Trusting your HSA to a beneficiary may not be as easy as you think.
Why American retirees are returning to work
A new study from the Employee Benefit Research Institute shows the rate of return to work among retirees in the United States.
When you consider the benefits associated with a Health Savings Account (HSA), it’s easy to see why it’s so popular. In addition to being tax-deductible, HSAs allow you to keep your funds forever. You can also take it with you after you retire and use it as needed.
If you’re lucky enough to have access to an HSA, it’s important to know that your account won’t be treated like any other asset when you die. Depending on who you name as your beneficiaries, you may need to plan for:
If your spouse is the beneficiary
Spouses receive the most preferential treatment when inheriting an HSA. Your spouse can treat the HSA as their own, effectively becoming the owner.
There are three obvious benefits.
- Ongoing tax benefits: Your spouse can still make tax-free withdrawals for qualified medical expenses.
- Ongoing contribution: If eligible, your spouse may continue to contribute to the account.
- Distribution requirements: There are no forced withdrawals.
The advantage of a spouse inheriting an HSA is that the transition is very smooth. Additionally, if you need to minimize taxes as part of your estate planning, leaving an HSA to your spouse is definitely the most tax-efficient option.
If the beneficiary is someone other than your spouse
If you name someone other than your spouse as a beneficiary (such as a child, relative, or friend), the account will lose its HSA status upon your death, which can have significant tax implications.
Here’s what happens when you leave your HSA to someone other than your spouse.
- No longer treated as an HSA: Rather than receiving the special treatment associated with HSAs, funds are treated like many other assets.
- Taxable: Non-spouse beneficiaries must include the fair market value of the account as of the date of death in their gross income for the year. However, you can reduce your tax liability by qualifying medical expenses you paid before your death.
The downside to leaving your HSA to a non-spouse is the fact that you will be liable to pay ordinary income taxes on the distribution. While this may not be a burden for some, it can be a significant problem for others.
If your property is the beneficiary
If you do not designate a beneficiary or designate your estate as the beneficiary, the HSA reverts to your estate. In that case it would look like this:
- tax: The final distribution will be taxed as income on your final Form 1040.
- Probate: Once the money becomes part of your estate, it must go through the probate process. Additionally, beneficiaries looking to make the most of their inherited assets may experience significant delays in receiving their inheritance due to the estate process.
HSAs are valuable tools. However, continuing to benefit your loved ones after you’re gone takes a little strategic planning.
The Motley Fool has a disclosure policy.
The Motley Fool is a USA TODAY content partner providing financial news, analysis and commentary designed to help people take control of their financial lives. Its content is produced independently of USA TODAY.

