Health Savings Accounts (HSAs) are valuable for managing healthcare costs, offering tax advantages and long-term savings opportunities. As a health insurance broker in California, you can leverage HSAs to build relationships with qualified* Certified Public Accountants (CPAs) and financial professionals (wealth management, advisors, financial institutions, etc.) who advise their clients on financial matters. Here is a guide on effectively selling HSAs to CPAs and financial professionals in California.

1. Understand the Benefits of HSAs
Just because a CPA or financial professional may have a strong understanding of finances and taxes does not mean they understand the full benefits of HSAs.
Before you approach these clients, ensure you have a comprehensive understanding of HSAs and the benefits they can provide:

*Tax Advantages: Contributions to HSAs are tax-deductible, grow tax-free, and can be withdrawn tax-free for qualified medical expenses. This means money can be earned (income), invested (investment returns), and used to pay expenses without ever being taxed.

*One way to look at the HSA tax advantage:
Example: An HSA subscriber in the 25% tax bracket is enrolled in a $2000 deductible qualified HDHP. Since they pay the deductible with pre-tax dollars, the $2000 deductible would be comparable to a $1500 non-HSA deductible plan. The tax-preferred effect (savings) continues beyond the deductible, all the way up to their out-of-pocket maximum. An $8,000 OOP max would behave like a $6,000 OOP max in a non-HSA plan.

*Cost Savings: HSAs are paired with qualified high-deductible health plans (HDHPs), which typically have lower premiums than comparable non-HSA plans.

*Tax-free Investment Returns: HSA funds can be invested, growing into a retirement nest egg similar to a 401K or IRA, except there are no Required Minimum Distributions, and you do not pay tax on the investment earnings when you use the money for qualified health care expenses.

*Flexibility and Ownership: The employee owns HSA funds and stays with them throughout their career (from job to job) and into retirement. There are no use-it-or-lose-it provisions like FSA’s.

Attract and Retain: HSAs have become a valuable tool in today’s tight labor market for employers to attract and retain talent. With no discrimination tests like 401K plans, employers easily add a valuable employee benefit to their benefits package.

Important Note: The tax effects mentioned above are federal taxes. California is one of only two states that do not recognize HSAs. Given this, the benefit from the federal tax effect is typically good enough to make the HSA math work for most companies and employees.

2. Identify Key CPA /Financial Professional Contacts
Target CPAs and Financial Professional firms. You have proven methods to lower the cost of health insurance for employers and the cost of health care for their employees and provide a valuable employee benefit. Their financial acumen should make HSA math more straightforward to understand. Often, the firm benefits administrator may be someone other than a financial professional, and you can assist them with explaining HSAs to their management, who would be interested in the financial benefits offered through HSA plans.

3. Develop a Value Proposition for these prospects
CPAs and financial professionals are trusted advisors who prioritize their clients’ financial well-being. Tailor your value proposition to highlight how HSAs can benefit their employees while controlling/reducing employer costs. You are providing a service similar to what they provide to their customers.

*Tax Savings: Emphasize the tax benefits HSAs provide, which can be a significant selling point for tax-focused CPAs and financial professionals.

*Client Satisfaction: HSAs can improve client satisfaction by having a successful, cost-effective enhancement to the employee benefits offering.

*Added Value: Talk their talk by exhibiting a deep understanding of HSAs to CPAs and financial professionals, differentiating yourself from the competition.

4. Educate and Empower
Provide your prospective clients with the knowledge and tools they need to implement HSAs to their management and employees confidently:

*Workshops and Webinars: Host informational sessions to educate your clients on the benefits of HSAs, how they work, and how to integrate them into their employee benefits offerings.

*Resource Materials: Create easy-to-understand brochures, whitepapers, and case studies that you can provide prospects and clients. There is an abundance of examples and templates available on the web and from HSA providers/administrators.

*Personal Consultations: Offer one-on-one consultations to address specific questions and concerns they may have.

Show your prospects/clients this graph below – they will want to join this growing HSA trend!

 

 

Source: https://www.devenir.com/research/2023-year-end-devenir-hsa-research-report/

5. Leverage Professional Networks
Use your professional networks to connect with CPAs and financial professionals and build relationships:

*Join CPA Associations: Become a member of local and state CPA associations, such as the California Society of Certified Public Accountants (CalCPA). Insurance brokers qualify for Financial Professional and Associate membership classes.

*Attend Industry Events: Participate in CPA and banking/ wealth management conferences, seminars, and networking events to meet potential clients.

6. Highlight Compliance and Regulatory Knowledge
California has specific regulations and compliance requirements related to health insurance and HSAs. Demonstrate your expertise in these areas to build trust:

*Stay Informed: Keep current with California state laws and federal regulations affecting HSAs. For example, California requires embedded deductibles for qualified HDHPs. Know what this means and how it works. Simple examples usually do the trick.

*Provide Updates: Regularly update your clients on any changes in legislation that may impact HSAs – and the effect it may have on their clients.

*Offer Compliance Support: Help ensure they comply with all relevant regulations.

By positioning yourself as a knowledgeable and dependable partner, you can successfully sell HSAs to CPAs and financial professionals in California. You can help them provide valuable financial solutions to their clients while growing your own business.

February marks Heart Health Awareness Month, a time dedicated to raising awareness about cardiovascular health and encouraging individuals to take proactive steps toward maintaining a healthy heart. Heart disease remains one of the leading causes of death globally, highlighting the importance of understanding how to care for our hearts. According to the Centers for Disease Control and Prevention (CDC), about 695,000 people died from heart disease in 2021 in the United States which is 1 in every 5 deaths. * This month we will look at some important aspects of heart health, risk factors for heart disease, and tips for maintaining a healthy heart. Read more

GOOD NEWS: Anthem Blue Cross announced it has reached a new agreement with Dignity Health (Dignity) for all commercial products and networks including HMO, PPO and EPO. This agreement returns Dignity facilities to Anthem health plans, while protecting affordability for consumers. This agreement is retroactive to July 15, 2021, which means any care provided to CalCPA Health medical subscribers since that date, will be considered in-network.

by Ron Lang, CEO of CalCPA Health

This time of the year, with most firms renewing their employee benefit plans, there is a big uptick in questions regarding managing health plans. For CalCPA members, CalCPA Health is an available resource; our tag line is “we answer questions for your firm, your clients and your family” (or at least try to answer anyway).

Health plans are a unique blend of Internal Revenue Service, Department of Health and Human Services, Department of Labor, California Department of Insurance, and other California agencies regulations. Buried in each of these, is the Affordable Care Act’s (ACA) code. Because of this complexity and liability, when providing answers and insights we always must disclose that we do not provide tax or legal advice (lol).

 

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By Ron Lang, CEO of CalCPA Health
For more information, email questions@calcpahealth.com.

With doctor office and medical facilities shuttered for much of the second quarter, many were thinking their health insurance rates may not be going up for their 2021 renewal. But most everyone will see increases for next year. Why?

The Affordable Care Act (ACA) established mandatory operating margins for health insurance companies. These regulations mean that premium increases are driven almost exclusively by underlying medical expense increases. This is the short answer: Insurance premiums increase because medical expenses are continuing to increase.

 

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In response to the current conditions surrounding the COVID-19 pandemic, IRS Notice 2020-18 postpones the April 15, 2020 due date for filing federal income tax returns, deferring payments to July 15, 2020. The IRS has added information regarding this notice under “Filing and Payment Deadlines Questions and Answers” which addresses contribution extensions for those in Health Savings Account plans.

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The $2.2 trillion Coronavirus Aid, Relief, and Economic Security Act (CARES) was signed into law on March 27, 2020 with the purpose of helping employees out with benefit-related items during the COVID-19 crisis. The CARES Act repeals the Affordable Care Act’s exclusion of over-the-counter (OTC) medications from the definition of “qualified medical expenses”.  The bill is over 880 pages long, but to review the new rules regarding OTC provisions, see Sec. 3702 of the CARES Act.

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The new California Law, SB 1375, was signed by Governor Brown on September 22, 2018 and will affect many small firm’s group health insurance. SB 1375 changes the Health Insurance Code to reclassify certain small employer groups as individuals. The affected firms will have to obtain individual health insurance in 2019, rather than the small employer group plans they currently have. Individual health insurance is typically more expensive with less provider network and benefit plan choices than small group plan offerings.

Fortunately, for CalCPA members and their firms, CalCPA Health received certain exemptions from SB 1375, which generally allows us to treat the affected firms as groups, and not as individuals. Commercial carriers (Blue Shield, UnitedHealthcare, Anthem, etc.,) must comply with the new regulations and reclassify these groups as individuals.

SB 1375 defines groups that consist entirely of owners/partners, and/or W-2 employees that are spouses of owner/partners, as not eligible for group health coverage. Even though these entities may be classified as employer/employees by other regulations, (e.g. Workers’ Comp, payroll tax, etc.,) SB 1375 specifically states they do not qualify for group health coverage and may only purchase individual plans.

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