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HSA Market Report

December 2004

HSA Market News December 2004; Volume 1, Number 3
SPECIAL REPORT: Debit Card Providers...Debit card competition grows...Evolution Benefits, MBI, Motivano, Exante, DataPath...To embed or aggregate?...Medical Mutual learns lessons...Aetna deductibles embedded...BCBS-NC urges balance billing...Colby heads up United BeneFund...BCBS-SC eyes 3000 HSA lives...Blue Shield-CA offers HSA plans...PacifiCare to launch HSA plans...HealthAmerica has HSA plans...Trustmark sees HSA gains...United buys Destiny...BCBS-MA to offer HSA in 2005...Hanway bullish on CDHPs...WageWorks buys FlexBen...Performax to administer HSAs...Sterling preferred by 2 assns....HAP taps Mellon, Lumenos...WellChoice uses Mellon as trustee...Principal adds HSA mutual funds...Broker seeks change in HSA pay...Bush touts HSAs...GPA goes full-replacement...Insurance cycle and CDHPs...and more...

DEBIT CARD COMPETITION GETS WILD
Providers of debit cards for tax-advantage spending accounts, including industry leaders Med-i-Bank (MBI), Evolution Benefits and Motivano, face a fierce competitive battle in the burgeoning market for HSA swipe cards.

TO EMBED OR AGGREGATE DEDUCTIBLES?
Managed care organizations are learning about a quirk in the federal rules for HSA-compatible high-deductible health plans, which require that family deductibles be aggregated unless the embedded individual deductible is at least equal to the minimum family deductible ($2000 in 2004).

MEDICAL MUTUAL-OH LEARNS HSA LESSONS
“We’ve skinned our knees a little bit as the year went on,” said Aaron Graham, product manager of Medical Mutual of Ohio (Cleveland), in discussing the company’s early efforts at marketing HSA-compatible health plans.

WAGEWORKS ACQUIRES FLEXBEN
WageWorks (San Mateo, CA) continued to expand its presence in the consumer-directed healthcare market, announcing the acquisition of privately held FlexBen (Detroit), a third-party employee benefits administration firm.

AETNA CA HSA PLANS HAVE EMBEDDED DEDUCTIBLES
Aetna Inc. (Hartford, CT) has begun offering three new HSA-compatible health plans to small groups (two to 50 employees) in California, with embedded deductibles for family coverage.

BCBS-NC MAKES CLEAR: BALANCE BILL AFTER REPRICING
Blue Cross Blue Shield of North Carolina (Chapel Hill, NC) has announced plans to launch a high-deductible health plan for employer groups on Jan. 1, 2005, with Mellon Financial Corp. handling HSA administration.

COLBY HEADS UP UNITED BENEFUND
Ronald Colby, who was replaced earlier this year as chief executive of UnitedHealth Group’s specialized services unit, has resurfaced as the point man for BeneFund, a new concept launched by UnitedHealth (Minnetonka, MN) in Utah and Colorado for self-insured employers.

BCBS-SC EYES 3000 HSA LIVES IN 2005; SEES COST SHIFT
Blue Cross Blue Shield of South Carolina (Columbia, SC) expects to have about 3000 lives enrolled in HSA-compatible high-deductible health plans as of Jan. 1, 2005, according to Tom Faulds, president of the company’s Blue Cross division.

BLUE SHIELD-CA LIFE OFFERS HSA PLANS
Blue Shield of California Life & Health Insurance Co. (San Francisco) has launched two HSA-compatible high-deductible health plans for small and mid-sized groups, the company announced.

PACIFICARE TO LAUNCH HSA PLANS IN 2005
PacifiCare Health Systems (Cypress, CA) will launch individual and large group HSA-compatible health plans in April 2005 and small group plans in February, according to a new web site from America’s Health Insurance Plans (Washington).

HEALTHAMERICA ADDS INDIVIDUAL HSA PLANS IN PA, OH
HealthAmerica (Harrisburg, PA) has launched 13 low-cost PPO health plan options for individuals and families in Pennsylvania and eastern Ohio, nine of which are HSA-compatible.

TRUSTMARK SEES HSA PLAN GAINS
Trustmark Insurance Co. (Lake Forest, IL) has about 2000 small group lives in HSA-compatible health plans representing $3 million in annual premiums, according to Tom Luddy, assistant vice president of sales at the company’s Starmark division.

BCBS-MA TO OFFER HSA PLAN IN ‘05; TAPS WELLS FARGO
Blue Cross Blue Shield of Massachusetts (Boston) will introduce HSA-compatible high-deductible health plans in 2005, using Wells Fargo as preferred HSA Trustee, according to Tim O’Brien, senior vice president of sales.

HAP TO OFFER HSA PLANS, TAPS MELLON, LUMENOS
Health Alliance Plan (Detroit) is offering HSA-compatible high-deductible health plans and is using Mellon as HSA trustee and Lumenos as administrator, the company announced.

WELLCHOICE TO USE MELLON AS HSA TRUSTEE
WellChoice Inc. (New York), which will begin offering HSA-compatible health plans to groups with 51 or more employees, will use Mellon Financial Corp. (Ridgefield Park, NJ) as its preferred HSA trustee and administrator.

PRINCIPAL ADDS MORE MUTUAL FUNDS TO HSA PACKAGE
Principal Financial Group (Des Moines, IA) will expand to 35 the number of mutual funds available to HSA account holders, effective Jan. 1, 2005, the company said.

PERFORMAX ADDS HSA ADMINISTRATION
Performax (Baltimore), an administrator of self-insured employer health benefits, will also administer HSA-compatible high-deductible health plans for self-insured clients, the company announced. Performax hasn’t yet named an HSA trustee, a spokeswoman said.

STERLING IS PREFERRED HSA ADMINISTRATOR AT 2 ASSNS.
Sterling HSA (Lafayette, CA), co-founded in February by former Health Net executives Cora Tellez and Michael Woodard, will be the preferred administrator for enrollees in HSA-compatible health plans offered through the California Dental Assn. and the California Bankers Assn.

SMALL BROKER SAYS HSA COMPENSATION MUST CHANGE
Sam Bennett, a partner in the four-person insurance brokerage firm of Harrison Agency (Columbia, MO), told HMN that he is actively selling HSA-compatible health plans to individuals because he believes in the concept.

PRESIDENT BUSH SIGNS UP FOR HSA, TOUTS CONCEPT
President Bush announced that he had signed up for an HSA and continued to tout the cost-savings of high-deductible health plans.

GPA GOES TO HSA PLAN AS FULL-REPLACEMENT
Group & Pension Administrators (Richardson, TX), a third-party administrator of 50,000 self-insured lives, has enrolled its own 170 employees in an HSA-compatible high-deductible health plan as a total replacement product effective Jan. 1, 2005.

CDHPs MAY NEAR 50% OF MARKET BY ’07, HANWAY SAYS
Nearly 50% of the 180 million covered lives in the U.S. could be in a consumer-directed health plan by 2007, compared to just 3% today, according to Edward Hanway, chairman of Cigna Corp. (Philadelphia).

WILL CDHPs BRING INSURANCE CYCLE DOWNTURN?
Will the consumer-directed healthcare revolution result in a healthcare insurance cycle downturn?


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