Health Savings Accounts (HSA)

If you’re on a University health care plan, HSA Bank will be your HSA administrator.

• HSA Bank mobile app information
• HSA Bank member website guide
• Note: If you change your address, you will need to update your address in myURHR Workday AND within the HSA Bank Member Portal by following the path Profile > Update Profile > Update the address > Submit.

To contribute to an HSA, you must be enrolled in the YOUR HSA-Eligible Plan and meet the following IRS eligibility criteria:

• Employee is not covered by any other health plan, including spousal health insurance, except for those that the IRS permits.
• Employee cannot be enrolled in any part of Medicare, Tricare, Medicaid, or state health care programs.
• Employee cannot elect or be covered by another person’s Health Care Flexible Spending Account or Health Reimbursements Arrangement for the current plan year.
• Employee will not be claimed as a dependent on another person’s tax return for the current plan year.
• Employee has not received Veteran’s Administration health benefits in the past 90 days. Only preventative, dental, and vision are permitted.
• Please Note: Unless your domestic partner qualifies as your tax dependent, you’re not eligible to withdraw funds tax-free for their qualified health care expenses. However, if you’re enrolled in a family HDHP covering your domestic partner and they meet the other HSA eligibility requirements, they may establish and contribute to their own HSA outside of the University.

The maximum amount that you may contribute to your HSA is dependent on your health plan coverage:

• Single Coverage: $4,300 per plan year
• Coverage Including Dependents: $8,550 per plan year

Employees age 55 or older, may contribute an additional $1,000 to their HSA in 2025.

• You may change your HSA annual contribution election at any point throughout the year by filling out the HSA contribution form; no qualifying event is needed.
• Unused funds in your account at the end of the year will roll over to the next year.

Eligible full-time faculty, staff earning less than $71,000 (salary band 1), and residents and fellows who certify eligibility during Open Enrollment will receive a one-time contribution of $200 (for single) or $400 (for all coverage levels other than single) to their HSA from the University. We will also provide a prorated contribution to full-time employees earning less than $71,000 and Residents and Fellows if they are new hires, rehires, or newly eligible employees, as well as employees or Residents and Fellows experiencing a qualifying event.

Employees must enroll in the YOUR HSA-Eligible Plan and certify their HSA eligibility in myURHR Workday to receive University funding.

You may use your HSA to pay for qualified medical, dental, and vision expenses. A complete list of qualified expenses can be found in IRS Publication 502. You can also watch this helpful video.

When you enroll in an HSA, your HSA administrator will send you an HSA card to use at point-of-sale, but you also have the option to request a reimbursement online.

The CARES (Coronavirus Aid Relief and Economic Security) Act, passed by Congress, has expanded covered expenses that you may use your HSA on. The act is retroactive as of 1/1/2020. Qualified expenses now include: over-the-counter medicine without needing a doctor’s prescription and all feminine hygiene products.

Pre-tax HSA funds can only be used toward the qualified expenses of tax-dependents – if you have a domestic partner that is not your tax dependent, you cannot use your pre-tax HSA funds for them.

HSA Bank death beneficiary form
Complete this form if you would like to add or update a Beneficiary(ies) to your HSA Bank account (Excellus BCBS members).

HSA Bank direct transfer request form
Complete this form to authorize HSA Bank to receive a transfer of assets directly from a Health Savings Account (HSA) into your HSA at HSA Bank.

HSA Bank rollover request form
Complete this form for an HSA Rollover involving a check.

HSA Bank name change request form
Complete and remit this form if requesting a name change. Required: Please attach supporting documentation of the name change such as a copy of a marriage certificate, divorce decree, or a court order for the name change.

If you need additional forms, you can contact us or explore our employee benefit forms page.