Is Premium from COBRA Coverage Considered Distribution from HSA? - HSA Awareness Article

When it comes to Health Savings Accounts (HSAs), understanding the rules and regulations around distributions is essential. One commonly asked question is if the premium from COBRA coverage is considered a distribution from an HSA. Let's delve into this topic to provide clarity.

COBRA (Consolidated Omnibus Budget Reconciliation Act) allows employees to continue their group health insurance coverage after leaving their job, but they must pay the full premium, including the portion previously covered by their employer.

So, is the premium paid for COBRA coverage considered a distribution from your HSA? The short answer is no, it is not considered a distribution. Here's why:

  • COBRA premium payments are not considered qualified medical expenses, so they do not fall under HSA distribution rules.
  • Even though COBRA coverage is related to healthcare, the premiums are more akin to insurance payments rather than medical expenses.
  • As long as the COBRA premium is paid directly to the insurance provider and not reimbursed from the HSA, it does not count as a distribution.

It's important to note that while COBRA premiums are not considered distributions, other types of expenses, such as non-qualified medical expenses, would be subject to distribution rules and potential penalties.


When it comes to Health Savings Accounts (HSAs), understanding how distributions work can be a bit confusing. A common question many people have is whether the premium paid for COBRA coverage is deemed a distribution from an HSA. It’s crucial to grasp this to avoid any mishaps with your funds.

COBRA, which stands for Consolidated Omnibus Budget Reconciliation Act, allows individuals to keep their employer-sponsored health insurance after leaving a job, but the kicker is that they must shoulder the entire premium amount themselves.

So, is the COBRA premium something that can be taken out of your HSA? The quick answer is no. Here’s the scoop:

  • The payments for COBRA premiums don’t count as qualified medical expenses, so they don't qualify as HSA distributions.
  • Although COBRA provides health insurance, think of the premium as similar to paying car insurance, rather than a medical expense like a doctor’s visit or prescription.
  • If you’re paying for your COBRA premium directly to the insurance company and you’re not drawing from your HSA for that payment, it simply isn’t classified as a distribution.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter