Can I Leave My HSA to a Beneficiary? | Understanding HSA Beneficiaries

Yes, you can leave your HSA (Health Savings Account) to a beneficiary upon your death. This allows your beneficiary to inherit the funds in your HSA, providing them with a financial resource for qualified medical expenses.

When considering naming a beneficiary for your HSA, it's important to understand the rules and implications. Here are some key points to know:

  • Designating a beneficiary: You can designate a primary and contingent beneficiary for your HSA. The primary beneficiary will receive the funds first, followed by the contingent beneficiary if the primary is unavailable.
  • Spousal beneficiary rules: If your spouse is the named beneficiary, they can inherit the HSA tax-free and continue to use the funds for eligible medical expenses.
  • Non-spousal beneficiary rules: If a non-spouse inherits the HSA, the account stops being an HSA and the fair market value becomes taxable income to the beneficiary for that year.
  • Updating beneficiaries: Review and update your beneficiary designations regularly, especially after major life events such as marriage, divorce, or the birth of a child.

By understanding the rules around naming beneficiaries for your HSA, you can ensure that your funds are distributed according to your wishes and provide a financial safety net for your loved ones in the future.


Absolutely, you can leave your HSA (Health Savings Account) to a beneficiary when you pass away. This ensures that your loved ones have access to those funds for qualified medical expenses, providing them with a financial cushion during a challenging time.

It's crucial to familiarize yourself with the rules and implications surrounding HSA beneficiaries. Here are some essential points to keep in mind:

  • Designating beneficiaries: You have the option to name both a primary and a contingent beneficiary for your HSA. The primary beneficiary will claim the funds first, while the contingent will receive them if the primary is unable to.
  • Inheriting by a spouse: Should your spouse be the designated beneficiary, they can inherit the HSA tax-free, allowing them to continue utilizing the funds for eligible medical expenses.
  • Non-spousal inheritance: If a non-spouse is the beneficiary, the HSA loses its tax-advantaged status, and the fair market value of the account becomes taxable income for that year.
  • Regular updates: It’s wise to review and amend your beneficiary designations periodically, particularly after significant life changes like marriage, divorce, or the arrival of a new child.

By grasping the rules associated with HSA beneficiary designations, you can ensure that your funds are allocated as per your wishes, offering a financial lifeline for your family in the future.

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