HSA owners show three spending behaviors, Fidelity finds

An analysis of Fidelity’s 74,000 HSA accounts has revealed several interesting trends regarding contribution rates and spending behavior.

Fidelity noted three categories of spending behaviors by HSA participants:

• About a third (36%) of participants are "Spenders." They use more than 90% of their HSA contributions on qualified medical expense reimbursements, allowing little or no balance to carry over.

• Four out of 10 (40%) participants are "Hybrids," using between 10% and 90% of their HSA contributions and carrying over the rest.

• Nearly a quarter (24%) of participants are "Savers," using less than 10% of their annual contributions and investing the balances for future health expenses.

Nearly all participants (95%) carry over some balance from year to year.

Approximately one out of five (17%) participants contributed (i.e., both employee and employer contributions) more than $5,000 to their account in 2010, and nearly half (46%) had contributions of $2,500 or more. On average, Fidelity’s HSA participants contributed $2,620 to their accounts in 2010.

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