hsas: emerging trends national consumer driven healthcare summit cora m. tellez, president, sterling...
TRANSCRIPT
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HSAs: Emerging Trends
National Consumer Driven Healthcare Summit
Cora M. Tellez,President, Sterling HSA™
September, 2006 Washington, D.C.
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Agenda
• About Sterling HSA
• Emerging Trends– Demographics– Utilization– Employer Adoption
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About Sterling HSA
• Privately held, independent HSA administrator
• Domain expertise in health insurance
• Review/pay medical and other bills on behalf of accountholder
• Enables self-directed investments
• Work with employers and their brokers/benefit consultants
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Sterling HSA Demographics
More men open accounts than women (61%/39%)
BUT . . . Women are the primary users!
Source: Sterling HSA data: August, 2006
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Sterling Demographics . . . Appeal to Young Baby Boomers
<25 yrs. old 5%
26-40 32%
41-55 43%
56-64 20%
Source: Sterling HSA data, August 2006
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HSA Contributions/Disbursements(per Accountholder)
2004 2005
Contributions $763 $1,845
Disbursements $137 $580
Ending Balance $626 $1,403
% Using HSA funds 29% 41%
Source: Sterling HSA data, February, 2006
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Use Of HSA Funds. . .
Meets HP Deductible 41%
Mostly drugs, MD visits
Meets IRS Med Expense Criteria 49%
Mostly dental, alternative medicine
Does Not Meet IRS Med Criteria 10%
Source: Sterling HSA data January, 2006
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Employer Adoption by Size
• Large group favor HRAs and HSAs
• Mid-size group favor HSAs
• Small group favor HSAs as total
replacement
Source: Buck Consulting study, June, 2006 and Sterling HSA data
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Sterling Employer Support . . .
% of Accountholders by Level of Employer Contribution Towards the Deductible
No Contribution 28%
25% or More 72%
Source: Sterling data: August, 2006
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The Teamsters’ Experience
• Five Employers facing unaffordable insurance with HMO/low deductible PPO
• Benefit Design: HDHP with HSA– Employer contributed $1,000 to each employee’s
HSA
• 56% used funds to pay for medical care
• $440 average ending balance/Accountholder
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Emerging Results: Lower Medical Cost for the Teamsters Groups
Service HDHP PPO HMO
Medical $249 $333 $524(per employee/per month or pepm)
Rx (pepm) $13 $107 $107
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Lessons in Effective HSA Implementationfor Employers
• Design insurance product (deductible, out-of-pocket limits) to meet employer objectives
• Involve the leadership
• Fund HSA accounts to speed adoption/reduce risk of out-of-pocket cost exposure
• Develop pro-active education program
• Launch ongoing, customized communications program
• After launch, provide regular feedback
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Thank You
• Questions?
Sterling HSA
475 14th Street, #120
Oakland, Ca. 94612
800 617 4729