HSA/FSA Compliance Quiz This course was approved by the applicable state department of insurance and is administered for that state by Compass Resources, Inc, an approved CE provider for that state. March 2011 Q: Disclaimer: The information contained in this presentation is not intended as legal or tax advice. It is supplied with the understanding that OptumHealth Financial Services does not provide legal or tax advice. Please contact a competent legal or tax professional for personal advice on eligibility, tax treatment and restrictions. Federal and state laws and regulations are subject to change. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 1 Health Care FSAs and Dependent Care FSAs Can I transfer money from my health care FSA to my dependent care FSA or vice versa? A Yes, when money is low in one account roll the money over B Yes, submit a claim to the administrator C these are No, these are two twoseparate separateaccounts accounts Answer: The health and dependent care spending accounts are two separate C benefit plans. Per IRS regulations, you cannot transfer money between the two accounts. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 3 I am a divorced parent. May I establish a dependent care FSA for child care expenses even if my ex-spouse has already done so? A No, because the ex-spouse already has one B No, because you need to share the FSA account C youare arethe thecustodial custodial parent Yes, ifif you parent Answer: Yes, if you are the custodial parent. This is true even if the non-custodial C parent claims the dependency exemption for that child. In general, the custodial parent is the parent who has custody for the greater portion of the calendar year. The non-custodial parent may not participate in a dependent care FSA because the IRS takes the position that dependent care expenses are not necessary for the non-custodial parent to be gainfully employed. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 4 Can I use my Dependent Care FSA to pay for adult day care for my mother who is not able to care for herself? A Yes B Yes, ifif the themother motherlives lives with with thethe employee employee at least at least halfhalf the year the yearisand and a tax is dependent. a tax dependent. C No, adult day care can not be paid for with an FSA. Answer: The mother’s adult day care may be paid for with a dependent care FSA B if she is a tax dependent of the employee and lives with the employee for at least half the year. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 5 Under the new legislation what is the maximum amount I can contribute to the health care FSA and dependent care FSA? A $5,000 and $5,000 B $2,500 and $2,500 C $5,000 and $2,500 D $2,500 and and $5,000 $5,000 Answer: Starting Jan. 1, 2013, health care FSA contributions will be limited to a D maximum of $2,500. The limit will be adjusted according to the consumer price index (CPI) starting in 2014.This does not affect FSA contribution limits in 2011. The limit for dependent care FSAs remains unchanged at $5,000. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 6 Can the officer of a C-Corp participate in an FSA? A Yes Yes B No, the officer is a highly compensated employee therefore they can’t participate C Any employee may participate, (subject to the employerdesigned exclusions) Answer: A An officer may participate, (subject to the employer-designed exclusions), but participation may be limited in order to pass the nondiscrimination tests. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 7 Can I be reimbursed for medical, vision or dental expenses I incurred while vacationing in Europe? A No, because the expenses did not incur in the US B No, because my insurance does not cover international expenses C Yes, provided providedthey theywere werequalified qualified expenses expenses Answer: As long as the expenses were qualified medical, vision or dental C expenses, and the participant has the needed information to substantiate the expenses, where the expenses were incurred does not matter. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 8 HSA Contributions Sally started a new job on June 1, 2010. She selected a HDHP together with an HSA. How much can she contribute to the HSA in 2010? A A prorated proratedamount amount B The full fullindividual individual contribution contribution amount amount C No money until next year D None of the above Answer: A prorated amount, in this case 7/12 of the annual amount, provided she A is covered by a HDHP the remainder of the year B The full individual contribution amount provided she remains covered by a HDHP for the entire testing period (December 1, 2010 – December 31, 2011) Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 10 When an Employer adds an HSA eligible HDHP on 7-1-2010, (in the middle of the calendar year FSA plan) when can the employees open and fund their HSAs? A July 1, 2010 B January 1, 2011 C Whenever the employees want D None of the above Answer: A A is correct provided the employee 1) enrolls in the HDHP (and is not covered by a spouses non-HDHP) 2) is not enrolled in the FSA 3) Is not entitled to Medicare and 4) Is not claimed as another person’s tax dependent Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 11 Can another person who is over 65 contribute to the HSA of an individual under 65? A No B Yes Answer: Yes, as long as the contribution is made into an account of an B eligible individual Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 12 How much can I contribute in 2010 to my HSA if I get divorced in April 2010? A $3,050 B $6,150 C 4/12ths 4/12ths of of$6,150 $6,150++8/12ths 8/12thsofof$3,050 $3,050 Answer: It depends whether you were contributing as an individual or family and whether you changed the coverage as a result of the divorce A If you have single coverage there would be no impact on your contributions. B If you have family coverage and your children are covered, however your spouse is no longer covered, you can still contribute to the family maximum of $6,150 C If you had family coverage, but changed the coverage to individual and removed your spouse and children from the plan. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 13 When an employee covers their Domestic Partner on their HSA HDHP, what is the maximum contribution for 2010 in their HSA Account(s)? A $3,050 each in separate accounts B $6,150 in one account C $6,150 each each in in separate separateaccounts accounts D Domestic partner is not eligible to open and fund the HSA E Employee can only fund to $3,050 Answer: C Each can open and contribute the maximum of $6,150 to their HSAs. Domestic partners are not required to split the contributions like married couples. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 14 I’m 57 and my spouse just turned 55. I have family coverage with an HSA. Can I make a catch up contribution for my spouse into my HSA? A Yes B No Answer: No. In order to make a catch up contribution, the spouse must open B their own HSA. Keep in mind that the maximum family contribution would still be $6,150 + the two $1,000 catch up contributions. A married couple can still have separate HSAs, but can only contribute up to the maximum family amount. They can decide how to divide the contributions between the two accounts. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 15 HSA Distributions Sally contributed the maximum contribution amount in 2010 to her HSA. In July 2011, she gets an offer she can’t refuse and leaves the company. Her new company has a traditional PPO plan. What happens to Sally’s HSA? A She can not contribute more money to her HSA B She can continue to use her HSA money for qualified expenses C She will have to include excess contributions if she relied on the “last-month rule” in making a full year contribution in 2010. D All of All ofthe theabove above Answer: D All of the above Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 17 What happens if I withdraw money from my HSA to pay a medical bill, but then later I am reimbursed by my insurance company for that medical expense? A There is nothing you can do B Use the money to buy a TV C Use the money to take a trip to Cabo, Mexico D Repay the Repay the mistaken mistakendistribution distribution within within a specific specifictimeframe timeframe Answer: That is what is referred to as an “mistaken distribution". The account D holder can repay the mistaken distribution by April 15 of the year following in which year the account holder knew or should have known that it was a mistake. The repayment is classified as an "adjusted entry", not a contribution; therefore, it would not count "twice" toward the yearly maximum. The account holder is responsible to notify the administrator that the repayment is a distribution correction. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 18 Can I pay for my health insurance premiums from my HSA? A Yes, if you are collecting Federal or State unemployment benefits B Yes, if you have COBRA continuation coverage C No, only qualified medical expenses D A and and BB Answer: Health insurance premiums that are qualified medical expenses include D premiums paid for health plan coverage while you are collecting Federal or State unemployment benefits, or for COBRA continuation coverage through a former employer. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 19 Can I use my HSA dollars to pay for my 25-year-old daughter’s out-of-pocket doctor visit? A Yes B No Answer: Yes, if she is your tax dependent. A B No, if she is not your tax dependent. If she is not your tax dependent then you can’t pay for her medical expenses from your HSA. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 20 HSA Eligibility and Spouse Coverage Am I eligible for an HSA if I have an HSA-eligible plan as my primary coverage but am also covered by my spouse’s employer-provided (non-HSA) plan? A No B Yes Answer: You can only contribute to an HSA only when you have an HSA-qualified A plan and have no other impermissible coverage. If you are also covered by a spouse’s non-HSA plan, then you are no longer eligible to contribute to your HSA. However, you can still use the money in a previously established HSA to pay for qualified medical expenses, or you can let the HSA continue to grow on a tax-deferred basis. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 22 State Taxes HSA Earnings & Contributions Which states tax HSA earnings? A All states B No states C Alabama, California, New Jersey, Wisconsin D New Hampshire, Hampshire,Tennessee Tennessee Answer: New Hampshire, Tennessee. While health savings accounts were D created by the federal government, states can choose to follow the federal tax treatment guidelines or establish their own. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 24 Which states tax eligible HSA contributions? A All states B No states C Alabama, California, Alabama, California,New NewJersey Jersey, Wisconsin D New Hampshire, Tennessee Answer: Alabama, California, New Jersey While health savings accounts were C created by the federal government, states can choose to follow the federal tax treatment guidelines or establish their own. In January 2011, Wisconsin became the latest state to apply the same income tax treatment to health savings account contributions and withdrawals as the federal government. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 25 Thank you for attending the HSA/FSA Compliance Quiz Workshop! Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 26 Q: Disclaimer: The information contained in this presentation is not intended as legal or tax advice. It is supplied with the understanding that OptumHealth Financial Services does not provide legal or tax advice. Please contact a competent legal or tax professional for personal advice on eligibility, tax treatment and restrictions. Federal and state laws and regulations are subject to change. Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 27 Thank you for attending today’s HSA/FSA Compliance Quiz Workshop! For more information about OptumHelath Financial Services’ solutions from OptumHealth, contact your OptumHealth sales executive or visit www.optumhealth.com OptumHealth | Optimizing Health and Well-Being | www.optumhealth.com © 2011 OptumHealth, Inc All Rights Reserved. March 2011 Confidential property of OptumHealth. Do not distribute or reproduce without express permission from OptumHealth. 29