What Happens to My HSA When I Leave My Job?

Unlike a Flexible Spending Account, you can keep your Health Savings Account (HSA) when you leave your job. Even if you opened your HSA in association with a High Deductible Health Plan (HDHP) you got from your job, the HSA itself is yours to keep. All of the money in it, including contributions your employer made, contributions you made, and interest, belong to you.

Pay COBRA Premiums Using Your Health Savings Account

If you’re losing your health insurance as a result of leaving your job, you can use the money in your HSA to pay the monthly premiums for COBRA continuation of your health insurance. This is considered a qualified medical expense; you won’t have to pay income taxes or the 20% penalty on HSA withdrawals for COBRA premiums.

What if you can’t afford COBRA, don’t want to continue your current health plan, or aren’t eligible for COBRA? As long as you’re receiving federal or state unemployment benefits, you may withdraw the money in your HSA to pay health insurance premiums. For example, you could purchase a health plan from your state’s Affordable Care Act health insurance exchange and use money from your HSA to pay the premiums. Depending on your income, you may even be eligible for a government subsidy to help you pay the monthly premiums so your HSA funds stretch further.

As soon as you stop receiving unemployment benefits, don't forget to stop using your HSA funds to pay those health insurance premiums.

Use Your HSA as an Emergency Fund

The money in your HSA can be withdrawn to pay for medical expenses. But you don't have to withdraw money from your HSA when you have a medical expense. Instead, you can pay your medical bills with other money (post-tax) and keep the receipt. Then, months or years or decades later, you can withdraw money from your HSA to reimburse yourself for the medical expense that you paid with post-tax money (this is assuming you didn't itemize those medical expenses on your tax return the year you paid them; you can't ever double-dip on your taxes, so if you itemize the deduction, you can't also reimburse yourself with pre-tax HSA money).

So some people treat their HSA as an emergency fund, invested in stocks or bonds or an interest-bearing account, with the gains growing tax-free from one year to the next. They pay all their medical bills with other funds and save the receipts. Then if they need the money—because of a job loss, for example—they can withdraw as much from the HSA as they've spent on medical bills during the time they've had the HSA. The withdrawal isn't taxed since it's technically being used to pay for medical expenses, just many months or years after the fact.

Losing Your High Deductible Health Plan? Stop Your HSA Contributions

If you lose your High Deductible Health Plan (HDHP) health insurance coverage, you won’t be able to contribute to your HSA until you regain HDHP coverage. This is true even if you get health insurance coverage from a different type of health plan. Not having a HDHP means you’re not allowed to contribute to your HSA.

However, you may withdraw tax-free, penalty-free funds from your HSA to pay for qualified medical expenses whether you have an HDHP, a different type of health insurance, or are uninsured.

So if you get an HDHP from your new employer, or purchase an HDHP on your own (through the exchange in your state or off-exchange), you can continue to make contributions to your HSA.

If you switch to a different type of health insurance or end up uninsured altogether for a while, you can't contribute anything to the HSA during the time that you don't have HDHP coverage.

If you end up getting HDHP coverage again before the end of the year, and you have HDHP coverage as of December 1, you can contribute the full amount to your HSA for that year ($3,450 in 2018 if you have coverage for just yourself under the HDHP, or $6,900 if you have coverage for yourself and at least one other family member under the HDHP). But there's a caveat: You then have to keep your HDHP coverage in place throughout the next year (this is called the ​testing period) or else you'll have to pay taxes and a penalty on some of the HSA contributions you made during the year when you didn't have HDHP coverage for the whole year. 

Retiring? Special Rules Apply to Your Health Savings Account

Once you turn 65, you may withdraw money from your HSA for any reason without facing the 20% penalty for non-medical withdrawals. However, only the money you withdraw for qualified medical expenses will be tax-free. You’ll pay regular income taxes on money you withdraw for non-medical purposes.

Medicare premiums are considered a qualified medical expense, but Medicare supplemental policies like Medigap aren’t. You’ll pay income taxes on HSA withdrawals used for Medigap premiums, but the HSA withdrawals you use for Medicare premiums will be tax-free.

You may no longer make contributions to your HSA once you’ve enrolled in Medicare.

Want to Change HSA Custodians?

You don’t have to keep your HSA with the same custodian; you may move your HSA from one custodian to another. You might consider doing this if

  • You’re unhappy with the fees your current HSA custodian charges.
  • You’re not satisfied with the investment options your current HSA custodian allows.
  • Your current custodian offers online-only HSA management and you’d prefer getting face-to-face customer service by walking into your local bank branch.

Changing from one HSA custodian to another can be done by a direct transfer of assets between custodians. In other words, your old HSA custodian transfers the money directly to your new HSA custodian. Following the rules in IRS Publication 969, “Do not include the amount transferred as income, deduct it as a contribution, or include it as a distribution on Form 8889.”

Some custodians charge a fee for transferring assets or closing an account, so make sure you ask.

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  1. Internal Revenue Service. Publication 969 (2018), Health Savings Accounts and Other Tax-Favored Health Plans. Updated March 6, 2019.