HSAPlanning
This Web Site (hsaplanning.com) was created and is maintained by:
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Self-Funding Actuarial Services, Inc. |
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Tel: (336) 759-2035 |
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8025 North Point Blvd., Suite 207W |
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Fax: (336) 896-0392 |
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Winston-Salem, NC 27106 |
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harker2@earthlink.net |
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Carlton Harker, FSA, MAAA, Principal |
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See www.self-fundhealth.com |
The purpose if this Web Site is to provide a wide range of actuarial and risk management services (information as well as task-specific) to anyone interested in the HSA Model.
HSAPlanning is devoted to the proposition that most employers should consider offering either (a) a multiple choice plan where each participant may elect a HDHP with several deductibles or (b) an HSA option to its existing traditional plan with a HDHP deductible of $2600 plus 50% of the next $4,800, e.g.
Actuarial management disciplines are needful with HSAs in these ways:
1. Repricing the HDHP because of the requisite benefit changes (removal of the deductibles, e.g.).
2. Determining the employer HSA contribution amount so as to meet predetermined targeted plan costs.
3. Rethinking several issues newly introduced by the risk-bifurcation between the HDHP and the HSA:
· New stop-loss terms
· Increased role of risk management
· Greater relative role of networks
4. Measuring anti-selection
5. Pooled risk (association plans, e.g.).
To the extent that claims processing and other administrative matters have an impact on risk management, they will also be critiqued in this web site.
These two sub-sites are the centerpieces of this Web Site:
This sub-site offers a model Feasibility Study by which the employer may make an informed decision as regards its HSA options. Such Feasibility Study is obtained by completing a Request for HSA Feasibility Study.
Actuarial Tools
The two tools in this sub-site which are needed to properly cost HSA employer contribution amounts so as to achieve targeted plan cost parity are as follows:
HSA Rating Tables
Divides total funding costs into four parts:
a. Through HDHP deductible
b. From such deductible to specific stop-loss
c. Specific Stop-Loss to Annual Maximum
d. Annual Maximum to Lifetime Maximum
Adjust total funding costs for revision of the present plan benefits to the HDHP statutory benefits (eliminating per occurrence deductibles, e.g.).
The following sub-sites are supportive the HSA-related actuarial and risk management information and/or task specific services:
Administration Topics
Such topics include:
· Funding
· Claims
· High-tech/computer
· Stop-loss.
Such topics as the following are
discussed:
· Health Savings Accounts (General, Overview).
· Comparison of HSA, MSA, FSA and HRA.
· Consumer-driven health care concept.
· Saving Employer-Sponsored Health Care with Health Savings Accounts.
This sub-site offers these items:
· Capsule of HSA-related developments.
· Critiques, articles and papers of interest or value which are HSA-related.
Such HSA-related decisions will be summarized in this sub-site as they become available.
This sub-site deals with needful competition between
· Pooled v. non-pooled HSA
· Self-funded v. Insured v. HMO
· ASO-administered HSA
· Increasing role of employer-sponsored but employee-pay-all plans.
Miscellaneous
Topics
· Useful HSA-related links
· Useful HSA-related documents.
This sub-site gives the risk-actuarial details on establishing association-sponsored HSA plans either by the proposed Federal Association Health Plan law or by aggregating individual plans.
Gives the user linked-access to the relevant statutes, regulations, rulings, etc. which affect HSA plans.