Phia Group Russo & Minchoff

AHIP Census Measures HSA Enrollment at Eight Million

AHIP Federal News Bulletin, www.ahip.org

On May 13, AHIP released a census based on January 2009 data showing that 8 million Americans are enrolled in high-deductible health plans (HDHPs) that are compatible with Health Savings Accounts (HSAs). AHIP also released a new report on the income characteristics of HSA accountholders, showing that they have a broad range of incomes across the nation.

The census indicates an increase of approximately 1.9 million Americans enrolled in HSA plans since January 2008. Previous AHIP census reports found that 6.1 million were enrolled in January 2008, 4.5 million were enrolled in January 2007, 3.2 million were enrolled in January 2006, and 1.0 million were enrolled in March 2005.

Other key findings indicate that in January 2009:

• Thirty percent of individuals covered by an HSA plan were in the small group market, 47 percent were in the large group market, and the remaining 23 percent were in the individual market.
• A majority of HSA enrollees are covered by PPO products (83 percent) and HMO products (10 percent).
• States with the highest levels of HSA/HDHP enrollment were California (854,000), Florida (524,000), Illinois (497,000), Texas (476,000), Ohio (464,000), and Minnesota (388,000).
• Monthly average premiums ranged from a high of $361 for single coverage and $925 for family coverage in Massachusetts to a low of $210 for single coverage and $461 for family coverage in North Dakota.

Key findings from the income characteristics analysis include:
• Households with a wide range of incomes hold HSA accounts, with 49 percent of accountholders living in neighborhoods with median incomes under $50,000 (based on 2000 Census data) in 2008.
• Average total deposits (including personal deposits, employer contributions, and interest) for all HSA accounts were $1,634 and average total withdrawals (including fees) were $1,063 in 2007.

The full text of the HSA census can be found by clicking here, and the income characteristics analysis can be found by clicking here.


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Adam V. Russo

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