healthcare flexible spending account;
  • cannot be enrolled in Medicare or TRICARE;
  • cannot be eligible to be claimed as a dependent on someone else's tax return; and
  • must be a U.S. resident.


Eligible employees generally may make HSA contributions through pretax payroll deductions, up to annual limits set by the IRS. The annual contribution limits for 2019 are $3,500 if enrolled for Member-only coverage and $7,000 if covering any family members. Participants who will be age 55 or older during 2019 may make additional catch-up contributions of up to $1,000 for 2019.

Contributions are exempt from federal income and FICA (Social Security and Medicare) taxes. HSA contributions are also exempt from SECA taxes for ministers of the Word and Sacrament.

Employers have the option to make HSA contributions on the employee's behalf. These contributions are not taxable to the employee and, when combined with the employee's own contributions, may not exceed the IRS annual limits.

HSA contributions become available for use as they are deposited in the employee's account.

HSA fees

There are no set-up fees for these accounts. Employers will be charged 75 cents per employee per month for each employee who establishes an HSA. Further, the HSA administrator, will bill each employer directly for this monthly fee.

For more information

Employers with HSA-related questions, should call Further at 855-363-2583 Monday through Friday, 8 a.m. to 5 p.m. CT, Monday through Friday, or email them.

For other questions, call the Board at 800-773-7752 (800-PRESPLAN).

High deductible health plan

​The HDHP is a coverage option, in addition to the PPO and EPO, offered through the Medical Plan. The HDHP covers care received from network providers, including 100 percent coverage for in-network preventive care.

Read more

Preventive care

For those enrolled in the Medical Plan, the preventive care benefit covers 100 percent of the plan allowance for eligible preventive screenings and immunizations with a network provider and is not subject to a deductible.

Read more