At a Glance | April 4, 2019 HSA-Eligible Health Plans: How Many Are Enrolled in Them and How Is It Changing? 1 GROWING, BUT SLOWING Percentage of Enrollees in HSA-Eligible Health Plans 2014–2018 We reviewed data compiled 21% 22% Mercer from five surveys to examine 19% trends. Growth in HSA-eligible KFF 19% 19% 16% health plans continues, but at 16% a slower rate than in the past. 14% 15% Several factors — such as the 12% EBRI/ 11% 11% 11% Greenwald delay in the Cadillac tax, low & Associates 9% 10% insurance premium increases, 8% and low unemployment — may 7% AHIP be holding back growth in HSA- NCHS eligible health plan enrollments. 0% 2014 2015 2016 2017 2018 1 FEWER ENROLLEES Average Growth Rates in HSA-Eligible Health Plan Enrollment By Select Time Periods Growth rates in HSA-eligible health plan enrollment have 68% been trending down across most of the surveys examined in this paper. Ultimately, 44% changes to public policy may be 43% 38% needed to expand enrollment. 21% 19% NCHS 16% 16% AHIP 13% 8% Mercer 7% 8% KFF 0% 0% EBRI/ -2% Greenwald 2007–2009 2010–2012 2013–2016 2017–2018 & Associates Public Policy Passage Return to Renewed Stability of ACA Stability Uncertainty ANOTHER PERSPECTIVE Length of Time Enrolled in an HSA-Eligible Health Plan 2018 Despite surveys showing slowing growth, we find data <1 year 1–2 years 3–4 years 5–9 years 10+ years that imply recent strong Years enrollment growth. Specifically, Enrolled 44 percent of individuals 19% 25% 26% 17% 12% were enrolled in their health plan less than three years. Five percent of HSA-eligible health plan enrollees switched to a new type of health plan. SOURCE: Paul Fronstin. “Enrollment in HSA-Eligible Health Plans: Slow and Steady Growth Continued Into 2018,” EBRI Issue Brief, no. 478 (Employee Benefit Research Institute, March 28, 2019). 1. Surveys by EBRI/Greenwald & Associates, the National Center for Health Statistics (NCHS), the Kaiser Family Foundation (KFF), Mercer, and America's Health Insurance Plans (AHIP). © 2019 EBRI