1. Health Reimbursement Options HSA HRA FSA MRF/MEF
      2. Purpose
      3. Maximum
      4. contribution
      5. Penalty if withdrawn
      6. before 65
      7. Long-term care
      8. allowable
      9. Pay insurance
      10. premium
      11. Integration with
      12. other accounts

Health Reimbursement Options
HSA
HRA
FSA
MRF/MEF
Purpose
Tax exempt trust
account to pay
medical expense
100% paid by
employer to reimburse
medical costs
100% pre-tax employee
money to pay medical
or daycare expenses
100% pre-tax employee
money to cover non-
reimbursed medical costs
Who funds?
Employer or
employee
Employer-only
Employee only
Employee only
Maximum
contribution
Lesser of 100% of
deductible amount
or 2650/5250
No maximum
No medical maximum
$5,000 maximum for
daycare
No maximum
Unused funds
Accrues tax free
with roll over
Rolls over but never
paid to employee
without substantiation
Use or lose
Use or lose
Penalty if withdrawn
before 65
Yes
NA
NA
NA
Long-term care
allowable
Yes
Yes
No
No
Eligibility
HDHP 1050/2100
Any employee
Any employee
Any employee
Range of benefits
NA
Yes, employer can
designate different
classes of employees.
NA
NA
Portability
Yes
Yes, at employers’
discretion
No
No
Pay insurance
premium
No
Yes
Yes*
Yes
Integration with
other accounts
FSA – No
HRA – No
MRF – Yes
HSA – No
FSA – Yes
MRF – Yes
HSA – No
HRA – Yes
MRF – Yes
HSA – Yes
HRA – Yes
FSA - Yes
* A separate FSA is needed for medical insurance premiums.

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