I've been lurking this forum for a while and have learned a lot, so thanks! I've got what are probably some basic-level questions, but I haven't seen any threads covering them in the last few months, so here they are...
I've read a fair amount about HSAs (Health Savings Accounts) and until recently felt like I had a good handle on the best way to use them. A couple years ago I selected the high-deductible health plan, which came with the HSA. This year I'm maxing out my contributions and taking advantage of the contributions my employer offers through their workplace wellness program.
Investing: The interest rates offered on cash by my HSA provider (Health Equity) would best be described as pathetic. It's a schedule ranging from 0.01% (yes, one one-hundredth of a percent) for the first $2000, all the way up to a "whopping" 0.36% on money over $10,000.
Until now, my plan has been to keep an amount equal to my yearly health insurance out of pocket maximum (around $4000) in "cash" and invest anything over that. Lately I've been feeling like that's leaving money on the table though. I have enough cash in the bank to cover the potential $4000 if I needed to, so should I be more aggressive with my HSA "asset allocation"? What cash/investment split do you use?
Fund choice: Health Equity is offering a number of Vanguard funds with expense ratios ranging from 0.02% (VIIIX) to 0.16% (VWAIX). What is a good strategy here for selecting the funds to use? Should I try to do the "same" as my 403(b) (all in a Vanguard Target-Date fund, currently running at 85% stocks/15% bonds)? I could piece that together in Health Equity by using VIIIX for the stocks and VBMPX (or maybe VTAPX?) for bonds. Or should I "diversify" and try to select funds to complement my "big" retirement account's asset allocation? If so, what would make sense there?
Utilization: I've read some articles that advocate not using the HSA funds to pay for medical expenses as they come up. Instead, they say to save the "receipts" until "later" (I'm not sure when "later" would be exactly) and let the HSA grow. Then, when the time is right, you can reimburse yourself for those expenses, and do whatever you want with the money.
For some reason I feel a little uncomfortable with this... For one, it seems like going against the reason the HSA exists. It also seems like kind of a hassle to do the record-keeping, etc. But if it's worth enough money to me I'm willing to consider it. The questions(s) here are: how much am I potentially leaving on the table if I just pay my modest medical expenses from the HSA as I go vs. paying out of pocket and letting the HSA grow? What approach do you use with your HSA?
Cash interest "enhanced rates" option: When I was digging on the Health Equity website about this stuff, I found an option for a "cash supplement" agreement, which would increase the interest earned on the cash portion of my HSA balance. The increase would basically double the normal rates. The way this is described is:
This option is an interest-bearing group annuity contract issued by Pacific Life Insurance Company that offers enhanced rates. Rates subject to change. Guarantees subject to claims-paying ability of insurer.
Looking at the fine print, I found this:
4 - NO FEDERAL INSURANCE. YOUR CASH ACCOUNT AND THE CONTRACT WILL NOT
BE FEDERALLY INSURED (E.G., BY THE FDIC). THE CONTRACT IS SUBJECT TO THE
CREDIT RISK OF PACIFIC LIFE AND MAY RESULT IN A LOSS OF THE PRINCIPAL AND
ACCRUED INTEREST IN YOUR CASH ACCOUNT.
So, for a very limited upside (i.e., two times pathetic is still pathetic), it sounds like I'm risking my principal? If that's the case, wouldn't I be better going with the investing option, which also offers the chance of principal loss, but has a much greater upside? How risky are offerings like this? Does anyone out there take advantage of them?
That's a lot of questions but I appreciate any info or insights offered. Let me know if I can provide any additional details about my situation or the options at Health Equity. Thanks!