NCPA - National Center for Policy Analysis

Health Savings Accounts in 2014

August 10, 2015

It has been estimated that there are 13.8 million Health Savings Accounts (HSAs) holding $24.2 billion as of Dec. 31, 2014. The number of employers expected to offer an HSA-eligible health plan, either as a health plan option or as the only health plan option, is expected to continue to increase.

Drawing on cross-sectional data from the Employee Benefit Research Institute, researcher Paul Fronstin finds that:

  • Almost 4 in 5 HSAs have been opened since the beginning of 2011.
  • The average HSA balance at the end of 2014 was $1,933, up from $1,408 at the beginning of the year. Average account balances increased with the age of the owner of the account. Account balances averaged $655 for owners under age 25 and $5,016 for owners ages 65 and older.
  • HSAs with either individual or employer contributions accounted for 70 percent of all accounts and 86 percent of the assets in 2014. Four percent of these accounts ended the year with a zero balance.
  • On a yearly average, individuals who made contributions deposited $2,096 to their account.
  • Four-fifths of HSAs with a contribution also had a distribution for a health care claim during 2014. Among HSAs with claims, the average amount distributed for health care claims was $1,951.
  • Distributions for health care claims increased with age.

Source: Paul Fronstin, "Health Savings Account Balances, Contributions, Distributions, and Other Vital Statistics, 2014," Employee Benefit Research Institute, July 2015.


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