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A summary of the articles included in the October 2026 edition:

  • Morningstar Publishes 2026 Health Savings Account Landscape With Updated Provider Assessments and Industry Trends
  • Your HSA Needs a Succession Plan
  • Employers Are Auto-Enrolling Workers in HSAs — Just Like 401(k)s
  • Can an Employer Contribute to a Worker’s Spouse’s HSA? Yes, But . . .
  • HSA Council-Endorsed Bill Would Allow Some Working Seniors to Contribute


Morningstar Publishes 2026 Health Savings Account Landscape With Updated Provider Assessments and Industry Trends

Morningstar published its 10th annual HSA Landscape Report, offering an analysis of industry trends and assessments of the top HSA providers available to individuals. The report evaluates 11 providers on two use cases: as spending accounts for current medical costs and as long-term investment accounts.

The research examines a rapidly maturing HSA industry marked by continued asset growth, lower fees, expanding investment options, and increasing access to high-deductible health plans. It also highlights the growing adoption of brokerage windows and other features designed to give participants greater flexibility in how they invest their HSA assets.

Your HSA Needs a Succession Plan

If you’ve heard of health savings accounts, it has probably been in the context of their trifecta of tax benefits: pretax money going in, tax-free compounding while the funds are inside the account, and tax-free withdrawals for qualified healthcare expenditures.

But even HSAs have their limits. As I’ve written before, the tax benefits of the accounts effectively cease upon the account owner’s death, or the death of his or her spouse if that person is the beneficiary.

That makes it crucial to have a succession plan for your HSA: a plan to encourage tax-free spending during your lifetime (and your spouse’s, if you have one), as well as naming the correct beneficiary for the account in an effort to maximize the tax benefits.

Employers Are Auto-Enrolling Workers in HSAs — Just Like 401(k)s

Employers are putting some muscle behind health savings accounts, similar to their push to enroll more workers in 401(k) plans.

Last year, nearly half of employers automatically enrolled eligible workers into an HSA, according to a recent report by the Plan Sponsor Council of America (PSCA), a nonprofit group representing employers.

That’s up from 3 in 10 in 2019.

Can an Employer Contribute to a Worker’s Spouse’s HSA? Yes, But . . .

Question: I save a lot of premium dollars if my employees enroll on their spouses’ coverage. Can I offer to contribute a spousal waiver bonus to a spouse’s Health Savings Account?

Answer: Yes, although there may be more practical and financially advantageous means of sharing savings with employees.

Many employers offer employees an opt-out payment if they waive the employer’s coverage. These arrangements can be unconditional (payment is made regardless of whether the employee has coverage elsewhere, such as through a spouse or parent) or conditional (payment is made when the employee shows proof of other coverage).

Alternatively, employers can extend their Health Savings Account contribution to the HSA-eligible spouse of an employee who waives coverage.

HSA Council-Endorsed Bill Would Allow Some Working Seniors to Contribute

A new bill addresses a conflict between Health Savings Account law and Medicare that disqualifies some, but not all, working seniors from making and receiving contributions to their accounts.

The American bankers Association Health Savings Account Council has endorsed legislation introduced by US Rep. Michelle Fischbach (R-MN) that would permit otherwise-HSA-eligible working seniors who collect Social Security benefits to continue to accept employer contributions and deposit a portion of their own pay on a pretax basis into their Health Savings Accounts. The Hardworking Senior Act, H.R.10072 targets a Medicare rule that harms only working seniors who want to continue to fund their Health Savings Account to reimburse current qualified medical expenses or build balances to cover the same expenses and more in retirement.

Twice in the past eight years, Congress has passed a version of this legislation (with strong bipartisan support in 2018) as part of a larger bill to expand Health Savings Accounts and make technical corrections. Both times, the Senate did not bring the provision to the floor for a formal vote.