EBRI Issue Brief

Health Savings Accounts and Health Reimbursement Arrangements: Assets, Account Balances, and Rollovers, 2006–2013

Jan 21, 2014 20  pages


  • Asset levels growing: In 2013, there was $23.8 billion in health savings accounts (HSAs) and health reimbursement arrangements (HRAs), spread across 11.8 million accounts, according to data from the 2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS). The number of accounts was up slightly from 2012, when there were 11.7 million accounts. Total assets were up from $18 billion in 2012.
  • HSAs growing, but HRAs contracting: For the first time since the survey was launched in 2005, the number of HRAs fell. In 2013, there were 4.7 million HRA accounts, down from 5.1 million in 2012. The number of individuals with HSAs increased from 6.6 million to 7.2 million between 2012 and 2013. Assets in HRAs fell slightly and were about $5.8 billion in 2013. Assets in HSAs increased from $11.3 billion to $16.6 billion between 2012 and 2013.
  • After leveling off, average account balances increased: The combined average HRA and HSA account balance increased to $2,010 in 2013. It was $2,311 among HSA participants and $1,236 among HRA participants.
  • Length of time with account has impact: Individuals with an HRA or HSA for five years or more had $3,491 in their account. Those with an account for less than a year had less than $2,000 in their account.
  • Total and average rollovers decrease: Average rollover amounts decreased from $1,206 in 2012 to $1,165 in 2013. Total assets being rolled over also decreased: $9.2 billion was rolled over in 2013, down from $9.8 billion in 2012. The percentage of individuals without a rollover who had an account for more than a year was 10 percent in 2013.