Can I use my HSA to pay my COBRA premiums?

Asked by: Juliet Keeling II  |  Last update: January 23, 2024
Score: 5/5 (57 votes)

Yes, COBRA continuation coverage premiums can be paid from your HSA. In addition, if you are unemployed and receive unemployment compensation, you can purchase other healthcare insurance with your HSA. You cannot pay COBRA premiums with a Flexible Spending Account (FSA).

Why can't you use HSA to pay premiums?

Generally, you cannot treat insurance premiums as qualified medical expenses unless the premiums are for: Long-term care insurance, subject to IRS mandated limits based on age and adjusted annually (see IRS Publication 502: Long-Term Care).

Can I use my HSA to pay my insurance bill?

HSAs cannot pay for health insurance premiums unless they fall under a special exception. Your HSA can cover qualified premiums, including Medicare, COBRA, and long-term care insurance, though.

Is COBRA an HSA?

After a qualifying event, the COBRA administrator will use provided plan information to determine the premium and eligible benefit amount of each coverage type. While a Health Savings Account (HSA) is not technically covered by COBRA, funds in the HSA are owned and may be used by the individual.

Are COBRA payments tax deductible?

You can deduct the cost of COBRA health insurance on your federal income taxes. But as with most types of health insurance, COBRA premiums are considered a medical expense and can only be deducted if you itemize your deductions and your medical expenses are greater than 7.5% of your AGI for the taxable year.

How to Use HSA to Pay Long-Term Care Insurance

24 related questions found

How do deductibles work with COBRA?

COBRA coverage is an extension of the same coverage held during active employment. If you already satisfied your deductible during the current plan year, you will not have to do so again during the current plan year while on COBRA.

Are lump sum COBRA payments taxable?

If the employer deducts the premiums from the severance pay and pays the insurer directly, the funds are excluded from wages and are nontaxable. If the employee receives the funds and can provide supporting documentation of the payment to the insurer, the funds are also nontaxable.

Can I pay for COBRA with my FSA?

COBRA premiums are not eligible under a flexible spending account (FSA). They are eligible under a health savings account (HSA), and may be eligible under a health reimbursement arrangement (HRA). HRA account holders should check with their benefits administrator to determine eligibility for their plan.

Can I use my HRA to pay for COBRA premiums?

Does COBRA Apply to HRAs? An HRA is just like any other group health plan. Therefore, it is subject to COBRA. Of course, if the employer is otherwise excepted from COBRA (for example, as an employer with fewer than 20 employees), then COBRA will not apply to the HRA.

Does COBRA cost more than regular insurance?

You should expect COBRA insurance costs to be substantially higher than what you paid as an employee because your employer is no longer required to pay a share. In 2022, employees paid an average of $111 per month for an individual plan and $509 per month for a family plan, according to KFF.

What bills can I pay with my HSA?

You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses. Withdrawals to pay eligible medical expenses are tax-free. Unspent HSA funds roll over from year to year, allowing you to build tax-free savings to pay for medical care later.

Can I use my HSA to pay medical bills from last year?

Can I use my tax-free HSA savings to pay for — or reimburse myself for — IRS-qualified medical expenses from a previous year? Yes, as long as the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time.

What can I pay with my HSA card?

HSA - You can use your HSA to pay for eligible health care, dental, and vision expenses for yourself, your spouse, or eligible dependents (children, siblings, parents, and others who are considered an exemption under Section 152 of the tax code).

Should I max out my HSA?

Maxing out your HSA each year easily allows your funds to grow over time. Unlike regular savings accounts, an HSA allows you to invest funds in stocks, bonds, and mutual funds.

What happens to money not used in HSA?

No. HSA money is yours to keep. Unlike a flexible spending account (FSA), unused money in your HSA isn't forfeited at the end of the year; it continues to grow, tax-deferred.

How much is HRA COBRA premium?

The COBRA premium for a fully funded HRA is 100% of your contribution. If an employee has a balance in their funded HRA account, and they choose COBRA continuation of their HRA, they must use all funds in the account prior to termination of COBRA.

What is the past cost method of COBRA?

Past cost method.

Under this method, the COBRA rate is equal to "(I) the cost to the plan for similarly situated beneficiaries for the same period occurring during the preceding determination period ...

What insurance premiums can be paid with HRA funds?

The following types of insurance premiums are all HRA-qualified, provided they're not already paid with pre-tax dollars:
  • Major medical individual health insurance premiums.
  • Dental and vision plan premiums.

What is the difference between FSA and HSA?

HSAs and FSAs both help you save for qualified medical expenses. HSAs may offer higher contribution limits and allow you to carry funds forward, but you're only eligible if you're enrolled in a HSA-eligible health plan. FSAs have lower contribution limits and generally you can't carry over funds.

Can I use FSA funds after termination?

Money left unused in your FSA goes to your employer after you quit or lose your job unless you are eligible for and choose COBRA continuation coverage of your FSA.

Can I use FSA after leaving job?

Any unused money in your FSA goes back to your employer once you leave your job. If you have a healthcare FSA, you could have the option to continue access to your funds through COBRA. But you can't use your FSA contributions to pay for health insurance premiums either through COBRA or in the private market.

How do I pay my COBRA premium?

The three ways to pay COBRA premiums are through ACH (linked to your bank account), credit/debit card or check. We recommend paying by ACH.

Are COBRA premiums reported on w2?

When you're ready to report, the value of employer-sponsored health coverage is to be reported in Box 12 of the W-2, using the code “DD.” What are the COBRA guidelines? You are not required to report the value of coverage provided for a COBRA participant.

What happens if you don't pay COBRA?

COBRA allows a 30-day grace period. If your premium payment is not received within the 30-day grace period, your coverage will automatically be terminated without advance warning. You will receive a termination letter at that time to notify you of a lapse in your coverage due to non-payment of premiums.

Does COBRA take effect immediately?

How long does it take for COBRA to kick in? With all paperwork properly submitted, your COBRA coverage should begin on the first day of your qualifying event (for example, the first day you are no longer with your employer), ensuring no gaps in your coverage.