Can HSA Following Death Go to Charity? Exploring HSA Inheritance Rules

When it comes to Health Savings Accounts (HSAs), many people wonder about what happens to the account in the event of their death. Specifically, can an HSA following death go to charity? Let's delve into the details of HSA inheritance rules to shed light on this question.

Under current IRS rules, the fate of an HSA after the account holder's death depends on who the designated beneficiary is:

• If the HSA beneficiary is the spouse of the deceased account holder, the spouse can inherit the HSA tax-free and use it for eligible medical expenses.
• If the beneficiary is someone other than the spouse (e.g., a child, parent, sibling, or charity), the HSA ceases to be an HSA upon the account holder's death. The fair market value of the account as of the date of death is includible in the beneficiary's gross income for that tax year.

While the HSA funds may not directly go to charity upon the account holder's death, there are ways to still support charitable causes with the remaining HSA balance:

• The account holder can designate a charity as the contingent beneficiary of the HSA. If the primary beneficiary predeceases the account holder or disclaims the inheritance, the charity would receive the remaining funds.
• The account holder can also include provisions in their will or estate plan to donate the HSA funds to a charity of their choice after their passing.

It's important to note that navigating HSA inheritance rules can be complex, and consulting with a financial advisor or estate planner is recommended to ensure your wishes are carried out effectively.

Health Savings Accounts (HSAs) offer incredible benefits for managing healthcare costs, but understanding their implications after the death of the account holder can be challenging. When it comes to HSAs following death, it’s vital to know the rules that apply, especially regarding charity donations.