1. American Benefit Administrators
HSA Administration

2. Agenda HSA Overview Cost Savings with HSAs
Why Our HSA Program is Right for Your Business
Why Our HSA Program is Right for Your Employees
Next Steps
Edit as needed.

3. HSA Overview

4. What is an HSA?
An HSA is a tax-advantaged account for the purpose of paying for eligible medical expenses
Not employment based
Allows contributions by the employer and employee
Annual contribution limits
2018: $3, individual – $6, family
HSAs are available only to individuals with qualifying High Deductible Health Plan (HDHP) coverage
Not available to those receiving benefits under Medicare

5. 24% HSA Growth Potential for people to put money into an HSA
Percent
29.0
31.3
33.9
36.9
36.7
39.4
NOTES: CDHP is consumer-directed health plan, which is a high deductible health plan (HDHP) with a health savings account (HSA).
HDHP no HSA is a high-deductible health plan without an HSA. The individual components of HDHPs may not add up to the total due to
Rounding. Data are based on household interviews of a sample of the civilian noninstitutionalized population.
SOURCE:: NCHS, National Health Interview Survey, 2010–2016, Family Core component.
Potential for people to put money into an HSA
24%
of people covered by an HDHP do not have an HSA and may be eligible to open one
In 2016, 39.4% of persons under age 65 with private health insurance were enrolled in an HDHP, including 15.5% who were enrolled in a CDHP (an HDHP with a health savings account [HSA]) and 23.9% who were enrolled in an HDHP without an HSA. Among those with private insurance, enrollment in HDHPs has generally increased since 2010.
The percentage who were enrolled in an HDHP increased more than 14 percentage points, from 25.3% in 2010 to 39.4% in More recently, the percentage who were enrolled in an HDHP increased, from 36.7% in 2015 to 39.4% in The percentage who were enrolled in a CDHP doubled, from 7.7% in 2010 to 15.5% in More recently, the percentage who were enrolled in a CDHP increased, from 13.3% in 2015 to 15.5% in 2016.

6. HSA Spotlight Total assets today $37B
$1.7
$3.4
$5.5
$7.2
$9.9
$12.2
$15.5
$19.3
$24.2
$30.2
$37.0
$44.5
$53.2
Total assets today $37B
in 2018, growing to estimated $53.2B
in investments $8.8B
HSA RESEARCH REPORT - 2/12/2017

7. What is an High Deductible Health Plan (HDHP)?
Minimum annual HDHP deductible
2018: $1, individual – $2, family
Annual HDHP out-of-pocket maximum
2018: $6, individual – $13, family
Cannot provide first dollar coverage, with certain exceptions – preventive care, dental, vision, limited-use FSA

8. 2018 Health Savings Accounts
Contribution Limits, Deductibles and Out-of-Pocket Expenses
Minimum
Deductible
Maximum Out-of-Pocket
Contribution
Limit
55+ Contribution
SINGLE
$1,350
$6,550
$3,450
$1,000
FAMILY
$2,700
$13,300
$6,900

9. HSA Product Characteristics
Consumer Owned
Contributions
Distributions
Account Balance
Must be paired with a qualified high deductible health plan (HDHP)
May pair with Limited Purpose FSA and/or HRA
Vision, dental expenses only
Employer and/or consumer may contribute to account
Contributions made by payroll deduction, check, transfer
IRS restrictions on annual contribution amount
No third party substantiation required – consumer responsible
Internal Revenue Code §213(d) expenses may be reimbursed
Funds may be withdrawn for non-qualified expenses with penalty
Funds carry over year to year (perpetual account)
Funds are portable
Funds may be invested and earn interest for greater savings potential

10. Account Characteristics
CDH Plan Comparisons
Account Characteristics
HSA
HRA
FSA
Who owns the account?
Consumer
Employer
Who contributes to the account?
Consumer and/or employer
What amount can be contributed?
The IRS establishes the annual allowable amount and indexes this amount for inflation.
There are no restrictions.
Currently, no restrictions. Beginning 1/1/13, limited to $2,500 per covered employee.
How are contributions made?
Through payroll deduction, check, or transfer.
Through payroll deduction.
Can funds in the account carry over from year to year?
Yes.
Depends on plan design opted by employer.
No.
Are funds portable in the event of job change or death?
No. Funds are forfeited.
Do funds accrue interest?
Yes, interest can accrue.
No. Interest does not accrue.
Can funds be invested?
Yes. Funds can be invested.
Is third party substantiation of expenses required?
No. Consumer is responsible for substantiating the use of funds.
Yes. Each claim or transaction must be substantiated.
Is the annual amount of the contribution available on the first day of coverage?
No. Funds are available after they are contributed.
Depends on the employer’s choice for funding the plan
What expenses can be reimbursed?
All IRS-defined medical expenses
All or a subset of IRS- defined medical expenses
Can funds be withdrawn for non- medical expenses?
Yes, but these funds are subject to an additional 20% tax penalty, except when an individual is 65 or older, disabled or died during the year.

11. Our HSA Solution
The only true multi-account solution for HSAs – all account types are available on a single platform and service experience, debit card, and mobile apps
Provides a comprehensive, one-stop, compliant HSA administration capability
Includes both cash accounts and investment options
Includes a private labeled custodian option with secure, FDIC-insured deposits at HealthcareBank, a division of Bell State Bank & Trust, a $4B financial institution
Insert your logo here

12. Why Our HSA Program is Right for Your Business

13. HSAs Help with Account Retention
40% of HSA enrollees hold onto accounts for at least 3 years.

14. Employer Experience Enrollment and Eligibility Management
Use the Consumer Data Exchange to integrate with WEX Health Cloud for exchanging eligibility files, or enroll employees through the Employer Portal.
Employee Management
Online lookup helps employers respond to employees’ questions and issues.
Automated Communications
Over 10 statements and notifications – all accessible via , consumer portal, and mail when necessary.
Account Funding
Multiple options available for funding accounts, including scheduled contributions, ACH funding, and file-based contribution submission
Reporting
Over 50 standard employer reports and notifications, as well as custom reports, if available, are accessible via and/or secure, self-service Employer Portal

15. Powerful HSA Reporting for Employers
HSA Account Summary
HSA Account Summary
Employer HSA Summary Report
Employer HSA Account Details Report
Custodial/Admin HSA Management
Custom Reporting Solutions

16. Insulation from Compliance and Regulatory Complexity
Privacy, Security…
HIPAA and privacy compliance of personal, medical, financial data
99.99% online portal uptime
Online access secure, authenticated (two-factor)
HSA investment allocations controlled by consumer
Compliance…
Reconciliation and proactive maintenance of accounts
Paperless legal disclosures
Compliance processing (OFAC/CIP/IDV)
Debit Card real-time integration and compliance
HSA maximum contribution controls
HSA tax reporting

17. Value: Employer’s Perspective
Self-Service Empowers Consumers
Consistent Communication & Branding Opportunities
Employer Portal Empowers Employers
24x7 access to manage their CDH accounts
Secure, encrypted access to accounts
Easy to use interface (saves time)
Access to forms on the system
Online enrollment & claim filing
Ability to track claims
Quick reimbursement with direct deposit
Less help is needed from HR (makes your job easier)
Automated communication - alerts
One-click answers to benefit questions
Opportunity to brand the solution & the debit card
Plan details and documentation
Employee/Plan Participant research and service
Reports - Advanced benefit management tools & analysis available online or via
Paperless banking transactions – NACHA file generated for you

18. Why Our HSA Program is Right for Your Employees
Replace “Employees” with Consumers, Members, Participants as needed.

19. Auto-stacked accounts. 85 – 95% auto-substantiation
Employee Experience
Consumer Portal
Robust, branded portal empowers consumers, providing everything they need to know about their account, with an industry-leading design that enables quick and easy navigation of content
Convenient Self Service 24x7
Consumer Portal
Mobile application
Online enrollment
Integrated investment management
Mobile App
Mobile app lets tech-savvy consumers manage their CDH accounts right from their phone
Auto-stacked accounts.
85 – 95% auto-substantiation
Automated Communications
Over 10 statements and notifications – all accessible via , consumer portal, and mail when necessary.
Flexible Payment Options
Consumer can choose from:
Debit card, which increases consumer satisfaction by reducing paperwork.
Consumer-Initiated Payment on Consumer Portal
Claims Exchange with auto-pay or Expense Tracker

20. Single Platform Multi-Account
Health Savings Accounts
One-stop solution for all consumer driven healthcare accounts
Cash Account
Investment Accounts
Health Reimbursement Accounts
Stacked Card
Diverse Plan Design Options
Flexible Spending Accounts
Stacked Card with HSA, HRA
Standard and Limited Purpose
Dependent Care FSA

21. On-line Bill Pay & Contributions
Consumers may send payment directly to the parties who need payment. Request check to reimburse themselves or send directly to their provider
HSA eContribute
Consumers may choose to have contributions set up from more than one bank account
Flexible payment methods
Consumers may update their reimbursement and distribution payment methods at any time during the plan year—not just at enrollment.

22. Integrated HSA Investments
No minimum balance
FDIC insured cash and interest bearing account
Attractive investments
Industry leading investment options
No fees for trades
Integrated Investment Guidance Tool
Convenient self-service 24x7
Intuitive Consumer Portal
Online enrollment
Integrated investment management
Seamless, flexible fund access
Integrated debit card
Online access to accounts
Automatic, intuitive 2-way sweep

23. HSA Investment Experience
Stock Market at-a-glance
HSA Investment Account Homepage!
Message Center
Pie chart shows election by percent
Account Balance
Rate of Return
YTD sweep from cash account
Rate of Return Analytics
Easy access to update & realign investments
Net Investment with Returns Analytics

24. Integrated HSA Investments
Powerful
Features
Automatic
Portfolio Rebalancing
Automatic
Sweep
Integrated Resources
Investment Guidance Tool

25. Online Investment Guidance Tool
Sophisticated financial-planning tool
Helps consumer determine healthcare expenses needs upon retirement
Provides personalized risk assessment
Educates consumers in respect to investment options
Perform infinite number of “what if scenarios”
Recommends specific asset class allocations
Provides information and tools to select mutual funds
Records consumer choices and returns seamlessly into investment platform

26. ABA Mobile App Mobile App allows consumers to:
Check available balances- including cash & investment
Access account details
HSA contributions
HSA Distributions
Use ‘Quick View’ to view graphs
Check claims requiring receipts
Submit claims notional accounts
Submit receipts using camera
Enter & view expense info via ‘expense tracker’
Report a debit card as lost or stolen
Click to call/ Customer Service
Update username/password
Native app for iOS and Android

27. Q&A