Workers view healthcare as a critical issue

Workers in a recent EBRI study rank healthcare as the most critical issue facing the nation and one of the most important considerations when they're contemplating a career move. In fact, nearly a quarter of all employees surveyed ranked health insurance as a top three most important benefit when they're considering a job change.

Benefits Ranked "Extremely important" When Considering Job Change

73%
Health insurance
57%
Retirement savings plan

Healthcare expenses on the rise

Approximately 34% of workers say they feel confident that they can afford healthcare without financial hardship today, but confidence decreases to just 20% over the next 10 years.*

Confidence to Afford Healthcare without Financial Hardship

34%

Today

20%

Over the next 10 years

Source: *Workers Rank Health Care as the Most Critical Issue in the United States, Employee Benefit Research Institute, September 2018.

HSA market reaches new highs

The number of HSAs now exceeds 28 million, with almost $66 billion in assets, a year-over-year increase of 23% for HSA assets and 13% for accounts. HSAs can include both deposit and investments assets. Deposits are low-interest savings accounts where individuals have easy access to their assets. Individuals also can invest in mutual funds and stocks, similar to retirement plans.


Total HSA Assets (in Billions)

Source: 2019 Year-End HSA Market Statistics & Trends Executive Summary, Devenir Research, March 3, 2020.

HSA enrollment growth outpaces prior year

In 2018, we saw HSA adoption gain speed, with total number of enrollments growing by 13% year-over-year. This growth rate remained steady at 13% for 2019, with over 3.2 million new HSA enrollments over the course of the year. And, Devenir reports that more than half of all HSAs, or 56%, in the U.S. have been opened in the last 3 years.

56%
of HSAs have been opened in the last 3 years
37%
of assets are held by HSAs opened in the last 3 years

Total Health Savings Accounts (in Millions)

Source: 2019 Year-End HSA Market Statistics & Trends Executive Summary, Devenir Research, March 3, 2020.

More employers offering an HDHP paired with an HSA

As employers move to high deductible health plans (HDHPs) that are paired with HSAs, employees rely on payroll deduction to make contributions. Employers are the leading driver of new account growth, accounting for 27% of all health savings account contributions in 2019.


27

%

of all HSA contributions came from an employer

60

%

of all HSA contributions came from an employee

12

%

of all HSA contributions came from an individual not associated with an employer

Source: 2019 Year-End HSA Market Statistics & Trends Executive Summary, Devenir Research, March 3, 2020.

Young savers becoming more active within HSA market

As we’ve highlighted, more employers are bundling health savings accounts into their employee benefits packages to help employees manage high deductible healthcare plans. As a result, younger generations of employees are becoming a major piece of the health savings account market.



Data from Chard Snyder, an Ascensus company, shows that savers ages 25 to 34 represent 30% of all HSA owners on our platform. Individuals ages 35 to 44 represent the second largest segment of savers, at about 25% of the total population of HSA owners.

Source: Chard Snyder platform, as of March 31, 2020.

How much health savings progress have Americans made?

Chard Snyder data suggests that younger savers tend to have smaller average HSA balances relative to older generations. However, the year-over-year carryover potential for these savings offers these younger savers the opportunity to continue to build these balances as they progress in their career. This carryover potential, along with triple tax advantages, is a distinct benefit of the health savings account.


Average HSA Balance

Source: Chard Snyder platform, as of March 31, 2020.

HSAs help secure financial wellness

HSAs are an important part of a saver’s overall retirement strategy as healthcare expenses continue to rise. With no "use-it-or-lose-it" rule and the ability to carry over balances from employer to employer, savers are becoming savvy on how to maximize their savings and growth potential.

retained assets from 2018 to 2019

in withdrawals

in contributions

Source: 2019 Year-End HSA Market Statistics & Trends Executive Summary, Devenir Research, March 3, 2020.

HSAs provide growth opportunity

Future projections continue to show steady growth. Devenir estimates that by the end of 2021, total HSA assets will exceed $90 billion.


Estimated Total HSA Assets (in Billions)

Source: 2019 Year-End HSA Market Statistics & Trends Executive Summary, Devenir Research, March 3, 2020.

HSA investment assets predicted to increase

HSA investment assets have seen significant growth. However, only about 24% of all HSA assets are invested. As more account owners learn about the opportunity to invest their health savings, the overall percentage of invested HSA assets is expected to increase.

% of HSA Assets in Investments

Investing for future healthcare needs

HSA investments were over $15 billion at the end of 2019, up 54% year-over-over—as more people transition from traditional saving to investing.

The average total balance for an HSA investment account is $16,012, over 7 times larger than a noninvestment account owner's balance.


54%

year-over-year increase in HSA investment assets

$16,012

average account balance of HSA investment account
Source: 2019 Year-End HSA Market Statistics & Trends Executive Summary, Devenir Research, March 3, 2020.

Education is key to understanding HSAs

A recent WEX Clear Health Insights report states that the majority of individuals surveyed believe that their employers’ 401(k) plans offer the most pretax savings benefits. While HSAs actually offer the most pretax savings, only 13% of respondents are aware of these advantages. Additionally, over half were not aware that they could invest their HSAs in mutual funds or stocks.


Were You Aware that You Could Invest Your HSA?

Source: Easing Workers' Concerns About the Rising Cost of Heathcare. 2018 WEX Health Clear Insights Report.

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