Can an Employer Start an HSA Without Health Insurance?

Health Savings Accounts (HSAs) have become increasingly popular as a way to save for medical expenses while reaping tax benefits. Many people wonder if an employer can start an HSA without offering health insurance. The answer is yes, an employer can establish an HSA for its employees even if health insurance is not provided.

Here are some key points to consider:

  • An employer can sponsor an HSA and make contributions to employees' accounts without providing health insurance coverage.
  • Employees are also allowed to contribute to their own HSAs through pre-tax payroll deductions, regardless of whether their employer offers health insurance.
  • While an employer can set up an HSA without offering health insurance, there are certain eligibility requirements that employees must meet to qualify for an HSA, such as being covered by a high-deductible health plan (HDHP).
  • Employers can choose to contribute to employees' HSAs as part of their benefits package, even if they do not offer health insurance coverage.
  • Contributions to an HSA are tax-deductible, and the funds can be used tax-free for qualified medical expenses.

In conclusion, an employer can start an HSA without providing health insurance, offering employees a valuable savings tool for medical expenses while enjoying tax benefits.


It's a common misconception that Health Savings Accounts (HSAs) can only be established alongside health insurance plans. In reality, employers have the flexibility to sponsor an HSA for their employees, even if they do not offer any health insurance coverage.

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