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Board approves HSA deductible increase after insurer offers temporary coverage for excess costs
Summary
The district moved its HSA deductible to comply with IRS rules for embedded family plans and secured insurer/consortium support to cover overage costs during the transition so employees will be 'made whole.'
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The HILLSBORO R-III Board of Education approved a revision to the health savings account (HSA) plan deductible to meet IRS minimums for a plan with embedded family coverage. District staff explained the change was necessary to maintain compliance and described an arrangement with the insurance consortium to cover employee expenses above the prior deductible while transition paperwork is completed.
Staff explained that, because the district’s HSA is an embedded family plan, IRS rules require a minimum family deductible (the district cited a $3,300 threshold), which exceeds the district’s prior $3,000 deductible. District representatives and the broker reported the consortium and insurer agreed to advance funds so affected employees who exceed the prior deductible this year will be compensated while reconciliation occurs. The district said it will administer an account to front the money and receive reports from the insurer; staff committed to working directly with employees on any paperwork and to ensure employees are not left with uncovered medical bills from the transition.
Board members asked questions about employee notification and timing; presenters said the insurer and consortium planned to cover overages and that the district would manage distribution and reporting. The motion to approve the deductible revision carried unanimously.

