Health Spending Accounts (HSAs)

Health Spending Accounts

What Is A Health Spending Account (HSA)?

An HSA resembles a personal bank account as it works with debits and credits. With a positive account balance, an individual may obtain reimbursement for eligible medical and dental expenses and the account is  debited by the paid amount. The amount deposited into each account must be used within a specified period (1 or 2 years), after which an unused balance is forfeited. This “use it or lose it” principle is required by Revenue Canada for the HSA to qualify as a private health services plan and is necessary to maintain a reasonable element of risk in the benefit plan for insurers.

Administration and Funding of a Health Spending Account (HSA)

There are three main areas of consideration when implementing an HSA – Philosophy, Carry Forward and Funding.

Health Spending Accounts

Philosophy: Should the company have a program that has a tiered benefit structure for different groups of employees in the organization? HSAs could be structured based on seniority or position within a company such as different benefit amount for executives, management and all other employees.

Carry Forward: The design of an HSA is determined by the method of “carry forward” that is selected by an employer. There are three options by which an HSA is constructed:

  • Balance Carry Forward – employees may roll over any accumulated credits in year one to year two. Any remaining balance would revert to the employer.
  • Expense Carry Forward – unused credit from year one may be carried over into year two. Any remaining balance of credits would revert to the employer at the end of year two.
  • No Carry Forward – employees can claim their expenses against employer credits within the year that the expense is incurred.

Funding: the employer’s pre-determined contribution amount can be allocated to fund an employee’s HSA in one of the following options:

Health Spending Accounts
  • Monthly. The employer will pay an equal amount each month.
  • Pay-As-You-Go. The employer pays an amount equal to the total of the claim and any expenses each month.
  • Annually. The employer will contribute a lump sum to all HSAs on a specified date once per calendar year.
  • Pro-Rated. The employer will pay monthly on an HSA that is actually being funded on a quarterly and semi-annual basis.
  • An HSA provides coverage to enable employees to meet their specific needs over and above a basic insurance plan for catastrophic coverage
  • Employers can budget more accurately for the cost of allocating set amounts each year for an HSA for each employee
  • Health and Dental claims are completely controlled by the HSA preset maximum for each employee
  • Employees aware of HSA maximum amounts will increase utilization to ensure use of all HSA account dollars
  • Overall costs of HSA may increase as employees use credits for their specific needs as opposed to a traditional plan which may only be used for certain needs of each employee
Health Spending Accounts

Taxability Status of a Health Spending Account

Certain criteria must be met for an HSA to be considered a tax-deductible business expense, the same as a traditional benefit plan.

  • HSAs must be 100% funded through employer contributions set prior to the benefit year (i.e. a set amount per person per year)
  • HSA funds cannot be used to purchase additional insurance (i.e. Life Insurance, Long Term Disability)
  • The amount of reimbursement is limited to the amount allocated to the account by the employer
  • Benefits must meet Canada Revenue Agency’s definitions of eligible expenses
  • Unused amounts in the HSA cannot be paid out at year end as cash to the employee


Incorporated business, limited companies or self-employed individuals and their families are eligible for HSAs. Claims may be submitted for eligible expenses which are incurred by an eligible employee, their spouse or any other dependent for which the employee is claiming a tax deduction in the taxation year the expense was incurred.

Health Spending Accounts
Health Spending Accounts

Why Choose Health Risk Services to be your Third-Party Administrator?


We CARE about insisting that your plan stays current with CRA guidelines.

  We CARE about providing you with all the proper plan implementation documents for your corporation to ensure compliance with CRA.

  We CARE about ensuring quick turnaround times for your claims.

  We CARE about providing you with the convenience of direct deposit for your reimbursements.

  We CARE about ensuring you are kept up to date on any legislation changes that may affect your Health Spending Accounts.

In other words, we CARE about your overall Benefit Plan experience!

Contact HRS today to enquire about implementing YOUR Employee Benefit Plan!

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We’re lucky enough to live in a country that provides great healthcare dependent upon which province you live in, but medical expenses still add up beyond what is covered by the province. That is why business owners provide Employee Benefits – to ensure that their employees have access to additional healthcare such as Prescription Drugs and Dental Care.

Health Spending Accounts provide coverage that go beyond a typical benefit plan — think of them as a savings account, but for healthcare costs. There are two basic types of Spending Accounts:

The type of plan really depends on what’s the right fit for the Employer, based on what your Philosophy is as to why you provide benefits. Both plans help save on taxes and cover things like dental work, vision expenses and prescriptions for the employee as well as Health and Wellness options.

Now for the biggest question of them all: would my company benefit from implementing a Health Spending Account or Flexible Spending Account? Spending Accounts have grown extremely popular with employers as they can help manage the ever-increasing healthcare costs of other traditional Insurance company employee benefit plans. Health Spending Accounts are also a great incentive to attract, retain and reward employees — who doesn’t want to work somewhere that covers those prescription glasses you didn’t think you could afford OR those braces for your children all at 100%?

Health Risk Services offers Health Spending Accounts fully funded by employers and tax-free for the employee! How much each employee is funded annually is determined by the employer, and the cost of the plan is the administration fee charged on funding dollars. Any medical, dental or vision expenses eligible by the Canada Revenue Agency are covered. Flexible Spending Accounts offered by Health Risk Services are totally customizable — most companies have a diverse range of employees all with distinct types of health needs and ways of dealing with them, either reactively or proactively. So, it’s important we offer spending options beyond just the traditional extended health and dental care. Imagine the options – wellness, retirement, childcare, eldercare, education, transportation – the options are limited only by your own desired limitations!!

We also offer a unique Personal Spending Account (PSA) plan that goes beyond your traditional FSA. Employees can choose to contribute to a PSA through salary deduction, and can use it to top off any other Health Spending Account. It essentially acts as an extra savings account to cover unexpected or expensive costs when you run out funds in your employer funded HSA. It’s always good to backup your backup! And, the employee owns the account.

Spending Accounts may sound complicated or confusing, but really, they’re all about providing Tax Preferred benefits that will help both your business and your employees. And that’s what Health Risk is all about – making the business of benefits simplistic so that you can go on with the business of running your business! And remember, most employees prefer to work for employers that provide benefits, and the more incentives such as Spending Accounts that you offer your employees, the Happier and Healthier they’ll be!