Can a Company Establish an HSA Plan Without a High Deductible Health Insurance Plan?

Health Savings Accounts (HSAs) have gained popularity in recent years as a way for individuals to save and pay for medical expenses tax-free. However, a common question that arises is whether a company can establish an HSA plan without a high deductible health insurance plan.

When it comes to setting up an HSA plan within a company, the key requirement is that employees must be covered by a High Deductible Health Plan (HDHP) to be eligible to contribute to an HSA. This means that:

  • An employer can offer an HSA to employees only if they are enrolled in a qualifying HDHP.
  • Employers can contribute to their employees' HSAs, and these contributions are tax-deductible for the employer.
  • Employees can also make pre-tax contributions to their HSAs, reducing their taxable income.

However, it's important to note that employees are not required to open an HSA even if they are covered by an HDHP. They can choose not to contribute to an HSA and use alternative means to pay for medical expenses.

For companies looking to provide a health savings option to their employees without a high deductible health insurance plan, they can consider offering a Flexible Spending Account (FSA) instead of an HSA. FSAs also allow employees to contribute pre-tax dollars to pay for qualified medical expenses, but they have different rules and limits compared to HSAs.


Health Savings Accounts (HSAs) are an excellent way for employees to save money on medical expenses while enjoying tax benefits. However, to establish an HSA plan, a company must ensure employees are enrolled in a High Deductible Health Plan (HDHP). This creates a system where both employers and employees can participate in this tax-advantaged savings tool.

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