Health Savings Account (HSA)

The Health Savings Account (HSA) is an account that you can use to save money on a pre-tax basis for medical, dental and/or vision out of pocket expenses.  Only employees enrolled in a high-deductible medical plan can participate in a health savings account.

Clermont County employees are permitted to set up their HSA at the financial entity of their choice.  Keep in mind that some banks charge a monthly fee for this service, while most Credit Unions do not charge a fee; in additional, Credit Unions offer some great advantages when looking for investment opportunities.

To enroll:  First complete your benefit elections on-line Employee Self Service (ESS); then print the HSA deposit form and take to the credit union or bank of your choice (must handle HSA accounts); return the completed form to the Auditor’s Office/Payroll.

Some of the advantages of saving funds using the HSA are:

  • For 2025 anyone enrolled in a single high-deductible medical can save up to $4,300 tax free dollars in an HSA annually
  • Anyone enrolled in an HDP medical plan with dependent coverage can save up to $8,550 annually
  • Enrollees 55 or over can save up to an additional $1,000 per year.
  • Clermont County contributes to the HSA for you; in 2025 the amounts are:  $25 per pay for single HDP medical; $50 all other tiers.

IMPORTANT:  The amounts listed above are the IRS maximums for 2025 and include all funds deposited to your HSA; you will need to subtract the County’s contribution from the IRS amounts allowed and then divide by 24 to determine the maximum employee contributions per pay. 

  • Employee contributions are pre-tax, which lowers the taxable income.
  • Once deposited, the funds belong to the employee & remain in the employees account until used.
  • When the employee leaves employment, the funds go with them.
  • Account owner can access funds even if changing to a non-eligible medical plan, but no further contributions are permitted.
  • Charges that occurred prior to the date the HSA was set up cannot be reimbursed.

People who are NOT eligible to participate in the HSA include:

  • Employees covered by a traditional / copay medical plan through their spouse or other entity
  • If your spouse has an active full healthcare (medical, dental & vision) Health Care Flexible Spending Account (FSA) plan.
  • Employees enrolled in any Medicare plan