HSA s. Health Savings Accounts. Aegis Administrative Services Inc.

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1 HSA s Health Savings Accounts Aegis Administrative Services Inc.

2 Health Savings Accounts Your Health & Retirement Vehicle $

3 What is driving up the cost of Health Insurance? Lifestyle Diseases account for more than 50% of increased healthcare spending dollars Claims Overpayment Inadequate Disease Management Programs

4 The increasing cost of RX/medical care Small group market reform brings in high risk clients Mandated benefits Administrative costs All of these expenses are greater in the individual and small group health market due to the inability to negotiate large discounts The bottom Line.. Those seeking individual and group health insurance need alternatives.

5 Consumer-directed Healthcare What s s the theory behind "consumer-directed" health care, a new trend in health benefits design. Introducing people to the actual cost of medical care, as the theory goes, will make them shrewder purchasers of medical services, diagnostic tests and prescription drugs -- and help hold down the rising cost of health insurance.

6 Who is Buying HSA s Close to 2,000,000 Americans 37% Previously Uninsured 40% Make Less Than $50,000 a year 53% Families with Children 57% over age of 40 92% Had funds rollover to the next year

7 HSA s - Choice & Savings In the traditional health care coverage approach: Individual buys a standard health plan Once premium dollars are spent, regardless of utilization they are gone forever There is no opportunity for premium savings or tax savings...

8 HSA s - Choice & Savings HSA: Health Savings Account A HSA is an individual Tax- exempt Trust Account set up in conjunction with an IRS approved high deductible health plan. It is designed to pay for qualified medical expenses and/or provide savings for the future.

9 Who s s Eligible? Any individual not entitled to benefits under Medicare, not claimed as a dependent on another person s s tax return, has an IRS approved high deductible health plan and is not covered by any other health plan. (e.g. spouse s plan) (High deductible health plan (HDHP) may be employer sponsored or an individual plan)

10 How Do HSA s s Work? Obtain an IRS approved (Sec. 223) qualified high- deductible health plan Establish a Health Savings Trust Account to cover eligible medical expenses and/or save for the future. EQUALS Premium Savings

11 How Do HSA s Work? Key Points: The qualified high deductible health plan must be in place to set up the Health Savings Account. The health plan and the HSA are two separate programs. Keep in mind also The qualified health plan may be sold as stand alone catastrophic medical coverage. The insured is not required to set up the HSA account simultaneous with the health plan.

12 Health Plan Specifications Plan cannot have any 1 st dollar benefits except wellness Family deductible can be an aggregate or embedded. (In aggregated deductible plans, individual limits do not apply. e.g. in a $1,050 single/$2,100 family deductible plan, one family member could incur all $2,100 of the expenses to meet the family deductible.)

13 Health Plan Specifications A HSA account holder cannot be covered by another health plan, but is still eligible for certain other coverages: Accident Disability Dental & Vision Long-Term care Hospitalization indemnity Worker s compensation Specified illness Property liability If an employee chooses to keep double coverage, his/her HSA would have to be considered a non-qualified HSA.

14 Health Plan Specifications Single Deductible $1,050 minimum/$2,700 maximum Family Deductible $2,100 minimum/$5,450 maximum Out of Pocket Limits (Including deductible and any coinsurance. Out of network penalties do not apply to this maximum.) Single $5,250 Family $10,500

15 What is an HDHP? (cont d) HDHP can provide first-dollar (or below the deductible) coverage for Preventive Care benefits Preventive care includes Periodic health evaluations, including tests and diagnostic procedures in connection with routine exams, such as annual physicals Routine prenatal and well-child care Child and adult immunizations Tobacco cessation programs Obesity weight-loss programs Screening services (Mammograms, Pap Smears, Glaucoma test, and so on) Preventive care does not include any service or benefit intended to treat an existing illness, injury, or condition

16 What is an HDHP? (cont d) Preventive Care. Drugs and medications qualify as preventive care when taken by a person who has developed risk factors for a disease that has not yet manifested itself or not yet become clinically apparent, or to prevent the reoccurrence of a disease from which a person has recovered Cholesterol lowering medications to prevent heart disease ACE inhibitors to prevent reoccurrence of heart attack or stroke Treating conditions identified during a preventive care service or screening (for example, removing polyps discovered during diagnostic colonoscopy) is permissible as preventive care

17 2006 HSA Contributions HSA Contributions are the lower of: Selected health plan deductible OR $2,700 single and $5,450 family Eligible account holders over age 55 may contribute an additional $700 for *Excess contributions are subject to a 6% excise tax.

18 HSA Contributions Contributions can be deposited in lump sum or smaller amounts Made on the first of the year or anytime throughout the year Total contribution must be made by April 15 of the following year

19 Example of Contributions If high deductible plan is adopted July 1 1 $ July October August $ $ $ $ $ $ November September $ $ December $ (1 st year contributions are prorated based on the number of months your y high deductible health plan is in force.) $ only ½ of the maximum allowable contribution may be made. $ $ $ HSA

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21 HSA s s Favorable With IRS The IRS treats HSAs similar to IRAs in that: Contributions are tax-deductible HSAs earn tax-deferred income HSAs are portable Funds can be withdrawn tax-free for qualified medical expenses No use it or lose it provisions

22 What About Withdrawals? penalty! 10% penalty and income taxes due on withdrawals for Non-qualified expenses Elective cosmetic surgery Weight loss programs Some health-related travel Health insurance premiums Dietary supplements Non-health care expenses

23 What About Withdrawals? Exception: Penalty-free withdrawals for non- medical expenses upon disability, death or age 65. Withdrawals subject to regular income taxes.

24 What About Account Funds? Account may earn tax-deferred income Account funds may be accumulated for the future Not required to use HSA funds to pay current medical bills

25 Aegis Administrative Services HSA Transition Account Structure SAMPLE Interest Rate Schedule Interest Subject to change at the discretion of Banking Institution Best in Class! Average Daily Balance $10,000+ $5,000 - $9, Interest Rate 4.00% 3.00% APY 4.07% 3.03% $2,500 - $4, % 2.51% $500 - $2, % 1.61% $00- $ %.50%

26 Aegis Administrative Services Interest Bearing Checking Access via checks or VISA debit card Interest earned and paid monthly Monthly statements Year end Tax Statements Minimum initial deposit $100 Monthly ACH deposit available at no additional cost 24 hour access to account balance and transactions

27 Aegis Administrative Services Setup Fee Internet Banking Internet Bill Pay Close Account Fee Monthly Statement SAMPLE Account Fee Structure Best in Class! Interest Checking Account with Mutual Fund Sweep Option Monthly Fee Sweep Option Initial one hundred fifty checks Check Transactions Initial Debit Card 2 nd Initial Debit Card Debit Card point of purchase ATM withdrawal at participating ATM Debit Card point of purchase using PIN No Charge No Charge $3.00 No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge No Charge $25.00 No Charge

28 Aegis Administrative Services HSA Account Options Interest Bearing Checking Account Check access Debit card access Investment Alternatives Mutual funds options Minimum Account Balance $2,500 / $4,500 to invest

29 Wellness HSA Brokers/Agents Service your clients with a turn key HSA Wellness Solution! Our HSA accounts automatically include access My Healthy Lifestyle, the ultimate all-inclusive buying club for Health & Lifestyle creating the Wellness HSA. Use HSA dollars when spending money on healthcare expenses and realize discounts while meeting your deductibles; Savings is anywhere from 20% to 60% off of retail pricing for all healthcare services! Supplement your everyday health and lifestyle expenses that are incurred in a proactive and healthy lifestyle experience. Our easy and convenient electronic enrollment and payment functions provide centralized administration, tracking and reporting tools necessary to adjudicate and to your health plan deductibles seamlessly at the point of services. About My Healthy Lifestyle Created by the leading experts in the fields of natural health, lifestyle, fitness and wholesale discount buying clubs. My Healthy Lifestyle Members shop on-line and access savings on a large variety of services and locations nationwide; all at wholesale pricing with savings from 20% to 60% with our special incentive plans. *Exclusively offered to Brokers/Agents through *Exclusively offered to Brokers/Agents through Aegis Administrative Services, MGA

30 Aegis Administrative Services Customer Service Standards Performance standards HSA Administration - 90% of completed applications submitted within 24 hours 2004 Performance (97% submitted within 24 hours) 2005 Performance (98% submitted within 24 hours)

31 Aegis Administrative Services Customer Service Standards Customer Calls - 90% of customer calls returned within 1 business day, 100% returned within 3 business days Performance (95% returned within 1 day) Abandonment rate of 5% or less 2004 Performance Inbound calls 85,147 Abandoned rate 2.83% Average speed to answer 6.2 sec Written Correspondence - 90% within 7 business days, 98% within 14 business days 2004 Performance (100% within 7 business days) Written Complaints - 100% within 5 business days 2004 Performance (1 complaint, 100% addressed within 3 business days) 2005 Performance (0 complaints)

32 Health Savings Accounts $ Aegis Administrative Services

33 Aegis Administrative Services 6970 W. Diversey Avenue Chicago, IL

34 DISCLAIMER The information contained in this publication is for general purposes only and is not intended, and should not be construed, as legal, accounting, or tax advice or opinion provided by Aegis Administrative Services, Inc. to the reader. This material may not be applicable or suitable for, the reader s specific circumstances of needs. Therefore, the information should not be used as a substitute for consultation with professional accounting, tax, or other competent advisors. Please contact an Aegis Administrative Services professional before taking any action based upon this information.