Health Spending Accounts (HSAs) are being promoted by employers as a way to save costs. Canadian consulting and insurance companies (often subsidiaries of U.S. companies) are increasingly marketing administrative services for HSAs to employers as a way to save benefit costs.

Employers argue that HSAs provide employees with greater discretion on how their benefit dollars are spent. In fact, HSAs severely restrict employees’ choices and may require employees to pay for large and/or unanticipated expenses out of their own pockets.

How do HSAs work? What are the arguments against HSAs?

Download the fact sheet.